Regent Revenue Cycle Management

Regent Surgical Health- Revenue Cycle Management Dept Title: Revenue Cycle Specialist Reports to: Revenue Cycle Manager MAIN FUNCTION Under the direction of the Revenue Cycle Supervisor, the Revenue Cycle Specialist is responsible for duties as assigned such as: charge entry, payment posting, A/R follow-up, and denials management in accordance with the center’s policies and procedures. In addition, the Revenue Cycle Specialist is responsible for maintaining the daily deposit log, accounts receivables aging report, and other reports as directed by the Revenue Cycle Supervisor or surgery center Business Office Manager. DUTIES, RESPONSIBILITIES, COMPETENCIES Provides regular communication and feedback to Manager. Speaks to and approaches others in a friendly and compassionate way; Is open to other employee suggestions Completes assigned tasks in a timely manner including payment posting, daily deposit log, charge entry, etc. Demonstrates the ability to effectively communicate with others, including physician offices, insurance companies, patients and others about insurance benefits and costs associated to procedures. Demonstrate proactive approach to problem identification and solutions. Works well with others. Demonstrate appropriate time management skills, prioritization and task completion. Exhibits proficient knowledge of health plan benefits including co-pays, deductibles and co-insurance. Ability to handle multiple assignments or pieces of work at one time. The capability of working within a stressful environment under consistent deadlines, pressures and interruptions. Demonstrates the ability to cope with and manage change. Demonstrates an exceptional grasp of required skills including: detail-oriented, commitment to accuracy, able to anticipate needs before they become critical. Self-motivated to keep self-current and relevant in skills and competency. Taking prompt and decisive action to produce service levels beyond what is minimally required in the job; Acting without prompting; regularly volunteer’s individual energy to a situation. Achieves performance excellence through skills of organization; able to create successful work flow processes; reliable in all areas of work. Seeks opportunities to accept ideas and help from co-workers to accomplish work goals; Willingness to share credit; Appreciates differences in personalities; actively seeks out opinions from others and honors them in decision making. Assumes all other duties and responsibilities: demonstrates willingness to identify and/or assume activities relative to the developmental needs of the reception department and center KEY ATTRIBUTES RISE – The extent to which an employee demonstrates participation in the RISE Program Respect Caring - Demonstrating an awareness for compassion toward all stakeholders Integrity - Being true to what we say we believe in, doing what we say we will do and adhering to our commitments Stewardship - Responsibility to properly utilize and develop our people. Property and assets while fostering a safe and secure environment Efficiency - Appropriate identification, selection and management of all resources to ensure excellent clinical and financial outcomes Quality – The extent to which an employee’s work is accurate, thorough and neat. Productivity – The extent to which an employee produces a significant volume of work efficiently in a specified period of time. Job Knowledge – The extent to which an employee possesses the practical/technical knowledge required on the job as evidenced by the annual competency assessment Reliability – The extent to which an employee can be relied upon regarding task completion and follow-up. Attendance – The extent to which an employee is punctual, observes prescribed work break/meal periods and has an acceptable overall attendance record. Independence – The extent to which an employee performs work with little or no supervision. Creativity – The extent to which an employee proposes ideas, finds new and better ways of doing things. Initiative – The extent to which an employee seeks out new assignments and assumes additional duties when necessary. Adherence to Policy – The extent to which an employee follows safety and conduct rules, other regulations and adheres to company policies. (Compliance, Risk, Safety, Infection Control, Sentinel Events, Abuse, etc.) Interpersonal Relationships – The extent to which an employee is willing and demonstrates the ability to cooperate, work and communicate with coworkers, supervisors, subordinates and/or outside contacts. Judgment – The extent to which an employee demonstrates proper judgment and decision-making skills when necessary. EDUCATION, LICENSURE, CERTIFICATION Required: High school diploma or general equivalency degree (GED) Two years’ experience billing/collecting in a healthcare setting Knowledge of heath care operations Proficient computer skills Preferred: ASC experience Full cycle experience Microsoft Office Specialist certifications PHYSICAL/ MENTAL REQUIREMENTS Language Skills: Ability to read, analyze and interpret general business information, or governmental regulations. Ability to write reports and business correspondence. Ability to effectively present information and respond to questions from groups of managers, clients, patients, physicians and the general public. Mathematical Skills: Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry. Ability to apply concepts of accounting. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. Computer Skills: Job requires specialized computer skills. Must be adept at using MS word, spreadsheets, PowerPoint, communicate by e-mail and use scheduling software. Reasoning Ability: Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations. Special Requirements: Must be able to work variable hours and be flexible to meet the needs of the center’s daily surgery schedule. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The employee must regularly lift and /or move up to 25 pounds. The employee is required to lift, and occasionally carry equipment. Specific vision abilities required by this job include close vision, peripheral vision, depth perception and ability to adjust focus. While performing the duties of this job, the employee is regularly required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is frequently required to stoop, kneel or crouch. The employee is frequently required to attend to patients and escort them to and from patient care areas, often being leaned on for support. Upper body strength, for lifting or helping patients, is also a must. WORKING CONDITIONS Environmental The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. Machines / Equipment used Office equipment, i.e. computers, printers, copy machines, telephones, public address system, and fax machine. SUPERVISORY REQUIREMENTS This position has no supervisory responsibilities.  

