REVENUE CYCLE VENDOR MANAGEMENT & IMPLEMENTATION

Job Overview :

The Manager of Revenue Cycle Vendor Management & Implementation will be responsible for the direct and / or indirect management and performance for TriHealth revenue cycle vendors including but not limited to all vendors servicing self-pay accounts receivables, Insurance accounts receivable, Denials, no fault, workers compensation, and bad debt. This includes successful onboarding and / or offboarding, relationship and account management processes are in place and adhered to, as well as ensuring performance with Key Performance Indicators (KPIs), Service Level Agreements (SLAs), vendor compliance, and regulatory requirements. Ensure accurate reporting and payment of vendor invoices and inventory reconciliation on a monthly basis. Develop and execute work plans to correct identified deficiencies in referrals working effectively and efficiently utilizing established Vendor Software dashboards. Experience in Revenue Cycle, more specifically the billing space, as well as knowledge with Epic is critical, in addition to excellent communication skills (verbal and written), organizational skills, project management type skills and functional design concepts to drive efficiency are also critically important for this role. This role is critical in ensuring the successful placement and collection of over $125M + in accounts receivable inventory for Hospital and Professional claims.

Job Requirements :

Bachelor's degree in Business, Healthcare; or other related field

Epic, Excel, strong data and analytical skills.

3-4 years experience Supervisor / Lead

Healthcare Administration,

Healthcare Business Operations, Revenue Cycle Operations

2-3 years Technical, Other Technology

HFMA

Job Responsibilities :

Assist in vendor selection assessments. Ensure successful onboarding and offboarding of TriHealth designated vendors. Track vendor productivity and quality based upon established goals and KPI leveraging vendor scorecards with key stakeholders to objectively review vendor performance & address key concerns.

Collaborate with operational leaders of Revenue Cycle to improve workflows and resolution of accounts receivable inventory held by vendors.

Participate and Lead regularly scheduled vendor performance operational meetings with vendors along with operational revenue cycle leaders and track and resolve issues impacting efficiency arising from these meetings. . placement strategy, educational opportunities, developing new operational account management standards.

Oversee day-to-day vendor relationship and performance tracking; Ensure all vendor performance issues are addressed and resolved timely. Continuously review and update vendor performance goals and expectations delivering on established ROI.

Ensure vendor performance variance and failed KPIs are documented, and corrective action plans are implemented. Analyze, update, and modify procedures and processes to continually improve department operations.

Assess and address risk and growth areas through the strategic management of vendor relationships. Ensure timely completion and appropriate follow up on for timely audit completion with respective vendor.

Prepare and conduct key deliverables and presentations on vendor performance and results.

Other Job-Related Information :

Demonstrate and maintain in-depth knowledge of the business success drivers, healthcare industry trends, and the competitive marketplace to provide measures and metrics to move the vendor partner relationships to a ‘Best-In-Class’s operation

Working Conditions : Climbing - Rarely

Concentrating - Consistently

Continuous Learning - Frequently

Hearing : Conversation - Consistently

Interpersonal Communication - Consistently

Kneeling - Rarely

Lifting

Lifting 50+ Lbs - Rarely

Lifting 11-50 Lbs - Rarely

Pulling - Rarely

Pushing - Rarely

Reaching - Occasionally

Reading - Consistently

Sitting - Consistently

Standing - Frequently

Stooping - Rarely

Thinking / Reasoning - Consistently

Use of Hands - Consistently

Color Vision - Consistently

Walking - Frequently

TriHealth SERVE Standards and ALWAYS Behaviors

At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following :

Serve : ALWAYS…

• Welcome everyone by making eye contact, greeting with a smile, and saying "hello"
• Acknowledge when patients / guests are lost and escort them to their destination or find someone who can assist
• Refrain from using cell phones for personal reasons in public spaces or patient care areas

Excel : ALWAYS…

Respect : ALWAYS…

Value : ALWAYS…

Engage : ALWAYS…