MANAGER HOSPITAL REVENUE CYCLE - Sinai Chicago

About Us:

At Sinai Chicago, we take health care personally. Excellence in health care is about more than just medicine, technology, tests and treatments, it is about really caring for people with dignity and respect. That’s what we do. We are dedicated to providing the best care to meet the needs of people, for our community, for our patients and for you.

Position Purpose:

The Manager of Revenue Management plans, leads, guides, evaluates and manages the functions of Sinai Chicago Revenue Cycle. The position serves as the associate to the Vice President of Revenue Cycle. The position oversees the accounts receivable management activities, functions, and performance. This position is responsible for leading the efforts to achieve maximum efficiency and performance. Working collaboratively and in tandem with other leadership, this position will help facilitate best practice models and execute plans for standardization and performance improvement.

Key Job Activities:

• Provides oversight for all operations and functions of the revenue management, accounts receivable management, charge reconciliation, claims management, denial management, collections, bad debt, and trend analysis
• Leverages technology to ensure that automated solutions and applications support functional objectives. Identifies gaps and proposes solutions where necessary.
• Analyzes key metrics, ensures performance quality and accuracy.
• Develops strategies to improve performance through work flows, software solutions, performance metrics, and payer communications
• Supports strategic planning initiatives and participates in effective execution of planning relevant to functional area(s).
• Provides regular analysis of trends in the accounts receivables and provides suggestions for resolution of negative trends.
• Provides expert guidance on maximizing collections through data analysis.
• Evaluates vendor performance and ensures that performance meets or exceeds expectations in key categories.
• Advises management team/clinical departments of changes in industry and governmental regulations that impact physician billing and reimbursement.
• Serves as a subject matter expert for Medicare and Medicaid billing, collections and bad debt.
• Maintains relationships with representatives of governmental and other third party payers to resolve billing problems and clarify policies.
• Serves on committees slated to improve processes, efficiencies, systems, technology, implement regulatory requirements, and problem solving.
• Stays abreast of industry changes impacting functional area and Revenue Cycle and identifies potential impact and required changes. Strives to promote best practices within the functional areas within the Revenue Cycle
• Supports the mission established by the SHS relative to teamwork, professional responsibility, adaptability, integrity, customer service, initiative, and behavioral standards.
• Directs Vendor Management Program in Revenue Cycle; documents policies and workflows, and establishes reporting necessary for the success of the program, documents expectations, and current performance measures.
• Performs other duties as assigned.

Education and Work Experience:

• Bachelor's degree in Business Management or work equivalent
• 3+ years of experience with revenue cycle management
• 3+ years of experience working with hospital billing

Knowledge and Skills:

• Demonstrated ability to work effectively at all levels of the organization
• Demonstrated ability to learn and apply technical and regulatory rules
• Demonstrated ability to train and provide guidance
• Excellent communication and interpersonal skills
• Knowledge of hospital billing guidelines
• Knowledge of regulatory issues impacting hospital billing
• Knowledge of insurance company’s practice, regarding reimbursement and healthcare
• Understands data, how to find and use it
• Strong analytical and problem solving skills
• Must be organizationally savvy; knows how to get things done
• Must be detail-oriented
• Exceptionally strong interpersonal and relational skills, including listening, written and verbal
• Working knowledge of Microsoft Excel

Certifications/Licenses:

• None

Workplace Conditions:

PHYSICAL DEMANDS:

• While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle or feel; and talk or hear
• The employee frequently is required to walk and stoop, kneel, crouch
• The employee is occasionally required to stand
• The employee must occasionally lift and/or move up to 25 pounds.
• Specific vision abilities required by this job include close vision, distance vision, and ability to adjust focus

WORK ENVIRONMENT:

• General office environment and the noise level in the work environment is usually moderate

BLOOD-BORNE PATHOGEN EXPOSURE CATEGORY:

Category 1 - Job usually involves contact with patients or patient’s specimens. Exposure to blood, body fluids, non-intact skin or tissue specimens, is possible

Category 2 - Job may expose incumbent occasionally or in emergency situations to blood, body fluids, non-intact skin or tissue specimens

x Category 3 - Job does not involve exposure to blood, body fluids, non-intact skin or tissue specimens. Incumbent does not perform or help in emergency medical care or first aid as a part of his/her job.

