Manager - Business Operations

Overview

Now hiring a Manager - Business Operations!

Presbyterian is seeking a Manager of PMG Centralized Service Operations (CSO) partners with Revenue Cycle teams and Central Delivery System (CDS) Presbyterian Medical Group practice sites for front-end administrative operations of professional revenue cycle functions. Oversees the PMG Centralized Service Operations team to ensure maximum patient revenue and cash flow, maintaining the highest level of patient, physician employee and related customer satisfaction. Integrity of patient accounts is managed through standardization of processes and workflows at sites of service. Monthly delivery of Key Performance Indicators (KPIs) by PMG CSO to the CDS PMG practice sites reviews accuracy of registration metrics, point of service collections, template utilization, digital portfolio, and referrals per protocols. In addition, the Financial Advocates virtual team is managed by this leader and requires a firm understanding of patient financial advocacy policies/federal requirements along with the most recent patient pricing transparency federal requirements.Manager of PMG CSO oversees the CDS PMG Financial Advocate virtual team. Financial Advocates ensure PMG remains compliant with the federal No Surprises Act by providing Good Faith Estimates to patients. Financial advocates also assist patients through creation of payment plans, assistance in finding health coverage, and facilitating the Financial Assistance process.The Manger of PMG CSO directs the functions and staff of the PMG Clerical Float Pool. The Float Pool provides registration and visit closure activities to PMG practice sites to fill vacancies creates by PTO, FMLA and turnover.

How you belong matters here.

We value our employees' differences and find strength in the diversity of our team and community.

At Presbyterian, it's not just what we do that matters. It's how we do it - and it starts with our incredible team. From Information Technology to Food Services and beyond, our non-clinical employees make a meaningful impact on the healthcare provided to our patients and members.

Why Join Us

• Full Time - Exempt: Yes
• Job is based Rev Hugh Cooper Admin Center
• Work hours: Days
• Benefits: We offer a wide range of benefits including medical, wellness program, vision, dental, paid time off, retirement and more for FT employees.
• Remote: Open to remote applicants in the United States, except for the following states: Wyoming, North Dakota, and Ohio

Preferred Qualifications:

• Business clinical leadership
• Frontline workflow checkin knowledge, comfortable with  large data set - data trending and metric reviews.
• Ability to support both virtual teams and traditional in person model.
• Ability to review/revise policy and procedure institute and update documentation. 
• Great people skills.

Qualifications

• Bachelors Degree required in related field, or 6 years of experience in ambulatory healthcare in lieu of degree.
• Leadership experience over Patient Registration, and related front-end Revenue Cycle functions in high-volume ambulatory settings
• Comprehensive knowledge of professional fee revenue cycle management, with emphasis on front-end activity, functions, and protocols in multi-site ambulatory healthcare environment
• Embrace and represent PMG mission, goals and strategy of PMG are being met via managing the PMG Centralized Service Operations Team
• Ability to interact with all levels of staff and management within the organization, board members, as well as the public, under highly stressful conditions
• Demonstrated ability to communicate effectively in person, via tele-meeting, phone, and strong written communications
• Able to work under limited supervision, self-manage work time and projects, resolve issues with minimal assistance

 

Responsibilities

• Lead standardization opportunities for PMG Clinics
• Oversight of monthly metrics delivered by PMG Centralized Service Operations Team
• Operational and financial accountability in areas of responsibility
• Monitor Key Performance Indicators to meet or exceed national benchmarks while analyzing denial trends
• Keeps current operational procedures and policies and develops updates regarding changes in PMG to ensure compliance with government regulation
• Builds necessary linkages/relationships with PHS personnel and external entities (vendors, consultants, etc.)
• Comprehension and firm understanding/interpretation of patient financial advocacy policies/federal requirements along with the most recent patient pricing transparency federal requirements.
• Guide Centralized Service Operations in clerical competency creation and testing
• Monitor work queues assigned to the Central Insurance Verification team to guard against losing claims to timely filing by direct management of this specialized team.
• Hire, train, and direct scheduling of clerical staff to support PMG CDS clinic sites with float staff assistance to fill vacancies and insure patient flow without interruption due to staffing shortages.

Benefits

All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.

Wellness Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.

Why work at Presbyterian? As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.

About Presbyterian Healthcare Services Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.

Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.

Inclusion and Diversity Our culture is one of knowing and respecting our patients, members, and each other. We capture this in our Promise and CARES commitments.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.

Maximum Offer for this position is up to

USD $44.49/Hr.

Compensation Disclaimer

The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs. Apply