Consultant (Mid Level)-CBO Transaction Flow/Hybrid Troy
GENERAL SUMMARY:
The Transaction Flow (TF) Consultant is responsible for leading and supporting teams through the design and implementation of initiatives that focus on people, process, and technology changes. In this role, identification of initiatives will occur through technical analysis and facilitation of multi-disciplinary, team based root cause analysis of edits and denials. TF Consultant should utilize knowledge of Epic optimization to implement identified initiatives and workflow processes. The TF Consultant will be responsible for synthesizing issues at a high-level and preparing recommendations for Leadership.
PRINCIPLE DUTIES AND RESPONSIBILITIES:
1. Develop project plans and perform project management for the design and continuous evaluation of CBO insurance follow up and recovery functions and workflow, to organize work based on production action to achieve optimal efficiency and productivity.
2. Deliver significant business results that utilizes strategic and creative thinking, problem solving, and individual initiatives.
3. Leads and supports the development of new CBO work queue structures based on homogeneity and production action, including development and monitoring of WQ specific productivity metrics, and the development of WQ filtering and other methods to assign work.
4. Perform surveillance of denial, edit, and other data elements to identify trends and opportunities for performance improvement.
5. Coordinate and leads process improvement meetings to implement error prevention efforts. Research best practices for improvement and implement quantitative and qualitative benchmarking.
6. Lead CBO department and cross-functional workgroups to implement initiatives to reduce denials and other errors. This includes coordination with other HFHS business units, Corporate revenue cycle, hospital departments, physician practices, and other teams across the organization.
7. Coordinate and facilitate meetings with insurance payer representatives and internal leaders to develop a more efficient transaction flow and reduce transaction processing issues and administrative burdens. Prepare internal Leadership prior to external meetings.
8. Manage the development of continuous feedback loops and communication with internal customers pertaining to denial and write off improvement opportunities
EDUCATION/EXPERIENCE REQUIRED:
- Bachelor's degree in Business Administration, Health Care Administration or related field.
- Master's Degree preferred.
- Minimum of three (3) years of healthcare experience required with progressively increasing areas of responsibility including performance improvement, project management, or staff management.
- Epic, revenue cycle and /or, large healthcare system experience preferred.
Additional Details
This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.
Overview
Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services – from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford’s care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation’s most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at henryford.com/careers.
Benefits
The health and overall well-being of our team members is our priority. That’s why we offer support in the various components of our team’s well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits.
Equal Employment Opportunity/Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is
committed to the hiring, advancement and fair treatment of all individuals without regard to
race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,
weight, marital status, family status, gender identity, sexual orientation, and genetic information,
or any other protected status in accordance with applicable federal and state laws.