Benefits:

Sinai Health System’s goal is to provide you with the most comprehensive benefit package possible while balancing our fiscal commitments and obligations. Sinai Health Systems currently offers its employees the option to participate in a full range of benefits, including a health care program which includes medical, dental, vision and prescription coverage. Along with Employer Paid Life and Accidental Death & Dismemberment (AD&D), Supplemental Life, Short-Term and Long-Term Disability, Health Savings Account (HSA) and Flexible Spending Account (FSA), Employee Assistance Program and Student Loan Assistance. Participation in some programs requires that employees be regularly scheduled to work a minimum number of hours and/or to have fulfilled a waiting period after they begin employment with Sinai Health Systems.

Registry (per diem) Caregivers are caregivers who work less than 1,000 hours in a calendar year. Registry caregivers are employees of Sinai Health System but are typically on an as needed basis. These caregivers may be called upon to cover full-time or part-time caregivers during PTO events or sick leave as well as to provide supplemental coverage. Registry Caregivers are not eligible for Sinai’s benefit programs with the exception for Sick-C, PPO Medical Plan, Employee Assistance Program (EAP) and non-match eligible contribution to the Sinai Health System Consolidated 403(b) retirement savings plan.

Living the Values:

• TEAMWORK - Caregiver works together with other caregivers to create and maintain an inclusive workplace where differences, inclusivity, conflict resolution and open communication are valued
• RESPECT - Caregiver shows mutual respect and fairness, treats each person with dignity and encourages each individual’s unique talents and contributions
• QUALITY - Caregiver improves our services by following protocol and suggesting improvements based on observations, continuous learning and industry best practices
• INTEGRITY - Caregiver holds self and others accountable for their actions and are honest and ethical in all dealings
• SAFETY - Caregiver practices behaviors that promote safety for all patients, visitors, and caregivers
• ROLE MODEL - Caregiver is a dependable role model and champions our values through their daily interactions with patients, customers and coworkers

Key Job Activities:

• Provides oversight for all operations and functions of the revenue management, accounts receivable management, charge reconciliation, claims management, denial management, collections, bad debt, and trend analysis
• Leverages technology to ensure that automated solutions and applications support functional objectives. Identifies gaps and proposes solutions where necessary.
• Analyzes key metrics, ensures performance quality and accuracy.
• Develops strategies to improve performance through work flows, software solutions, performance metrics, and payer communications
• Supports strategic planning initiatives and participates in effective execution of planning relevant to functional area(s).
• Provides regular analysis of trends in the accounts receivables and provides suggestions for resolution of negative trends.
• Provides expert guidance on maximizing collections through data analysis.
• Evaluates vendor performance and ensures that performance meets or exceeds expectations in key categories.
• Advises management team/clinical departments of changes in industry and governmental regulations that impact physician billing and reimbursement.
• Serves as a subject matter expert for Medicare and Medicaid billing, collections and bad debt.
• Maintains relationships with representatives of governmental and other third party payers to resolve billing problems and clarify policies.
• Serves on committees slated to improve processes, efficiencies, systems, technology, implement regulatory requirements, and problem solving.
• Stays abreast of industry changes impacting functional area and Revenue Cycle and identifies potential impact and required changes. Strives to promote best practices within the functional areas within the Revenue Cycle
• Supports the mission established by the SHS relative to teamwork, professional responsibility, adaptability, integrity, customer service, initiative, and behavioral standards.
• Directs Vendor Management Program in Revenue Cycle; documents policies and workflows, and establishes reporting necessary for the success of the program, documents expectations, and current performance measures.
• Performs other duties as assigned.

Education and Work Experience:

• Bachelor's degree in Business Management or work equivalent
• 3+ years of experience with revenue cycle management
• 3+ years of experience working with hospital billing

Knowledge and Skills:

• Demonstrated ability to work effectively at all levels of the organization
• Demonstrated ability to learn and apply technical and regulatory rules
• Demonstrated ability to train and provide guidance
• Excellent communication and interpersonal skills
• Knowledge of hospital billing guidelines
• Knowledge of regulatory issues impacting hospital billing
• Knowledge of insurance company’s practice, regarding reimbursement and healthcare
• Understands data, how to find and use it
• Strong analytical and problem solving skills
• Must be organizationally savvy; knows how to get things done
• Must be detail-oriented
• Exceptionally strong interpersonal and relational skills, including listening, written and verbal
• Working knowledge of Microsoft Excel

