Description
- Create and deliver presentations to clients.
- Serve as the primary contact for client account services, including A3 presentations, IPO escalations, weekly client meetings, and MORs.
- Build and develop a high-performing operations team that reflects the Company’s core values and standards.
- Oversee recruitment, hiring, separation, training, and professional development in partnership with Human Capital.
- Ensure the team meets all client-specific KPIs.
- Evaluate supervisor performance and scorecards, providing recognition, coaching, counseling, or performance improvement plans as needed.
- Mentor and develop staff across various teams for effective task completion.
- Conduct regular meetings with Supervisors and Team Leads to align on priorities, address barriers, and share updates.
- Implement training programs as identified.
- Review and analyze financial, operational, and A/R trends to identify process gaps and present improvement opportunities to clients and leadership.
- Work with analysts to monitor performance, highlight achievements, and address opportunities for improvement. · Analyze A/R trends and present process improvement opportunities to clients.
- Attend client meetings as required.
- Escalate client and team concerns to the Vice President as necessary.
- Ensure completion of onboarding tasks for new clients.
- Perform other related duties as required.
Currance management is responsible for actively promoting compliance by integrating compliance messages into routine huddles, meetings, communications, and decision-making processes. This responsibility reinforces a culture of accountability, ethical conduct, and adherence to organizational policies and regulatory requirements.
Requirements
Requirements & Qualifications:
- High school diploma or equivalent required; Associate's degree preferred.
- Bachelor’s degree in healthcare management or a related field is preferred.
- CRCR certification required or must be obtained within 90 days of hire.
- Minimum 5 years of experience as a revenue cycle lead or supervisor, including direct reports.
- Experience collaborating with diverse healthcare professionals including administrative staff, insurance representatives, and executives.
- At least 5 years of experience securing payments on medical claims from health insurance companies, including managing claim follow-up and appeals.
- Proven expertise with complex insurance claims, high-value denials, and escalation strategies.
- At least 3 years’ experience with Artiva for account resolution workflows preferred.
- Experience using EMR systems such as Meditech, Epic, Cerner, Allscripts, Nextgen, or similar platforms.
- Proficient in Microsoft Office Suite, Teams, and desktop applications.
- HFMA certifications: CRCR and CSPR; CSPPM for PB related roles.
Knowledge, Skills & Abilities:
- Understanding of healthcare revenue cycle administration, including CMS rules, HIPAA, and record retention guidelines.
- Familiarity with time management and continuous performance improvement.
- Understanding of IPO, WMM, and WMB processes.
- Competence in basic math.
- Strong written and verbal communication skills.
- Initiative and adaptability in learning new software applications.
- Ability to mentor, coach, and develop team leads and members.
- Advanced analytical skills and problem-solving abilities.
- Proficiency in time management, leadership, decision-making, and ethical standards.
- Independence in managing and carrying out projects.
- Positive attitude and professional demeanor.
- Openness to feedback and commitment to growth and improvement.
- Reliability, punctuality, and flexibility to adapt to change.
- Ability to demonstrate accountability and measurable achievements within the revenue cycle.
Salary Description
Up to $70k per year