Coordinates training, productivity, development of policies and procedures
Ensures compliance with all Ensemble Health Partners, client, government and regulatory guidelines
Monitors trends in underpayments and works with both payors and other departments to resolve underlying reasons for variances
Monitors ongoing issues to ensure new processes are consistently followed and maintained
Develops high-level management reports for senior leadership related to the volumes and trends of underpayments
Develops weekly and monthly reporting to identify gaps in operations and works with key parties to resolve issues
Sets departmental priorities and procedures in accordance with best practices to utilize allocated resources to meet the KPIs related to underpayment identification and recovery
Identifies gaps in client support and performance and proposes solutions through technology, services, or processes to drive performance improvement
Promotes a culture of two-way communications while creating opportunities for activities focused on employee engagement, including intentional coaching and mentoring
Coordinates directly with or delegates coordination with Managed Care, Denials, and Payor Strategy to resolve high volume and high dollar underpayment issues
Participates in monthly, quarterly, and annual key indicator goal setting
Requirements
Bachelors Degree or Equivalent Experience
3 to 5 years' experience performing director level functions supporting Revenue Recovery
Minimum 3 years' experience as a people manager
High proficiency in Microsoft Office, including PowerPoint, Excel, Word, Outlook and Teams
Emotional intelligence while recognizing the needs of others
Coaching and developing others
Use data to make informed decisions
Comfortably work with executives at all levels of the organization