Manager, Operations at PRIORITY MANAGEMENT GROUP INC in Pawtucket, Rhode Island

Job Description:

Essential Duties & Responsibilities:

 

Operations:

 

• Responsible for driving the revenue cycle initiatives related to improving revenue, improving cash collections, reducing cycle times, reducing costs, and increasing practice efficiencies


• Oversite of the daily operations of the Revenue Cycle department for all related functions of billing, collections, revenue and AR Management.


• Establishing and Maintaining performance benchmarks and communication to team on the performance standards and quality expectations to help achieve or exceed performance goals.


• Acts as primary liaison and facilitates ongoing communication and general management for outsourced production management staff, escalating issues or concerns.


• Sets reasonable and attainable individual and team goals with client success in mind.


• Develops and monitors client KPI’s, taking necessary actions to address performance guidelines.


• Develops and implements monitoring mechanisms to track productivity and quality, identifying and providing additional training where needed.


• Document and distribute timely communications regarding client specific AR contributing factors to Client Services team.


• Working collaboratively with Human Resources to interview, train, develop  and retain staff


• Directly supervises staff level positions

 

Technology

• Assures maximal use of PM system functionality to create efficiencies


• Optimizes use of RHS Denial Management System (DMS)


• Assists in the development of RHS Accounts Receivable Management System (ARMS)


• Partners with PMG internal departments to identify needs, gaps, and solutions, and collaboratively develop standard platform for the efficient execution of revenue cycle tasks

 

 

 

Communication & Culture

• Promotes a positive client focused environment that is based on learning and growth


• Creates culture of accountability and ownership of results through clear expectations.


• Demonstrates respect and regard for the dignity of all fellow employees to ensure a professional, responsible, and courteous environment.


• Cultivates a collaborative business relationship with all PMG teams to contribute the best possible client experience.

 

 

Supervisory Responsibilities:

• The Operations Manager manages the PMG Operational Teams; including the Transitions Team, and Patient Services while managing the outsourced operations relationships.


• The Operations Manager is supervised by and reports to the Executive Director.

 

Other Duties and Responsibilities:

• Complying with HIPAA policies, PMG policies and state/federal laws.


• Participating in proactive team efforts to achieve departmental and company goals.


• Performing other duties as assigned.

 

Summary of Qualifications:

Education and Experience:

•     Bachelor’s Degree required

•     5+ years of direct billing experience required; prior supervisory/leadership experience strongly preferred.

 

Core Competencies:

 

• 
  Action Oriented - Enjoys working hard; is action oriented and full of energy for things he/she sees as challenging; not fearful of acting with a minimum of planning; seizes more opportunities than others.


• 
  Customer Focus - Is dedicated to meeting the expectations and requirements of internal and external customers, gets first hand client information and uses it for improvements in products and services; acts with clients in mind; establishes and maintains effective relationships with clients and gains their trust and respect.


• 
  Integrity & Trust - Is widely trusted; is seen as direct, truthful individual; can present the unvarnished truth in an appropriate and helpful manner; keeps confidences; admits mistakes; doesn’t misrepresent him/herself for personal gain.


• 
  Ethics & Values- Adheres to an appropriate and effective set of core values and beliefs during both good and bad times; acts in line with those values; rewards the right values and disapproves of others; practices what he/she preaches


• 
  Composure - Is cool under pressure; does not become defensive or irritated when times are tough; is considered mature ; can be counted on to hold things together during tough times; can handle stress ;is not knocked off balance by the unexpected ; doesn’t show frustration when resisted or blocked; is a settling influence in a crisis


• 
  Teamwork - Promotes team and departmental teamwork

 

Specialized Competencies:

 

• 
  Organizational Agility - Knowledgeable about how organizations work; knows how to get things done both through formal channels and the informal network; understands the origin and reasoning behind key policies, practices, and procedures; understands the cultures of organizations.


• 
  Hiring & Staffing -Has a nose for talent; hires the best people available from inside or outside; is not afraid of selecting strong people; assembles talented staffs.


• 
  Interpersonal Savvy - Relates well to all kinds of people, up, down, and sideways, inside and outside the organization; builds appropriate rapport; builds constructive and effective relationships; uses diplomacy and tact; can diffuse even high-tension situations comfortably


• 
  Planning - Accurately scopes out length and difficulty of tasks and projects; sets objectives and goals; breaks down work into the process steps; develops schedules and task/people assignments; anticipates and adjusts for problems and roadblocks; measures performance against goals; evaluates results


• 
  Conflict Management - Steps up to conflicts, seeing them as opportunities; reads situations quickly; good at focused listening; can hammer out tough agreements and settle disputes equitably; can find common ground and get cooperation with minimum noise. Ability to define problems, collect data, establish facts and draw valid conclusions.


• 
  Drive for Results - Can be counted on to exceed goals successfully; is constantly and consistently one of the top performers; very bottom-line oriented; steadfastly pushes self and others for results.


• 
  Motivating Others - Creates a climate in which people want to do their best; can motivate many kinds of direct reports and team or project members; can assess each person's hot button and use it to get the best out of him/her; pushes tasks and decisions down; empowers others; invites input from each person and shares ownership and visibility; makes each individual feel his/her work is important; is someone people like working for and with


• 
  Written Communication - Is able to write clearly and succinctly in a variety of communication settings and styles; can get messages across that have the desired effect.

 

 

 

 

 

 

 

Physical Requirements:

Necessitates fine motor skills; occasionally requiring pushing, pulling, lifting and carrying up to 15 lbs. Must be able to use a computer, including keyboard and telephone, during peak activity periods, in excess of 8 hours per day and/or 40 hours per week. Reasonable accommodations

may be made to enable individuals with disabilities to perform the essential job functions.

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