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Providence Health & Services Manager Pre-Service PSJH *Telecommute* in Montana

Description:

Providence St. Joseph Health is calling a Manager Pre-Service PSJH to work remotely within our footprint states: AK, CA, MT, OR, TX and/or WA.

We are seeking a Manager Pre-Service PSJH whose work includes enterprise functions key to easing the way for patients and caregivers alike. These functions-- scheduling, pre-registration, estimates and collections, authorization verification and notice of admission--set the tone for patient experience when receiving care at PSJH. The manager is responsible for leading these teams to a high performance level so that financial clearance is accurately obtained to ensure that payment is received timely, reducing A/R days, and minimizing risk of insurance denials.

It is critical that the manager of Pre-Service effectively manages teams either locally or across enterprise regions to perform at a high level of quality and efficiency while maintaining the focus on customer service. The manager is accountable for the state and federal regulatory compliance, setting standards, and collaborating on enterprise Pre-service policies. The manager will lead the daily operations to include meeting budget, productivity, collections, denials reductions, and other financial metrics as assigned. Work across the enterprise will include innovation and optimization projects for Pre-Service to ensure best practices are followed consistently across PSJH. This includes working with key stakeholders; leading, contributing to, or executing process improvement plans; ensuring a streamlined operational experience for business and patient constituent groups. The manager is accountable for ensuring consistent quality performance, including the Pre-Service Teams' ability to consistently meet established key performance indicators, departmental goals and milestones that support access, and an optimal consumer experience.

In this position you will have the following responsibilities:

  • Responsible for enterprise functional areas in Pre-Service, implementing best practices across PSJH to ensure the highest level of team performance is achieved. customer service to patients, physicians, provider offices, revenue cycle departments, and other constituent departments in an environment of continuous improvement.

  • Participates in enterprise innovation and optimization projects for Pre-service across the organization.

  • Ensures focus on patient, provider, and customer service is maintained so that patients are able to access care timely and meets service level agreements for constituent departments.

  • Work closely with service departments to establish, monitor, and report status of service level agreements. Monitors call center, productivity, and quality data for reporting to leaders of revenue cycle and constituent departments.

  • Responsible for financial clearance of patient accounts. Oversees and set standards for the department to include capturing accurate minimum data sets and verifying authorizations as determined by PSJH standards with the goal of optimizing revenue capture and minimizing denials.

  • Identify problems proactively for expedited resolution. Creates synergies, maintains bidirectional communication.

  • Act as a liaison between Pre-Service teams and physicians, hospital leadership, or clinical department leaders within the respective market(s).

  • Develop and maintain a high performance team by ensuring staffing levels meet budget and productivity targets. Ensures all staff are fully trained and empowered to achieve performance and quality targets and develops career ladders as appropriate.

  • Monitor and provide feedback for accurate scheduling, pre-registration, or authorization functions as appropriate. Provides education for staff to ensure accurate insurance information is obtained and verified prior to services.

  • Monitor and provide feedback to authorization verification and notice of admission teams as appropriate to ensure productivity and quality metrics are met and to ensure financial clearance performed to minimize denials.

  • Ensure individual and departmental compliance with all applicable laws and regulations as well as Revenue Cycle and Providence St Joseph Health policies and procedures.

  • Participate in market and enterprise workgroups to improve process, technology, caregiver and patient experience.

  • Create an environment that assures well-being of each caregiver in the department. Provides timely feedback and evaluations to support caregiver performance.

  • Responsible for the development of documented procedures and processes, coordinating with ministry departmental leaders and other stakeholders as needed.

  • Maintain competencies, monitors volume and performance, and assesses ongoing training and education needs.

  • Manage daily productivity. Ensures that key responsibilities are processed to meet and/or exceed department goals in accordance with the mission of Providence St. Joseph Health. Communicates outcomes to team and leadership in a timely manner, providing accurate statistical records and reports.

Qualifications:

Required qualifications for this position include:

  • 3 years Experience in pre-service, revenue cycle, or healthcare operations/admin leadership role.

  • Builds and manages effective teams

  • Effectively coaches and delivers constructive feedback

  • Demonstrated time management and priority setting skills

  • Ability to build strong customer relationships

  • Demonstrated problem solving skills

  • Quickly troubleshoots and resolves problems

  • Demonstrated customer service skills

Preferred qualifications for this position include:

  • Bachelor's Degree in General -OR - Minimum of 3 years experience in revenue cycle, call center, healthcare operations or administration leadership role in lieu of Bachelor's Degree.

  • Master's Degree Business Administration, Healthcare Administration, or related field -OR- Minimum of 7 years experience in revenue cycle, call center, healthcare operations or administration leadership role in lieu of Master's Degree.

  • 7 years Experience in pre-service, revenue cycle, or healthcare operations/admin leadership role.

About the department you will serve.

One Revenue Cycle (ORC) is the name adopted to reflect the Providence employees who work throughout Providence Health & Services (PH&S) in revenue cycle systems and structures in support of our ministries and operations in all regions from Alaska to California. ORC’s objective is to ensure our core strategy, One Ministry Committed to Excellence, is delivered along with the enhanced overall patient care experience (know me, care for me, ease my way) by providing a robust foundation of services, operational and technical support, and the sharing of comprehensive, relevant, and highly specialized revenue cycle expertise.

We offer a full comprehensive range of benefits — see our website for details —http://www.providenceiscalling.jobs/rewards-benefits

We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit

https://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Non-Clinical Lead/Supervisor/Manager

Location: Washington-Renton

Other Location(s): Montana, California, Washington, Oregon, Texas, Alaska

Req ID: 330754

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