Provides oversight & support of the workflow & functions in accordance with level of experience, education & standards.
Assumes an expanded role & increased responsibility including delegating to others.
Participates in the development of & the process improvement of policies & procedures.
Works closely with leadership to maintain efficient & effective operations to ensure quality in daily operations.
May partner with leadership with the selection, orientation & performance feedback of the team.
Collaborates with Project Implementation Team on revenue-related discovery.
Coordinates with coding leadership and physicians to ensure HST memos are distributed.
Communicates go-live dates and new coding structures to Physician Billing Teams.
Partners with Regional Patient Access Leadership to identify and resolve gaps in pre-registration and financial clearance.
Aligns site processes with enterprise standards and educates on payer selections.
Works with Health Informatics to implement process updates.
Completes HST training across key modules: Patient Access Contracts Code Table Maintenance Item Master modifications.
Monitors AHS productivity in HST and Epic; sends daily/weekly updates.
Escalates unresolved issues to site leadership: $0 charges (non-implants) Error codes Missing post-op notes.
Analyzes performance metrics & provides consultation, leadership & direction to enhance front-end workflows & improve revenue performance for Trinity Health Medical Groups.
Requirements
Bachelor’s degree in healthcare administration, Business Management, Accounting or a related field, & / or an equivalent combination of education and experience.
3 years of experience in revenue cycle operations, patient access, billing/claims, coding support, contract management, or revenue integrity with system build/configuration exposure.
1 year supporting implementations, go‑lives, or post‑go‑live stabilization (can be combined with above).
Experience working in one or more of the following areas: HST (contracts, code table maintenance, item master) Epic (especially Epic TC/Resolute or relevant billing components) Clairiti (contracts and estimates) or comparable estimation/contract tools.
Demonstrated ability to handle PHI and follow privacy/security requirements.