Certifications/Licenses:

• None

Workplace Conditions:

PHYSICAL DEMANDS:

• While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle or feel; and talk or hear
• The employee frequently is required to walk and stoop, kneel, crouch
• The employee is occasionally required to stand
• The employee must occasionally lift and/or move up to 25 pounds.
• Specific vision abilities required by this job include close vision, distance vision, and ability to adjust focus

WORK ENVIRONMENT:

• General office environment and the noise level in the work environment is usually moderate

BLOOD-BORNE PATHOGEN EXPOSURE CATEGORY:

Category 1 - Job usually involves contact with patients or patient’s specimens. Exposure to blood, body fluids, non-intact skin or tissue specimens, is possible

Category 2 - Job may expose incumbent occasionally or in emergency situations to blood, body fluids, non-intact skin or tissue specimens

x Category 3 - Job does not involve exposure to blood, body fluids, non-intact skin or tissue specimens. Incumbent does not perform or help in emergency medical care or first aid as a part of his/her job.

Benefits:

Sinai Health System’s goal is to provide you with the most comprehensive benefit package possible while balancing our fiscal commitments and obligations. Sinai Health Systems currently offers its employees the option to participate in a full range of benefits, including a health care program which includes medical, dental, vision and prescription coverage. Along with Employer Paid Life and Accidental Death & Dismemberment (AD&D), Supplemental Life, Short-Term and Long-Term Disability, Health Savings Account (HSA) and Flexible Spending Account (FSA), Employee Assistance Program and Student Loan Assistance. Participation in some programs requires that employees be regularly scheduled to work a minimum number of hours and/or to have fulfilled a waiting period after they begin employment with Sinai Health Systems.

Registry (per diem) Caregivers are caregivers who work less than 1,000 hours in a calendar year. Registry caregivers are employees of Sinai Health System but are typically on an as needed basis. These caregivers may be called upon to cover full-time or part-time caregivers during PTO events or sick leave as well as to provide supplemental coverage. Registry Caregivers are not eligible for Sinai’s benefit programs with the exception for Sick-C, PPO Medical Plan, Employee Assistance Program (EAP) and non-match eligible contribution to the Sinai Health System Consolidated 403(b) retirement savings plan.

Living the Values:

• TEAMWORK - Caregiver works together with other caregivers to create and maintain an inclusive workplace where differences, inclusivity, conflict resolution and open communication are valued
• RESPECT - Caregiver shows mutual respect and fairness, treats each person with dignity and encourages each individual’s unique talents and contributions
• QUALITY - Caregiver improves our services by following protocol and suggesting improvements based on observations, continuous learning and industry best practices
• INTEGRITY - Caregiver holds self and others accountable for their actions and are honest and ethical in all dealings
• SAFETY - Caregiver practices behaviors that promote safety for all patients, visitors, and caregivers
• ROLE MODEL - Caregiver is a dependable role model and champions our values through their daily interactions with patients, customers and coworkers

Key Job Activities:

• Provides oversight for all operations and functions of the revenue management, accounts receivable management, charge reconciliation, claims management, denial management, collections, bad debt, and trend analysis
• Leverages technology to ensure that automated solutions and applications support functional objectives. Identifies gaps and proposes solutions where necessary.
• Analyzes key metrics, ensures performance quality and accuracy.
• Develops strategies to improve performance through work flows, software solutions, performance metrics, and payer communications
• Supports strategic planning initiatives and participates in effective execution of planning relevant to functional area(s).
• Provides regular analysis of trends in the accounts receivables and provides suggestions for resolution of negative trends.
• Provides expert guidance on maximizing collections through data analysis.
• Evaluates vendor performance and ensures that performance meets or exceeds expectations in key categories.
• Advises management team/clinical departments of changes in industry and governmental regulations that impact physician billing and reimbursement.
• Serves as a subject matter expert for Medicare and Medicaid billing, collections and bad debt.
• Maintains relationships with representatives of governmental and other third party payers to resolve billing problems and clarify policies.
• Serves on committees slated to improve processes, efficiencies, systems, technology, implement regulatory requirements, and problem solving.
• Stays abreast of industry changes impacting functional area and Revenue Cycle and identifies potential impact and required changes. Strives to promote best practices within the functional areas within the Revenue Cycle
• Supports the mission established by the SHS relative to teamwork, professional responsibility, adaptability, integrity, customer service, initiative, and behavioral standards.
• Directs Vendor Management Program in Revenue Cycle; documents policies and workflows, and establishes reporting necessary for the success of the program, documents expectations, and current performance measures.
• Performs other duties as assigned.

