• Manager, Business Practice - Queen's University…

    Queen's Health System (Honolulu, HI)


    RESPONSIBILITIES

    The Queen’s University Medical Group (QUMG) is an academic medical group practice consisting of 600+ providers, representing 17 specialties, including Physicians and Advanced Practice Providers (Advance Practice Registered Nurses, Physician Assistants, Psychologists, Certified Nurse Midwives) covering four hospitals --The Queen’s Medical Center, The Queen’s Medical Center – West O‘ahu, Molokai General Hospital, Queen’s North Hawaii Community Hospital -- and ambulatory clinical sites.

     

    We have a strong commitment to ethical business practices, sustainable growth, and delivering outstanding results for our patients. As we continue to expand and evolve, we are seeking a dedicated and experienced Manager, Business Practice to join our team and play a critical role in shaping the ethical and operational standards of our organization

     

    You will oversee the monitoring of QUMG’s front-end revenue cycle performance, supporting clinics with professional revenue cycle improvement initiatives, and providing value-added support to revenue cycle leadership. You will collaborate with clinical operations, providers, the patient services center, IT, and centralized business functions to increase professional fee revenue and improve revenue cycle performance. You will be responsible for defining and implementing business best practices, policies, and procedures that align with our values and objectives.

    MINIMUM QUALIFICATIONS:

    • Bachelor’s degree in healthcare, business administration, or related field.

    • Five (5) years experience in healthcare professional revenue cycle management, a medical group, or healthcare, including familiarity with government and third-party payer reimbursement and payer billing rules and guidelines.

    + Experience to demonstrate: o Knowledge of the revenue cycle in its entirety (i.e., scheduling and preregistration, financial clearance, point-of-service verification and collections, charge capture, coding, documentation, billing, payment posting, denial management, and self-pay). o Knowledge of CPT and ICD-10 codes. o Strong independent critical thinking skills. Ability to gather, analyze, identify data trends, and organize data in a logical and systematic manner. o Ability to present data and findings in a logical manner to various audiences including providers and organizational leadership. o Proficiency with Microsoft Office applications (i.e. Outlook, Word, Excel, and PowerPoint). o Proven leadership skills (i.e., planning, communications, motivation, mentoring, interpersonal skills) to work independently and effectively and efficiently manage multiple activities and projects in a face paced environment. o Effective written and oral communication and interpersonal skills to work collaboratively with a broad range of people to accomplish assigned tasks effectively and efficiently with high quality customer service.

    • Two (2) years supervisory/leadership experience.

    • Professional Coder certification from the American Academy of Professional Coders (AAPC) preferred.

    • Experience with directly working with providers and organizational leadership preferred.

    • Experience with financial analysis, budgeting, variance analyses, and forecasting preferred.

    • Experience with Epic preferred.

    TYPICAL PHYSICAL DEMANDS:

    • Finger dexterity, seeing, hearing, speaking.

    • Frequent: walking.

    • Infrequent: Walking, stooping/bending, reaching at and below shoulder level.

    TYPICAL WORKING CONDITIONS:

    • Not substantially subjected to adverse environmental conditions.

     

    Equal Opportunity Employer/Disability/Vet