Under limited supervision from the Manager, Revenue Integrity or other more senior Revenue Integrity leaders, the Revenue Integrity Senior Specialist is responsible for the facilitation of multiple Revenue Integrity initiatives involving multiple clinical departments and practices focusing on revenue cycle integrity. Due to its service focus and project management emphasis, this position requires strong interpersonal and communication skills, well-developed analytic and organizational skills. The Revenue Integrity Senior Specialist applies a variety of continuous improvement and process improvement initiatives working with individuals and teams from project conception to implementation of process improvement initiatives. Project work may include technical analyses or may require facilitation of a large multi-disciplinary group of administrators and/or medical personnel. Works collaboratively with leadership to increase efficiencies, reduce variability, reduce errors/defects, and involve all appropriate personnel. Prepares reports and recommendations for management and coordinates implementation whenever possible. This individual provides needed continuous improvement training and education and works closely with other RI personnel to meet education needs at all levels throughout the institution. Serves as a technical consultant to other HFHS departments. May supervise work of Revenue Integrity Specialists as well as other staff within the Revenue Integrity Department. Communicates regularly with Management on specific projects. Flexibility, innovation, and creativity are necessary characteristics of the successful candidate. Individual is expected to continuously learn and apply new continuous improvement methodologies, and to spread successful innovation through the institution.
EDUCATION/EXPERIENCE REQUIRED:
Bachelor's Degree. A degree in nursing (BSN) or RN, business administration (w/ quality/operations improvement emphasis), healthcare administration (w/ quality/operations improvement emphasis), organizational development, or similar field, preferred. Master's degree a plus.
Three (3) years clinical experience or years of experience in revenue cycle processes.
Hospital billing and healthcare finance background strongly encouraged, preferred.
Knowledge of Medicare, Medicaid, Blue Cross and other third party payers billing and reimbursement regulations/policies, preferred.
Excellent oral and written communication skills, including the ability to teach complex technical/analytical concepts to management and staff. Knowledge of Medicare, Medicaid, and other 3rd party billing rules/coverage.
Ability to manage simultaneous assignments with potentially conflicting priorities and deadlines.
Ability to identify when input from Director, Manager or other senior staff members is necessary.
Strong interpersonal skills; ability to communicate effectively with all levels of management and staff across the System.
Strong, growing base of analytical/technical, facilitative, and process improvement knowledge.
Knowledge of effective data gathering techniques. Sound decision-making skills.
Proven project management skills. Strong diplomacy and collaboration skills.
Strong Microsoft Office skills.
CERTIFICATIONS/LICENSURES REQUIRED:
Coding Credential (CPC, COC, CCA, CCS, RHIT) or Clinical Credential (RN, NP, PA) preferred.
Certification in some or all of the following: Lean, Six Sigma or equivalent industry training and experience preferred.
Additional Information
Organization: Corporate Services
Department: Revenue Integrity
Shift: Day Job
Union Code: Not Applicable
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.