Regent Surgical Health- Revenue Cycle Management Dept Title: Revenue Cycle Specialist Reports to: Revenue Cycle Manager MAIN FUNCTION Under the direction of the Revenue Cycle Supervisor, the Revenue Cycle Specialist is responsible for duties as assigned such as: charge entry, payment posting, A/R follow-up, and denials management in accordance with the center’s policies and procedures. In addition, the Revenue Cycle Specialist is responsible for maintaining the daily deposit log, accounts receivables aging report, and other reports as directed by the Revenue Cycle Supervisor or surgery center Business Office Manager. DUTIES, RESPONSIBILITIES, COMPETENCIES Provides regular communication and feedback to Manager. Speaks to and approaches others in a friendly and compassionate way; Is open to other employee suggestions Completes assigned tasks in a timely manner including payment posting, daily deposit log, charge entry, etc. Demonstrates the ability to effectively communicate with others, including physician offices, insurance companies, patients and others about insurance benefits and costs associated to procedures. Demonstrate proactive approach to problem identification and solutions. Works well with others. Demonstrate appropriate time management skills, prioritization and task completion. Exhibits proficient knowledge of health plan benefits including co-pays, deductibles and co-insurance. Ability to handle multiple assignments or pieces of work at one time. The capability of working within a stressful environment under consistent deadlines, pressures and interruptions. Demonstrates the ability to cope with and manage change. Demonstrates an exceptional grasp of required skills including: detail-oriented, commitment to accuracy, able to anticipate needs before they become critical. Self-motivated to keep self-current and relevant in skills and competency. Taking prompt and decisive action to produce service levels beyond what is minimally required in the job; Acting without prompting; regularly volunteer’s individual energy to a situation. Achieves performance excellence through skills of organization; able to create successful work flow processes; reliable in all areas of work. Seeks opportunities to accept ideas and help from co-workers to accomplish work goals; Willingness to share credit; Appreciates differences in personalities; actively seeks out opinions from others and honors them in decision making. Assumes all other duties and responsibilities: demonstrates willingness to identify and/or assume activities relative to the developmental needs of the reception department and center KEY ATTRIBUTES RISE – The extent to which an employee demonstrates participation in the RISE Program Respect Caring - Demonstrating an awareness for compassion toward all stakeholders Integrity - Being true to what we say we believe in, doing what we say we will do and adhering to our commitments Stewardship - Responsibility to properly utilize and develop our people. Property and assets while fostering a safe and secure environment Efficiency - Appropriate identification, selection and management of all resources to ensure excellent clinical and financial outcomes Quality – The extent to which an employee’s work is accurate, thorough and neat. Productivity – The extent to which an employee produces a significant volume of work efficiently in a specified period of time. Job Knowledge – The extent to which an employee possesses the practical/technical knowledge required on the job as evidenced by the annual competency assessment Reliability – The extent to which an employee can be relied upon regarding task completion and follow-up. Attendance – The extent to which an employee is punctual, observes prescribed work break/meal periods and has an acceptable overall attendance record. Independence – The extent to which an employee performs work with little or no supervision. Creativity – The extent to which an employee proposes ideas, finds new and better ways of doing things. Initiative – The extent to which an employee seeks out new assignments and assumes additional duties when necessary. Adherence to Policy – The extent to which an employee follows safety and conduct rules, other regulations and adheres to company policies. (Compliance, Risk, Safety, Infection Control, Sentinel Events, Abuse, etc.) Interpersonal Relationships – The extent to which an employee is willing and demonstrates the ability to cooperate, work and communicate with coworkers, supervisors, subordinates and/or outside contacts. Judgment – The extent to which an employee demonstrates proper judgment and decision-making skills when necessary. EDUCATION, LICENSURE, CERTIFICATION Required: High school diploma or general equivalency degree (GED) Two years’ experience billing/collecting in a healthcare setting Knowledge of heath care operations Proficient computer skills Preferred: ASC experience Full cycle experience Microsoft Office Specialist certifications PHYSICAL/ MENTAL REQUIREMENTS Language Skills: Ability to read, analyze and interpret general business information, or governmental regulations. Ability to write reports and business correspondence. Ability to effectively present information and respond to questions from groups of managers, clients, patients, physicians and the general public. Mathematical Skills: Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry. Ability to apply concepts of accounting. