Houston Methodist is hiring a Revenue Cycle Client Management Consultant to lead revenue cycle initiatives within assigned clinics. This role serves as the internal consultant for revenue cycle management, building collaborative relationships, coordinating projects, driving operational performance related to revenue, and overseeing processes impacting cash collections. Responsibilities include analyzing and communicating revenue cycle performance, partnering with leadership to develop action plans for underperforming metrics, ensuring registration and financial tools are used effectively, and maintaining controls to monitor performance and regulatory compliance.
Responsibilities
- People Essential Functions
Serve as the primary knowledge source for the department's revenue cycle performance.
Lead committees and task forces to support revenue cycle initiatives for assigned departments, planning, directing, and delegating tasks with deadlines.Bridge communication between the department, the Physician Organization's Centralized Business Office (PO CBO), and the Single Billing Office (SBO).Service Essential FunctionsPerform root cause analysis, identify trends, prioritize performance-improvement initiatives (e.g., coding, claim submission, insurance and self-pay collections, refunds and write-offs), and work with training to address deficiencies and improve workflows.
Monitor revenue cycle performance in alignment with compliance policies and serve as the department leadership's primary resource for related questions or concerns.Quality / Safety Essential FunctionsCoordinate with PO CBO and SBO management to understand trends affecting revenue cycle performance.
Track ongoing performance of revenue cycle metrics to meet department, PO CBO, and SBO needs and goals.Lead monthly meetings with department administrators and physicians to review metrics, trends, and improvement opportunities (e.g., staff training, physician coordination, policy / process revisions).Develop goals linking department and revenue cycle initiatives with the organization's strategy.Finance Essential FunctionsPrepare timely monthly financial status reports for each physician's practice and review with department leadership, faculty, and staff at monthly revenue cycle meetings.
Coordinate with the assigned financial analyst to obtain accurate month-end financial reports.Growth / Innovation Essential FunctionsDevelop, coordinate, and monitor implementation plans.
Act 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.Identify and pursue new technologies that help identify and guide improvement opportunities aligned with PO CBO success.This job description is not intended to be all-inclusive; the employee will also perform other related duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as needed.
Education
Bachelor's degree in business or healthcareWork Experience
Five years of experience in medical billing and insurance collectionsLicenses and Certifications - Required
N / AKnowledge, Skills, and Abilities
Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluationsProficiency in English (speaking, reading, and writing) necessary to perform essential functions, especially where safety or security is involvedEffective communication with patients, physicians, families, and coworkers with a customer-service focusStrong understanding of revenue cycle technology processes and denialsExcellent project management skills and ability to manage multiple projectsAbility to navigate competing priorities and multiple demandsAbility to analyze trends and report findings clearlyProblem-solving skills and the ability to take independent action within policiesCritical thinking with a focus on global revenue cycle impact and solution orientationAbility to maintain confidentiality of sensitive informationStrong leadership skills with the ability to coach and develop staffSupplemental Requirements
Work Attire
Uniform NoScrubs NoBusiness professional YesOther (department approved) NoOn-Call
Note that employees may be required to be on-call during emergencies (e.g., disaster, severe weather) regardless of selection below.On Call NoTravel
Travel specifications may vary by departmentMay require travel within the Houston Metropolitan area YesMay require travel outside the Houston Metropolitan area NoHouston Methodist is an Equal Opportunity Employer.
Seniority level
Mid-Senior levelEmployment type
Full-timeJob function
ConsultingInformation TechnologySalesIndustries
Hospitals and Health CareJ-18808-Ljbffr