*Revenue Cycle Vendor Manager/Full Time/Remote

GENERAL SUMMARY:

This position is responsible for managing the overall performance and optimization of CBO vendors. This position leads through sharing knowledge, motivation and engaging the CBO team to provide high quality services, which meet or exceed customer expectations. Collaborates with members of the team, identifies departmental and business unit priorities, establishes goals and implements strategies designed to maximize reimbursement for the health system and fosters a culture of innovation, employee engagement, and exceptional business performance.

PRINCIPLE DUTIES AND RESPONSIBILITIES:

Daily Operations:

* Develop vendor partnerships to build a culture for high performance and engaged workforce for adherence to quality and productivity metrics set forth in the statement of work.

* Responsible for oversight and subject matter expertise with vendor statements of work as it relates to contract terms and scopes of work.

* Responsible for monitoring and evaluating vendor performance using scorecards, audits, and feedback mechanism.

* Collaborate with leadership of the Insurance Recovery, Patient Pay Services, and other CBO departments to identify opportunities for improvement and implement changes.

* Responsible for developing and implementing CBO vendor performance management frameworks and KPIs.

* Responsible for strategically identifying work assignments for placement with offshore vendors, including but not limited to denials and insurance and self-pay debits/credits.

* Provide oversight and adherence to third party payer contract and billing guidelines, including but not limited to offshore vendor restrictions.

* Demonstrates belief in the mission of Henry Ford Health (HFH) through the ability to articulate, interpret, and incorporate its mission into departmental goals and objectives.

* Supports the standards set forth in the HFH Code of Conducts by creating an atmosphere of commitment to legal and ethical standards.

* Maintains revenue cycle accountability to the business units.

* Establishes priorities and long and short-term strategic goals of the department with the assistance of the management team. Ensure staff is aligned with the goals and objectives related to Revenue Cycle for the organization.

* Actively participates in various committees.

* May develop and/or lead committees/teams related to revenue cycle regulatory changes and compliance.

* Performs other related duties as assigned.

COMPLIANCE:

* Responsible for maintaining regulatory compliance with external agencies and state and federal regulations. Ensure staff is kept informed and educated on process and regulatory changes.

* Works with risk management, legal counsel, compliance office, administrative staff, key departments, providers, and committees to ensure that the organization maintains appropriate compliance including privacy, security and confidentiality policies, procedures, forms, coding, information notices, and materials that reflect current organizational practices and regulatory requirements.

QUALITY MANAGEMENT:

* Is the guiding force behind the identification, establishment and maintenance of quality improvement activities related to payment applications services. Promotes the principles of quality improvement and utilizes the results of quality improvement activities to identify areas where change would benefit the team and its customers.

* Work with appropriate System and revenue cycle leadership, ensures patient billing services representation and participation in appropriate external collaboration, think tanks, benchmarking groups, best practices, other initiatives at the local, state, and national levels.