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. Computer Skills: Job requires specialized computer skills. Must be adept at using MS word, spreadsheets, PowerPoint, communicate by e-mail and use scheduling software. Reasoning Ability: Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations. Special Requirements: Must be able to work variable hours and be flexible to meet the needs of the center’s daily surgery schedule. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The employee must regularly lift and /or move up to 25 pounds. The employee is required to lift, and occasionally carry equipment. Specific vision abilities required by this job include close vision, peripheral vision, depth perception and ability to adjust focus. While performing the duties of this job, the employee is regularly required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is frequently required to stoop, kneel or crouch. The employee is frequently required to attend to patients and escort them to and from patient care areas, often being leaned on for support. Upper body strength, for lifting or helping patients, is also a must. WORKING CONDITIONS Environmental The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. Machines / Equipment used Office equipment, i.e. computers, printers, copy machines, telephones, public address system, and fax machine. SUPERVISORY REQUIREMENTS This position has no supervisory responsibilities.  

MAIN FUNCTION   Under the direction of the Manager of RCM Business Development, the Business Office Coordinator is responsible for: initial training for all RCM new hires, conducting all internal/ exisiting Regent Center business office audits including follow up and spot check audits and providing any applicable business office and/or RCM staff training in accordance with audit action plans and  oversight of non-RCM business office support.  For example, day to day communication and relationship development with their Center’s administration (Administrators and BOMs) and month end close oversight.  DUTIES, RESPONSIBILITIES, COMPETENCIES Provides regular communication and feedback to supervisor.   Promotes effective working relationships with Center administration. Identifying and utilizing opportunities to benefit the Center, effectively communicating with the Center all updates.   Maintaining a good working knowledge of payer contracts for each Center in your purview as well as keeping HST fee schedules current.   Demonstrates the ability to communicate the department’s mission, vision and values, as well as the department’s goals, to all staff.   Assisting in the development of business office materials including; training plans, policies & procedures, payer contract grids etc.   Ability to coordinate the RCM new hire onboarding process with the appropriate RCM manager.     Understanding and demonstrating (where applicable) the process, training and build necessary for a successful Center implementation. Speaks to and approaches others in a friendly and compassionate way; Is open to other employee suggestions Demonstrate proactive approach to problem identification and solutions. Works well with others. Demonstrate appropriate time management skills, prioritization and task completion. Ability to handle multiple assignments or pieces of work at one time. The capability of working within a stressful environment under consistent deadlines, pressures and interruptions. Demonstrates the ability to cope with and manage change. Demonstrates an exceptional grasp of required skills including: detail-oriented, commitment to accuracy, able to anticipate needs before they become critical. Self-motivated to keep self-current and relevant in skills and competency. Taking prompt and decisive action to produce service levels beyond what is minimally required in the job; Acting without prompting; regularly volunteer’s individual energy to a situation. Achieves performance excellence through skills of organization; able to create successful work flow processes; reliable in all areas of work. Seeks opportunities to accept ideas and help from co-workers to accomplish work goals; Willingness to share credit; Appreciates differences in personalities; actively seeks out opinions from others and honors them in decision making. Assumes all other