RCM Practice Administrator I

Envision Healthcare Conshohocken , PA 19428

Posted 2 weeks ago

Overview

Envision Physician Services is a multispecialty physician group and practice management company. Established in 1953, our organization provides anesthesia, emergency medicine, hospital medicine, radiology, primary/urgent care, surgical services, and women's and children's health services to hospitals and health systems nationwide. Sheridan Healthcare, EmCare, Reimbursement Technologies and Emergency Medical Associates have recently joined forces to form Envision Physician Services. As one organization, we now provide a greater scope of service than any other national physician group. Our collective experience from hundreds of local, customized engagements, culture of continuous lean process improvement, and team of experts in the business of healthcare enable us to better solve complex problems and consistently give healthcare organizations confidence in our execution. Our combined organization serves more than 780 healthcare facilities in 48 states and the District of Columbia.

If you are looking for a stable, fast-paced, growing Company in the healthcare industry that is committed to innovation, excellence and integrity, then this may be a great next step in the advancement of your career.

We currently have an exciting opportunity for an RCM Practice Administrator I. The ideal candidate will be responsible for managing the client billing relationship for a select group of Anesthesia practice locations (hereinafter referred to as "clients"). Responsibilities include: monitoring RCM compliance with Early Key Indicators to ensure that timely corrective actions are being taken by RCM & Operating Unit (OU) teams; serving as Key Liaison with physician leaders for Provider Feedback & RVU reporting; and interacting with OU leadership, Hospital C-Suite and Corporate teams to substantially affect the relationship between RCM and clients from a financial and/or services standpoint. Utilizes their knowledge of client and physician billing process to maximize performance.

This is a great opportunity for the right candidate!

Responsibilities

  • Monitor Weekly Early Indicator Report for each assigned client & follow up with responsible operational owner for areas showing "in the red" metrics to ensure that timely investigation & corrective action is taking place. Elevate uncorrected areas to senior management.

  • Reach out to OU team, as required, for any needed Early Indicator corrective action (i.e. "red" metrics mentioned above). Recommend actions to improve results. Monitor OU progress and elevate to OU senior leadership if necessary.

  • Serve as liaison for Provider Feedback & RVU Reporting process to ensure that providers are satisfied their charts are accurately coded resulting in timely & accurate compensation. Conduct clear upfront communication of realistic expectations. Monitor process to ensure that agreed upon timelines are being complied with by both parties.

  • Serve as the primary OU contact for internal/external information flow whether relating to issue resolution or strategic data needs, both of which directly impact client satisfaction.

  • Interact with site Medical Directors, Hospital C-Suite and OU leadership on sensitive, high visibility patient complaints. Ensure timely & appropriate response within RCM.

  • Monitor monthly Key Indicator Report for each assigned client and investigate the root cause of unusual variances to ensure proper operational resolution. Respond to Key Indicator Report questions from OU team.

  • Interact with management reporting production area as needed on behalf of clients.

  • Act as key participant at various Operational Department specific meetings providing input as it relates to client performance.

  • Ensure that all client information is forwarded to Practice Admin Coordinator for proper maintenance in RTI client "Fact Sheet" database for use by all operational areas.

  • Maintain current understanding of key health care industry reimbursement issues and communicate vital information to clients.

  • Develop, create, and generate design specifications to satisfy client-specific unique reporting approved by Corporate, OU and RTI senior management.

  • Investigate and facilitate resolution of billing issues of varying complexity that directly influence client and patient satisfaction.

  • Assume indirect accountability by facilitating multi-departmental resolution of complex client issues.

  • Adhere to and comply with HIPAA & information Systems security. Know and follow privacy & security policies and procedures. Attend compliance & Information Systems security training, as offered. Report information systems security problems.

  • Adhere to all company policies and procedures.

  • Be flexible with shifting daily priorities

  • Meet deadlines, working within tight time constraints.

  • Handle a large volume of work.

  • Meet or exceed established standards for productivity and quality.

  • Other duties as assigned

  • Reads and abides by the company's code of conduct, ethics statements, employee handbook(s), policies and procedures and other corporate mandates, including participation in mandatory training programs

  • Reports any real or suspected violation of the corporate compliance program, company policies and procedures, harassment or other prohibited activities in accordance with the reporting policies of the company

  • Obtains clarification of policy whenever necessary and may use the resources available through the Compliance, Human Resources or Legal Department to do so

  • Support and abide by the values of the company

  • Excellence

  • Going above and beyond to deliver the highest quality care and experience to our patients and teammates
  • Collaboration
  • Being inclusive and supportive of one another to deliver improved outcomes to our patients and teammates
  • Ethical Responsibility
  • Acting with the utmost integrity and doing the right thing, even when nobody is watching
  • Engagement
  • Promote an environment where clinicians and teammates thrive, feel passion and joy for what they do, take care of each other, and are proud of who we are and what we do.
  • Responsible for adhering to Information Security Policies and ensuring Envision is as secure as possible.

Qualifications

Education/Experience

  • Bachelor's Degree required, preferably in the area of business and/or a health-related field.

  • If individual possesses an MS or MA Graduate Degree in a related field of study, prior work experience of 1-2 years in a specialized functional discipline is acceptable.

  • 2+ years of Healthcare Practice Management, Medical Billing and Client Relationship Management experience and/or related medical administration experience.

  • Client facing experience, specifically presenting to and working with physicians and hospital leadership

  • Experience in Part B Reimbursement and a familiarity with ED and inpatient operations preferred

Computer Skills

To perform this job successfully, an individual should have knowledge of:

  • Billing systems (e.g., EmBillz)
  • Spreadsheet, word processing/presentation tools, (e.g. Word, Excel, Power Point, Visio)

If you are ready to join an exciting, progressive company and have a strong work ethic, join our team of experts! We offer a highly competitive salary and a comprehensive benefits package.

Envision Physician Services uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visit www.dhs.gov/E-Verify.

Envision Physician Services is an Equal Opportunity Employer.

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RCM Practice Administrator I

Envision Healthcare