Education and Work Experience:

• Bachelor's degree in Business Management or work equivalent
• 3+ years of experience with revenue cycle management
• 3+ years of experience working with hospital billing

Knowledge and Skills:

• Demonstrated ability to work effectively at all levels of the organization
• Demonstrated ability to learn and apply technical and regulatory rules
• Demonstrated ability to train and provide guidance
• Excellent communication and interpersonal skills
• Knowledge of hospital billing guidelines
• Knowledge of regulatory issues impacting hospital billing
• Knowledge of insurance company’s practice, regarding reimbursement and healthcare
• Understands data, how to find and use it
• Strong analytical and problem solving skills
• Must be organizationally savvy; knows how to get things done
• Must be detail-oriented
• Exceptionally strong interpersonal and relational skills, including listening, written and verbal
• Working knowledge of Microsoft Excel

Certifications/Licenses:

• None

Workplace Conditions:

PHYSICAL DEMANDS:

• While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle or feel; and talk or hear
• The employee frequently is required to walk and stoop, kneel, crouch
• The employee is occasionally required to stand
• The employee must occasionally lift and/or move up to 25 pounds.
• Specific vision abilities required by this job include close vision, distance vision, and ability to adjust focus

WORK ENVIRONMENT:

• General office environment and the noise level in the work environment is usually moderate

BLOOD-BORNE PATHOGEN EXPOSURE CATEGORY:

Category 1 - Job usually involves contact with patients or patient’s specimens. Exposure to blood, body fluids, non-intact skin or tissue specimens, is possible

Category 2 - Job may expose incumbent occasionally or in emergency situations to blood, body fluids, non-intact skin or tissue specimens

x Category 3 - Job does not involve exposure to blood, body fluids, non-intact skin or tissue specimens. Incumbent does not perform or help in emergency medical care or first aid as a part of his/her job.

Benefits:

Sinai Health System’s goal is to provide you with the most comprehensive benefit package possible while balancing our fiscal commitments and obligations. Sinai Health Systems currently offers its employees the option to participate in a full range of benefits, including a health care program which includes medical, dental, vision and prescription coverage. Along with Employer Paid Life and Accidental Death & Dismemberment (AD&D), Supplemental Life, Short-Term and Long-Term Disability, Health Savings Account (HSA) and Flexible Spending Account (FSA), Employee Assistance Program and Student Loan Assistance. Participation in some programs requires that employees be regularly scheduled to work a minimum number of hours and/or to have fulfilled a waiting period after they begin employment with Sinai Health Systems.

Registry (per diem) Caregivers are caregivers who work less than 1,000 hours in a calendar year. Registry caregivers are employees of Sinai Health System but are typically on an as needed basis. These caregivers may be called upon to cover full-time or part-time caregivers during PTO events or sick leave as well as to provide supplemental coverage. Registry Caregivers are not eligible for Sinai’s benefit programs with the exception for Sick-C, PPO Medical Plan, Employee Assistance Program (EAP) and non-match eligible contribution to the Sinai Health System Consolidated 403(b) retirement savings plan.

Living the Values:

• TEAMWORK - Caregiver works together with other caregivers to create and maintain an inclusive workplace where differences, inclusivity, conflict resolution and open communication are valued
• RESPECT - Caregiver shows mutual respect and fairness, treats each person with dignity and encourages each individual’s unique talents and contributions
• QUALITY - Caregiver improves our services by following protocol and suggesting improvements based on observations, continuous learning and industry best practices
• INTEGRITY - Caregiver holds self and others accountable for their actions and are honest and ethical in all dealings
• SAFETY - Caregiver practices behaviors that promote safety for all patients, visitors, and caregivers
• ROLE MODEL - Caregiver is a dependable role model and champions our values through their daily interactions with patients, customers and coworkers

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