Mgr RC Reporting Analytics

Manager Revenue Cycle Reporting And Analytics

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

The Manager Revenue Cycle Reporting and Analytics manages staff responsible for creating, maintaining, and overseeing Epic reporting related to understanding gross and net revenue, specifically but not limited to: denials management, charge lag, new service line pro formas, government regulation analysis, project/initiative modeling, reimbursement trending, payor scorecards, and additional ad-hoc requests as necessary from Epic program software. This position reports to the Executive Director of Revenue Cycle Centralized Operations Support. The individual in this role serves as a revenue cycle subject matter expert for reports that are created and maintained by his/her staff. He/she advises and directs staff on higher level decisions or problem resolution to support reports built for: denials management, charge lag, new service line pro formas, government regulation analysis, project/initiative modeling, reimbursement trending, payor scorecards, and additional ad-hoc that have been requested by Revenue cycle leadership. In addition, he/she has oversight for continued monitoring, quality assurance, and improvement of current all reports being maintained or created by his/her staff. This manager is responsible for managing various department reports, both ad-hoc and routine. He/she will assist in the identification of area where additional reporting opportunities may be needed. He/she works with the other Revenue Cycle departments with the building and modeling of reports or presentations of other potential areas where reporting may highlight need or opportunity for revenue cycle improvements. This position works collaboratively within all areas of the Revenue Cycle team to provide quality analysis. This position works in an independent fashion with limited supervision and is responsible for timely, accurate, and objective reporting. This leader is a key member of the team to support financial stewardship within WellStar Health System.

Core Responsibilities and Essential Functions: Management

• Collaborate with Revenue Cycle leadership in identifying and prioritizing reporting and project requests
• Support Revenue Cycle leadership in objective analysis, advanced analytical reporting, and providing interpretation of findings
• Manages staff responsible for: creating, maintaining, and overseeing the preparation of management reports supporting denials management, charge lag, government regulation analysis, reimbusement trending, payor scorecards, aging, charges, payments, adjustments and additional analysis as necessary
• Manages staff support with various ad-hoc Revenue Cycle reports request and in timely completion of ad-hoc reports request
• Ensure that staff reporting, and analysis is accurate, reliable, and assist staff as needed in the timely completion of the End of Month reporting package by the 15th business day of each month with a margin of error
• Retrieve and/or request data from Epic system, including generating reports, manipulating data, creating charts and graphs, use of Pivot Tables and V-look ups as needed
• Manage staff analysis of data to recognize trends and research details impacting the trend
• Reviews as needed the data mining performed by staff members in identifying opportunities for process improvement
• Documents and prepares data-driven presentations for leadership
• Must manage and support staff members with time management of multiple ongoing reporting projects and daily reporting assignments
• Review monthly master KPI file maintained by staff using data gathered from Cubes, Finance, Accounting, Epic, Datawatch, Billing Reports, CFB, SBO, PAS and MGBO
• Request reports from Leadership as needed
• Other duties as assigned to support the department and WHS revenue cycle management efforts

Management and direction of human resources, job requirements, performance improvements, professional organizations, etc.

• Assist with hiring, special recognition, disciplinary actions, promotions and transfers for the department as well as developing annual employee performance reviews including merit recommendations. Must be timely in interaction with staff related to any Human Resource activity to ensure timelines are met and communication is occurring.
• Prepare departmental statistics regarding productivity, quality and performance measures.
• Responsible for presenting monthly management and quarterly staff meetings.
• Maintain a working knowledge of WellStar policies and procedures relating to employment, and of relevant state and federal regulations that address the employment and supervisory process.
• Direct the development, processes and efficiency of Reporting and Analytics policies & procedures to ensure they are comprehensive in nature, current and consistently updated.
• Consistent review of current processes to ensure compliance with policies and procedures.
• Establish controls and review mechanisms for every procedure to ensure that systems and procedures are being followed correctly.
• Ensure optimal system capabilities by coordinating with vendors and IS, providing training, documentation system parameters, challenging systems and obtaining feedback from staff/users.
• Create, update, edit, revise and communicate necessary changes of said policies and procedures within the department as well as to other necessary areas within WellStar.
• Assist in the development, implementation and control of the Reporting and Analytics budget, including determining cost and justifying staff requirements as they relate to the successful completion of all Reporting and Analytics policies and procedures.
• Performs other duties as assigned

Complies with all WellStar Health System policies, standards of work, and code of conduct.

Required Minimum Education: Bachelor's Degree in Accounting, Finance, Business or other related field required Master's Degree Business or related field.

Required Minimum License(s) and Certification(s): All certifications are required upon hire unless otherwise stated.

Additional License(s) and Certification(s):

Required Minimum Experience: Minimum 3 years industry experience Required and Minimum 2 years Healthcare management or related experience Required and Minimum 2 years Data mining and detailed analytics to included complex financial modeling/forecasting Required.

Required Minimum Skills: Superior verbal and written communication skills, project management, organization, prioritization, and follow-up skills High Strong financial and business acumen along with critical thinking skills High Exhibited skills in critical thinking, problem identification and resolution and process improvement High Must be a team player; demonstrate attention to detail; well-developed problem-solving skills; and able to work independently High Strong technical and analytical skills, particularly related to analyzing, summarizing, and interpreting large data files as it relates to all functional areas of Revenue Cycle High Identify where to locate and review state and federal regulations as they relate to all payers Medium Demonstrate knowledge of reading UB04, healthcare billing cycles Medium Demonstrate proficiency in creating monthly Key Performance Indicators and interpretation of indicators High Demonstrate proficiency in document production for the following applications: Word, Excel, Power Point, Visio, and other pertinent software applications High Demonstrate knowledge of reporting concepts and presentations to leadership High