JOB SUMMARY: Responsible for training and retraining of staff on revenue cycle department processes. These processes can include registration/payer plan training, scanning, charge entry, work queues, payment posting, refunds and other revenue cycle assistance to the various practices within WhidbeyHealth. Works collaboratively with Revenue Cycle and external department colleagues to ensure provision of work products that meet quality and quantity expectations established by the organization.

PRINCIPLE FUNCTIONS includes the following, other duties may be assigned:

• Productivity/Efficiency:
  • Works collaboratively with Revenue Cycle colleagues to ensure provision of work products that meets quality and quantity expectations.
• Critical and Analytical Thinking:
  • Possess the ability to analyze situations and strategize solutions.
  • Ability to work from a general concept to a finished product with minimal supervision.
• Technical Skills:
  • Strong computer skills, Microsoft Office tools also required.
• Communication (Oral and Written):
  • Excellent verbal and written communication skills.
  • Ability to demonstrate diplomacy in communication and use conflict resolution techniques.
• Professional Accountability:
  • Engages in teamwork and collegial collaboration among all team members.
  • Maintains positive working relationships with colleagues, and others.
  • Ensures work product meets defined quality, quantity and timeliness expectations.
• Quality and Service:
  • Monitors and addresses potential risk management and quality issues in a timely manner.
  • Addresses quality and quantity requirements in an effective and timely manner.
  • Maintains standards of service, productivity, safety, and security.
  • Ensure Electronic Health Record (E.H.R.) optimization within the organization.
  • Participate in initiatives to achieve performance on quality metrics set forth by the organization.
• Other Job Functions:
  • Performs other duties as assigned.

RESPONSIBILITIES:

• Develop concise written training guidelines and processes for all department functional areas.
• Maintain and provide updated training as required due to software changes and/or process improvement for all software tools within the department.
• Train assigned staff both individually and as a group as needed on all processes as directed.
• Evaluate training progress and competency of trainees.
• Conduct routine quality assurance audits for all functional areas of the department.
• Proactively continue to educate self to provide quality care and improve professional skills to support department.
• Quality responsibilities:
  • Maintain 95% accuracy of job duties.
  • Stops when uncertain and takes the time to resolve situations.
  • Shares and seeks knowledge and provides feedback to others.
  • Partners with all team members to achieve goals.

JOB KNOWLEDGE & QUALIFICATIONS

Education

High School/GED

Training and Experience

Skills:

• Computer (Explorer, Excel, Word, Outlook, EHR Software  

Ability:

• Multi-task and work independently.
• Assess and translate organization/customer needs into learning objectives and devise effective training solutions.
• Good communication skills both verbal and written.

Knowledge:

• Knowledge of insurance billing and compliance with a high level of problem-solving skills.
• Medical terminology, rules, and regulations relating to the Revenue Cycle.
• Understanding of managed care contracts, insurance and credentialing compliance

Experience:

• 5 years of healthcare accounts receivable experience with expertise in un-adjudicated claim management, appeals and pre-collections.
• Demonstrated ability to develop and train staff on process and procedures.

Certificates, Licenses, Registrations

Professional certification as a Certified Professional in Talent Development (CPTD) preferred.