Revenue Cycle Client Management Consultant (Museum District)

Revenue Cycle Client Management Consultant

At Houston Methodist, the Revenue Cycle Client Management Consultant position is responsible for serving as the internal revenue cycle management consultant for assigned clinic leadership. This position builds and maintains collaborative and productive relationships within the organization, coordinating revenue cycle projects, driving performance in operations related to revenue, and providing direction and oversight of processes impacting cash collections. Other responsibilities include analyzing and communicating revenue cycle performance and working with leadership to develop action plans for metrics not meeting established goals, coordinating efforts with clinic leadership to ensure all registration and financial tools are utilized effectively, and ensuring appropriate controls and tools are in place to monitor performance and compliance within regulatory requirements.

Houston Methodist Experience Expectations

• Provide personalized care and service by consistently demonstrating our I CARE values:
• Integrity: We are honest and ethical in all we say and do.
• Compassion: We embrace the whole person including emotional, ethical, physical, and spiritual needs.
• Accountability: We hold ourselves accountable for all our actions.
• Respect: We treat every individual as a person of worth, dignity, and value.
• Excellence: We strive to be the best at what we do and a model for others to emulate.
• Practices the Caring and Serving Model
• Delivers personalized service using HM Service Standards
• Provides for exceptional patient/customer experiences by following our Standards of Practice of always using Positive Language (AIDET, Managing Up, Key Words)
• Intentionally collaborates with other healthcare professionals involved in patients/customers or employees' experiential journeys to ensure strong communication, ease of access to information, and a seamless experience
• Involves patients (customers) in shift/handoff reports by enabling their participation in their plan of care as applicable to the given job
• Actively supports the organization's vision, fulfills the mission and abides by the I CARE values

Responsibilities

People Essential Functions:

• Serves as the primary source of knowledge for department's revenue cycle performance.
• Leads committees and task forces needed to support revenue cycle initiatives for assigned departments. Demonstrates the ability to plan, direct and delegate tasks while ensuring deadlines are met.
• Bridges communication channels between the department, the Physician Organization's Centralized Business Office (PO CBO) and the Single Billing Office (SBO)

Service Essential Functions:

• Performs root cause analysis, identifies and assess trends, presents opportunity areas, and prioritizes initiatives for performance improvement in a variety of areas, including but not limited to: coding, claim submission, insurance and self-pay collections, refunds and write-off approvals Works with the training department on necessary curriculum to improve deficiencies, and improves workflows that impact financial outcomes.
• Monitors revenue cycle performance while adhering to compliance policies and procedures. Serves as department leadership's primary resource for revenue cycle-related questions or concerns

Quality/Safety Essential Functions:

• Coordinates with PO CBO management team and SBO management team to ensure thorough understanding of trends/issues affecting the department's revenue cycle performance.
• Tracks on-going performance of revenue cycle metrics and activities to ensure department, PO CBO and SBO needs and goals are met.
• Leads monthly meetings with department administrators and physicians to review key metrics, trends, and performance improvement opportunities (e.g., staff training, physician coordination, policy/process revisions, etc.).
• Develops goals to link department and revenue cycle initiatives with the organization's strategy.

Finance Essential Functions:

• Prepares timely reports on the financial status of each physician's practice monthly and meets with the department leadership, faculty and staff to review status. Presents this data at monthly department revenue cycle meetings.
• Coordinates with the assigned financial analyst to obtain accurate and timely month-end financial reports

Growth/Innovation Essential Functions:

• Develops, coordinates, and monitors successful completion of implementation plans.
• Acts as a lead consultant/educator on performance improvement requirements in operations and methodologies to revenue cycle teams, medical staff, other patient care, physician and hospital departments.
• Continuously seeks new and creative technologies that help identify and guide improvement opportunities that align with overall PO CBO success.

This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.

Qualifications

Education:

• Bachelor's degree in business or healthcare

Work Experience:

• Five years of experience in medical billing and insurance collections

License/Certification

Licenses and Certifications - Required:

• N/A

Ksa/Supplemental Data

Knowledge, Skills, and Abilities:

• Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
• Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
• Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
• Strong understanding of revenue cycle technology processes and denials
• Excellent project management skills and ability to manage multiple projects
• Ability to navigate across multiple customer demands and balance competing priorities successfully
• Ability to analyze, identify and articulate identified trends and report trends succinctly in a clear and concise manner
• Ability to focus on problem or task and articulate a resolution in a prompt, productive and efficient manner; ability to recognize, evaluate, solve problems and correct errors
• Ability to think critically and identify the global impact across the revenue cycle with a solution oriented approach
• Ability to maintain confidentiality of sensitive information
• Ability to take independent action and judgment in required subject of general business-wide policies
• Strong leadership skills with the ability to coach and develop staff

Supplemental Requirements:

Work Attire:

• Business professional Yes

On-Call:

• No

Travel:

• May require travel within the Houston Metropolitan area Yes
• May require travel outside Houston Metropolitan area No

Company Profile

Houston Methodist Specialty Physician Group - As one of the nation's leading hospitals and academic medical centers Houston Methodist has brought together some of the nation's leading experts in multiple specialties to serve our patients. As part of Houston Methodist Specialty Physician Group (HMSPG), these specialists not only provide excellent clinical care, but are on the forefront of research, developing leading-edge technologies and treatments, and teaching the medical pioneers of tomorrow. This combination of clinical service, research and academics ensures patients have access to the latest in treatments and technologies while providing the best in comprehensive patient care. Established as a non-profit corporation and certified by the Texas State Board of Medical Examiners, HMSPG enables physicians to maintain autonomy with respect to their clinical practice while growing their practice within an academic environment.