Catholic Health Initiatives DIV MGR-PATIENT FINANCIAL SVCS in OMAHA, Nebraska

DIV MGR-PATIENT FINANCIAL SVCS

Description

THE ORGANIZATION

CHI Health is a regional health network with a unified mission: nurturing the healing ministry of the Church while creating healthier communities. Headquartered in Omaha, the combined organization consists of 15 hospitals, two stand-alone behavioral health facilities and more than 150 employed physician practice locations in Nebraska and southwestern Iowa. Nearly 15,900 employees comprise the workforce of this network that includes 2,820 licensed beds and serves as the primary teaching partner of Creighton University’s health sciences schools. In fiscal year 2014, the organization provided a combined $149.3 million in quantified community benefit including services for the poor, free clinics, education and research. With locations stretching from Kearney, Nebraska to Missouri Valley, Iowa, the health network is the largest in Nebraska and serves residents of Nebraska, southwest Iowa and northern Kansas.

This position is

responsible for assuring maximization of the revenue cycle performance by development

and oversight of finance clearance strategy to include: insurance verification, referral and authorizations,

and price transparency

REPORTING STRUCTURE:

  • Reports to: Executive Director of Revenue (PE) Cycle

  • Direct Reports: Physician Enterprise Insurance Verification Specialists, Centralized Registration Specialists, Financial Counselor, Revenue Cycle Educators, Revenue Cycle Specialists.

  • Key Collaborators: Clinic Directors/Managers, Clinic Informatics teams (market and external partners), UniNet, Payer Strategies and Revenue Cycle teams.

Location: Office may be in either Omaha or Lincoln

FUNCTIONAL ACCOUNTABILITIES

  • Develop strategy and provide oversight for insurance verification functions across the practice management platforms.

  • Analyze and interpret data to increase point of service collections and decrease insurance denials. Identify training opportunities for staff, group and individual training.

  • Provide oversight for revenue cycle education related to insurance and front desk processes.

  • Assist with the development of metrics revenue cycle reporting for revenue cycle front end users. Assist with the development of revenue cycle reporting metrics for revenue cycle front end users.}

  • Manage the centralized registration for patients seen outside of the CHI health system to assure accurate insurance information.

  • Responsible for the communication of all Government/Managed Care and contracted provider agreements for all Registration staff members.

  • Create price transparency by developing capability to provide patients with price estimates collaborating with health system.

  • Oversight of financial assistance and communicate process for the physician enterprise, working directly with revenue cycle partners.

  • Participates in the design, development, testing, implementation, training and maintenance of new business process and system applications with Systems Services staff; coordinating operational input and resources.

  • Leads effective meetings, workgroups, and committees) which include participants throughout CHI to facilitate and negotiate issues with institutional impact. Specifies and acquires resources for project completion.

  • Participation in the National policy and procedures workgroup to assuring policies are roll-out through local venues.

LEADERSHIP ACCOUNTABILITIES:

  • Has the authority to interview, hire, orient, terminate, promote, train and conduct performance evaluations.

  • Assigns day-to-day work activities; directs the functional and technical job performance of team members.

  • Allocates and directs staffing needs to meet patient, unit/department and organizational needs and collaborates with others to ensure overall staffing needs are met.

  • Manages performance including: setting goals, clarifying job expectations, monitoring performance progress, providing feedback, recognizing performance, developing skills and addressing performance issues related to work and our Core Values using corrective action.

REGULATORY REQUIREMENTS:

  • Participates in all safety, security and infection control programs that are mandatory as well as those required and provided by the department.

  • Demonstrates work practices consistent with CHI Health and department-specific safety, security and infection control policies.

  • Must have ability to work effectively and collaboratively in a diverse and multi-cultural environment.

Qualifications

KNOWLEDGE/SKILLS/ABILITIES:

Qualifications (required):

  • Bachelor’s degree in Healthcare Administration, Business, Finance or related field

  • Experience working in a practice managements systems; 5 years’ experience preferred (Allscripts, NextGen, and/or Epic)

  • Minimum 3 years’ experience in supervising, coaching, performance management, etc.

  • Minimum 3 years related healthcare work experience (including data management and analysis)

  • Extensive working knowledge of physician billing systems for governmental, managed care, and commercial payers.

  • Working knowledge of Microsoft Office software applications

  • Excellent interpersonal skills, including verbal and written communication

  • Strong public speaking and presentation skills

Job Management

Primary Location NEBRASKA-OMAHA-SERVICE CENTER-NORTH BLDG

Daily Schedule Days

Scheduled Hours per 2-week Pay Period 80

Weekends Required None

Req ID: 2017-R0122484