Job description
Overview
:Job Highlights
:- Maintain monthly staff and cost inventory for actuals and forecast
- Manage adding and removing offshore staff based on volume from integrations, acquisitions, or lost sites
- Create staffing models for one-time projects
- Work with offshore vendors and Legal on SOWs for new lines of business
- Create SLAs for new lines of business for pricing, productivity, QA requirements, and other metrics
- Review quarterly SLA agreements and assess penalties if they are not met to the offshore vendors
- Attend weekly meetings with regional leadership and offshore partners to discuss new business, issues, IT constraints, etc.
- Meet bi-weekly with offshore vendors to discuss open issues or concerns
- Manage escalation issue log with Operations and offshore vendors
- Review monthly invoices and send to Operations to approve / validate FTE’s and KPI’s
- Communicate with Operations and offshore vendors system downtime, holidays, or other events that might impact hours of operation
- Oversee Coverage Detection and Coverage IQ processes with external vendors regarding insurance coverage and discovery
- Assist with special ad hoc projects around EDI, ERA, Eligibility, Productivity, and other initiatives assigned to the Shared Services organization
- Partner with CRT and Operations management to track productivity and span of control
REPORTING TO THIS POSITION: Does not have direct reports
Qualifications
:- Requires a bachelor's degree and 10+ years of experience in RCM
- Detailed knowledge of end-to-end revenue cycle management operations
- Experience with offshore vendor processes, functions, SLAs, SOWs, and contracting
- Advanced Microsoft Excel Skills, Power BI, and SQL Server.
- Project management
- Ability to identify process gaps and innovate solutions with minimal supervision
- Proficient reporting skills (dashboard design and deployment)
- Demonstrated success in developing, maintaining, and supporting data models
- Ability to analyze and reconcile large sets of data
- Ability to interact and engage senior level executives for requirements gathering and work product feedback
- Willing to learn new reporting tools, processes, and data types. Self-motivated, with a sense of autonomy, initiative, and responsibility
ADDITIONAL EDUCATION/TRAINING/EXPERIENCE:
- Power BI or Tableau
- Power Platform (Including PowerApps and Power Automate)
- Centricity Business
PHYSICAL REQUIREMENTS:
- Requires prolonged sitting, some bending, stooping and stretching
- Must possess sufficient eye-hand coordination/manual dexterity to operate a keyboard, photocopier, telephone, calculator, and other office equipment
- Required normal range of hearing and eyesight to record, prepare, and communicate appropriate reports and evaluations.
- Requires lifting papers and boxes weighing up to 35 pounds occasionally
- Requires dexterity to type at least 35 wpm.
WORKING CONDITIONS (environment and safety):
- Work performed in office environment
- Involves frequent contact with professional staff and managed care organizations
- Work may be stressful at times
- Interaction with others is frequent and often disruptive
disclaimer: The above job description has been written to indicate the general nature and level of work performed by employees within this classification. It is not written to be inclusive of all duties, responsibilities and qualifications required of employees assigned to this job.
Remote:
Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other non-merit based factors.
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