[Hiring] Consultant, Revenue Site Operations, Ambulatory Surgery Centers (ASC) @Trinity Health

Role Description

Serve as an advisor & liaison to implement strategy & to support operations, projects, programs & service delivery outcomes. Responsible for the planning, implementation, coordination & evaluation of programs & strategic initiatives. Works cooperatively with various organizational levels to understand business needs & the interrelationship of issues impacting the implementation & delivery of business operations & services. Provides knowledge & expertise in programs & workstreams.

Essential Functions:

• Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions.

Consultation Service:

• Provides consultative support to Trinity Health functional area Leadership in the implementation of strategy, operational services & other initiatives.
• Proactively consults & engages operationally on development & implementation of programs & strategies.
• Provides business context to ensure consistency with decision support, communication, business administration & the development & use of business tools.

Operation Expertise:

• Provides leadership, direction & oversight of workstreams.
• Responsible for the development, implementation & management of processes, policies & procedures.
• Ensures processes, policies & procedures are communicated, implemented & aligned.
• Serves as a technical resource of business operational services, issue resolution & implementation of recommended actions.
• Facilitates & develops processes & tools.
• Provides escalated support, guidance & training to department members (remotely & on-site) to use new technologies & applications, as well as to improve knowledge of existing ones.
• Identifies the organizational improvements needed, develops systems to implement those changes & trains the appropriate staff.

Project Management:

• Manages & implements small to medium-scale projects, programs & initiatives.
• Develops & manages aligned production, communications, service delivery plans & workflows to ensure plans are successfully implemented & services are delivered on time, within budget & to specifications.
• Conducts informational training sessions with groups of various sizes & backgrounds.

Data Management & Analysis:

• Research & compile information to support ad-hoc operational projects & initiatives.
• Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision-making.
• Leverages program & operational data & measurements to define & demonstrate progress, Return on Investment (ROI) & impacts.
• Develops & monitors data analysis & reporting systems & communication tools.

Maintains a Working Knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.

Functional Role:

• Provides leadership for system-wide revenue cycle initiatives; partners with Regional Patient Access leadership & Health Informatics to identify & resolve gaps in pre-registration & financial clearance processes; serves as a subject matter expert.
• Collaborates with site location(s) front office & billing colleagues to improve revenue cycle performance through metric review, root cause analysis & developing / implementing action plans; serves as a liaison between coding & site operations to address process gaps and risks.
• Supports new business growth and acquisitions through front office assessments, gap analysis, future state recommendations, and go-live support; collaborates with Project Implementation team on revenue-related discovery for new sites identifying gaps & risks for implementation & aligning site process with Trinity Health Enterprise.
• Communicates with stakeholders to ensure coordinated efforts between all revenue-related departments (e.g., Revenue Integrity, Billing, Coding).
• Partners with physicians and offices to maintain pre- and post-implementation communication.
• Maintains and strengthens relationships with providers and stakeholders to promote collaboration and operational consistency.
• Monitors contract management and ensures payer contracts are uploaded timely and accurately in designated technology applications (e.g., Electronic Health Record (EHR) and partners with billing and payer strategies.

Qualifications

• Must possess a comprehensive knowledge of professional billing, as normally obtained through Bachelor's degree in Healthcare Administration, Business Management, Accounting, or a related field & / or 7-10 years of professional billing experience.
• Experience / knowledge of ASC’s Revenue Cycle Management (RCM) processes.
• Experience / knowledge of electronic practice management systems.
• Knowledge of practice management systems for billing & office procedures, managed care & insurance practices, insurance claims & billing process.

Requirements

• Medical Assistant (MA), Medical Group Management Association (MGMA), American Academy of Professional Coders (AAPC) or other healthcare certification.
• Six Sigma or LEAN certification.
• Previous leadership in a related area.

Benefits

• Pay grade 14 range: 86,175.6842-129,263.5263.
• Actual compensation will fall within the range but may vary based on factors such as experience, qualifications, education, location, licensure, certification requirements, and comparisons to colleagues in similar roles.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.