Revenue Cycle Systems Manager
Description
At SCP Health, what you do matters
As part of the SCP Health team, you have an opportunity to make a difference. At our core, we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care.
Why you will love working here:
- Strong track record of providing excellent work/life balance
- Comprehensive benefits package and competitive compensation
- Commitment to fostering an inclusive culture of belonging and empowerment through our core values - collaboration, courage, agility, and respect.
What you’ll be doing:
The Revenue Cycle Systems (RCS) Systems Manager will manage and direct the development athenaIDX (AthenaIDX Business/Flowcast/IDX) application for the Revenue Cycle Services entity of SCP Health. The RCS Systems Manager is responsible demonstrating Agility, Courage, Respect, and Collaboration. The team duties include, but not limited to, end user support, including offshore, troubleshooting, building entries for new and existing dictionaries, building variants, building entries for new facilities, system letters, and system upgrades testing for athenaIDX applications. Responsible for automation of data transfers between the SCP Health/EMBCC facilities, for increase efficiency in capturing the patients’ demographics and insurance information via Admit/Discharge Transfers (ADT). Responsible for implementation of new facilities on ADT and improvement of the setup for existing ADT facilities, with the purpose of increasing the number of patients that flow from Facility to OnBase to TES to BAR, to be billed out without manual touches. The additional duties are to support athenaEDI processes, including daily, weekly and monthly processes for claims, remits and eligibility requests. Additional duties of claim, statement and form letter development and maintenance; SQL queries; dictionary maintenance; overseeing reports generated from the system for accuracy; and testing system upgrades for AthenaIDX applications, application development, system and end user support and maintenance of the athenaIDX system, specifically for TES/BAR/PCM/Claims Manager/EDM/ ETM and Security applications. This position assist in overseeing the development of TES Edits, BAR Clam Edits, BAR claim logic, uploading of Charge Master and PCM fee schedules, Application Maintenance, System Testing and Special Projects.
- Sets technical strategies to ensure system is functioning efficiently and meets compliance SOC and SOX2 guidelines.
- Oversees the supervision of personnel, which includes work allocation, training, and problem resolution; evaluates performance and makes recommendations for personnel actions; motivates employees to achieve peak productivity and performance.
- Prioritizes and assigns cases based on direction from upper management and knowledge of the business needs.
- Plan, coordinate, and direct the development, implementation, deployment and operation of revenue cycle systems to meet the organization’s business objectives.
- Resolves and/or escalates issues in a timely fashion.
- Understands how to communicate difficult/sensitive information tactfully.
- Provides budgeting needs during yearly budgeting cycle and operates within budget.
- Collaborates with both intra and interdepartmental resources/customers
- Manage, coach and develop RSC System Analyst(s) and other responsible the development, usage and maintenance of athena IDX applications; use a logical approach in making decisions when the above-mentioned staff requires the Manager’s direction
- Manage, coordinates with AthenaIDX engineers and KAV technical team to resolves cases, issues, and ensure stability of AthenaIDX Platform.
- Develop processes and generate initiatives to increase automation and reduce cost
- Monitor performance and challenge the team to meet goals set by executive management
- Set clear expectations and hold staff accountable to those expectations
- Provide the staff with guidance in resolving issues and ensure proper training when needed
- Keep upper management abreast of both successes and problems as they occur
- Manage/monitor Routine Application Maintenance and ensure systems proactive monitoring
- Maintain any and all application-specific configurations
- Provide testing of applications for upgrades and patches
- Load Claims Manager LCDs and KBs into Optum Product
- Load Charge Master Fees and PCM Fees
- Monitor TES eval, extract, night jobs table and error trap
- Log and monitor cases with AthenaIDX
- Various Dictionary Maintenance and Uploads
- Automated/Scheduled interfaces, scripts, and processes
- Special Projects
- Ensure good communication between RCS systems and business users with regards to application support.
- Assist with user acceptance testing during upgrades, patches, etc.
- Manage the administrative aspects of the department to assure:
- Payroll is processed in an accurate and timely manner
- Policy and procedure manuals are kept up-to-date and distributed to the staff
- Manage annual and interim performance reviews
- Manage and approve time requests/attendance
- Manage employee related HR topics
- A high level of morale is sustained
- Participate in various committees as required
- Participate in problem resolution at all levels
- Be a role model by exhibiting mature leadership qualities such as a positive outlook, confidentiality, respect, and team spirit to engage employees.
- Participate in various committees as required
- Participate in problem resolution at all levels
- Be a role model by exhibiting mature leadership qualities such as a positive outlook, confidentiality, respect, and team spirit.
Who/What we are looking for:
- At least 8 years of experience Revenue Cycle/Medical Billing industry
- Previous supervisory experience (preferred but not required)
- Previous Healthcare Application Support experience (preferred 4-6 years of experience)
- athenaIDX Application experience minimum 2 years of experience
- Project Management Experience minimum 3 years
- Responsibility for managing support cases in ServiceNow (preferred but not required)
CERTIFICATES AND LICENSES:
- athenaIDX Applications course modules Applicable (preferred but not required)
SCP Health and its affiliated companies (collectively, “SCP Health”) require applicants for specific positions, such as those onsite at a client company/healthcare facility or affiliate to be vaccinated against COVID-19 as a condition of employment, except where prohibited by state or local law. To demonstrate compliance with SCP Health’s vaccination policy, proof of COVID-19 vaccination status will be requested upon a conditional offer of employment for onsite positions at a client company/healthcare facility. SCP health will consider religious and/or medical/disability accommodation and other legally required exemption request as required by applicable law.
Join our social circle:
SCP Health is an Equal Opportunity Employer.