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RESPONSIBILITIES

Effective Date: 10/25

I. JOB SUMMARY:

• Coordinates activities that support the Queen’s University Medical Group’s (QUMG’s) revenue cycle performance by assisting providers and clinical service lines with professional revenue cycle improvement initiatives and monitoring of key performance indicators (KPIs).

• Collaborates with clinical operations, providers, the patient services center, IT, and centralized business functions to support professional fee revenue and improve revenue cycle performance.

II. TYPICAL PHYSICAL DEMANDS:

A. ESSENTIAL FUNCTIONS:

• Seeing. Hearing. Speaking. Finger dexterity.

B. MANUAL MATERIAL HANDLING:

• Infrequent: Lift floor to waist between 0-5 lbs. Lift waist to shoulder between 0-5 lbs. Lift waist to overhead between 0-5 lbs. Carry between 0-5 lbs. Push and Pull between 0-5 lbs.

• Occasional: N/A

• Frequent: N/A

• Constant: N/A

C. NON-MANUAL MATERIAL HANDLING:

• Infrequent: N/A

• Occasional: Stand. Stoop/Bend. Climb: Stairs/Ladder. Gripping.

• Frequent: Walk.

• Constant: Sit.

III. TYPICAL WORKING CONDITIONS:

• Not substantially subjected to adverse environmental conditions.

IV. MINIMUM QUALIFICATIONS:

A. EDUCATION:

• Bachelor's degree required, preferably in healthcare or business administration.

B. CERTIFICATION AND LICENSURE:

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

C. EXPERIENCE:

• Three (3) years of experience in healthcare revenue cycle, a medical group, or healthcare, including familiarity with government and third-party payer reimbursement and payer billing rules and guidelines.

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

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

• Experience with Epic preferred.

• 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/HCPCS and ICD-10 codes.

o 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 fast-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.

Equal Opportunity Employer/Disability/Vet