JOB SUMMARY
At Houston Methodist, the Manager Revenue Cycle position is responsible for the daily management of the staff and operations for one or more of the following areas of Revenue Cycle, to include but not limited to: insurance billing, collections, patient account resolution, appeals/denials, customer service, cash applications, revenue integrity, etc.
The manager position responsibilities include managing the daily work activities of the work unit/department staff, ensuring quality, productivity, functional excellence and efficiency while assisting management in accomplishing strategic and operational objectives. In addition, this position provides guidance to staff and is responsible for staffing, budget compliance, contributing to staffing decisions such as hiring and terminating employment, coaching and counseling employees on work related performance, and assisting in the development and implementation of policies and procedures to ensure a safe and effective work environment. This position also implements training, monitoring and operations initiatives that secure compliance with ethical and legal business practices and accreditation/regulatory/ government regulations.
PATIENT AGE GROUP(S) AND POPULATION(S) SERVED
Refer to departmental "Scope of Service" and "Provision of Care" plans, as applicable, for description of primary age groups and populations served by this job for the respective HM entity.
HOUSTON METHODIST EXPERIENCE EXPECTATIONS
Displays cultural humility, diversity, equity and inclusion principles
Actively supports the organization vision, fulfills the mission and abides by the I CARE values
PRIMARY JOB RESPONSIBILITIES
Job responsibilities labeled EF capture those duties that are essential functions of the job.
PEOPLE - 20%
SERVICE - 20%
QUALITY/SAFETY - 20%
FINANCE - 20%
GROWTH/INNOVATION - 20%
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.
EDUCATION REQUIREMENTS
o Bachelor's degree or additional four years of experience (in addition to the minimum experience requirements listed below) in lieu of degree
EXPERIENCE REQUIREMENTS
o Five years of revenue cycle or other applicable experience to the area assigned (e.g., call center)
o Two years of supervisory or management experience
CERTIFICATIONS, LICENSES AND REGISTRATIONS REQUIRED
o Coding certification as such via the American Association of Professional Coders (AAPC) or equivalent if overseeing revenue integrity related functions preferred.
KNOWLEDGE, SKILLS AND ABILITIES REQUIRED
o Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
o 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
o Ability to effectively communicate through a variety of channels with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles; engages the recipient(s) and helps them understand and retain the message
o Demonstrates the ability to interact with others in a way that gives them confidence in one’s intentions and those of the organization
o Ability to use appropriate interpersonal styles and techniques to gain acceptance of ideas or plans; modifying one’s own behavior to accommodate tasks, situations and individuals involved
o Demonstrates leadership qualities and critical thinking through self-direction initiative and effective interpersonal skills and oral/written communication skills
o Ability to identify and understand issues, problems and opportunities, comparing data from different sources to draw conclusions; using effective approaches for choosing a course of action or developing appropriate solutions; taking action that is consistent with available facts, constraints and probable consequences
o Ability to work effectively in a fast paced environment
o Demonstrates flexibility and adaptability in the workplace
o Ability to serve as a subject matter expert in assigned area to provide support for staff
o Knowledge of full revenue cycle
o Proven track record of effective management skills and driving desired results
o Skilled in coaching, mentoring, and developing staff
o Ability to cultivate relationships and lead cross-functional teams within the Revenue Cycle
o Assertive while being even-tempered, pleasing personality and the ability to communicate easily with others.
o Advanced Excel skills, including VLookup and pivot tables with the ability to manipulate large amounts of data
o Familiarity with managed care terminology and payor adjudication such as Inpatient/ Outpatient Prospective Payment Systems, etc.
SUPPLEMENTAL REQUIREMENTS
Work Attire Yes/No
Uniform No
Scrubs No
Business professional Yes
Other (dept approved) Yes
On-Call* No
*Note that employees may be required to be on-call during emergencies (i.e. Disaster, Severe Weather Event, etc.) regardless of selection above.
Travel**
May require travel within Yes
Houston Metropolitan area
May require travel outside No
of Houston Metropolitan area
**Travel specifications may vary by department.
Please note any other special considerations to this job: _________________________
Houston Methodist (HM) is one of the nation’s leading health systems and academic medical centers. HM consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the heart of the Texas Medical Center, and seven community hospitals throughout the greater Houston metropolitan area. HM also includes an academic institute, a comprehensive residency program, a global business division, numerous physician practices and several free-standing emergency rooms and outpatient facilities. Overall, HM employs over 25,000 employees. Houston Methodist is supported by a wide variety of business functions that operate at the system level to help enable clinical departments to provide the best patient care and service in a spiritual environment.
In 2019 Houston Methodist and its physicians treat more than 6,333 international patients from more than 76 countries. Houston Methodist Global Health Care Services’ consulting and education divisions also provide advisory services and training and development to health care organizations around the world.
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