duties and responsibilities: demonstrates willingness to identify and/or assume activities relative to the developmental needs of the reception department and center KEY ATTRIBUTES RISE – The extent to which an employee demonstrates participation in the RISE Program Respect Caring - Demonstrating an awareness for compassion toward all stakeholders Integrity - Being true to what we say we believe in, doing what we say we will do and adhering to our commitments Stewardship - Responsibility to properly utilize and develop our people. Property and assets while fostering a safe and secure environment Efficiency - Appropriate identification, selection and management of all resources to ensure excellent clinical and financial outcomes Quality – The extent to which an employee’s work is accurate, thorough and neat. Productivity – The extent to which an employee produces a significant volume of work efficiently in a specified period of time. Job Knowledge – The extent to which an employee possesses the practical/technical knowledge required on the job as evidenced by the annual competency assessment Reliability – The extent to which an employee can be relied upon regarding task completion and follow-up. Attendance – The extent to which an employee is punctual, observes prescribed work break/meal periods and has an acceptable overall attendance record. Independence – The extent to which an employee performs work with little or no supervision. Creativity – The extent to which an employee proposes ideas, finds new and better ways of doing things. Initiative – The extent to which an employee seeks out new assignments and assumes additional duties when necessary. Adherence to Policy – The extent to which an employee follows safety and conduct rules, other regulations and adheres to company policies. (Compliance, Risk, Safety, Infection Control, Sentinel Events, Abuse, etc.) Interpersonal Relationships – The extent to which an employee is willing and demonstrates the ability to cooperate, work and communicate with coworkers, supervisors, subordinates and/or outside contacts. Judgment – The extent to which an employee demonstrates proper judgment and decision-making skills when necessary. EDUCATION, LICENSURE, CERTIFICATION Required: High school diploma or general equivalency degree (GED) Two years’ experience billing/collecting in a healthcare setting Knowledge of heath care operations Proficient computer skills Preferred: Five years of full cycle ASC experience Microsoft Office Specialist certifications PHYSICAL/ MENTAL REQUIREMENTS Language Skills: Ability to read, analyze and interpret general business information, or governmental regulations. Ability to write reports and business correspondence. Ability to effectively present information and respond to questions from groups of managers, clients, patients, physicians and the general public. Mathematical Skills: Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry. Ability to apply concepts of accounting. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. Computer Skills: Job requires specialized computer skills. Must be adept at using MS Excel, Word, PowerPoint, and Outlook. Reasoning Ability: Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations. Special Requirements: Must be able to work variable hours and be flexible to meet the needs of the center’s daily surgery schedule. Travel to client sites/ conferences may be required as necessary. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. WORKING CONDITIONS Environmental The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. Machines / Equipment used Office equipment, i.e. computers, printers, copy machines, telephones, public address system, and fax machine. SUPERVISORY REQUIREMENTS This position does not have direct reports. TRAVEL REQUIREMENTS This position will be required to travel as needed, no more than 3 weeks per year.  

MAIN FUNCTION   Under the direction of the Revenue Cycle Director, the Revenue Cycle Manager is responsible for supervision of a team of Revenue Cycle Specialists monitoring their performance, assisting with issues as they arise and conducting regular quality audits of the staff’s work.  Additionally, the Revenue Cycle Manager is responsible for day to day communication and relationship development with their Center’s administration (Administrators and BOMs).  DUTIES, RESPONSIBILITIES, COMPETENCIES Provides regular communication and feedback to supervisor.   Promotes effective working relationships with Center administration as the leader of the Center team. Identifying and utilizing opportunities to benefit the Center, effectively communicating with the Center all updates.   Maintaining a good working knowledge of payer contracts for each Center in your purview as well as keeping HST fee schedules current.   Demonstrates the ability to communicate the department’s mission, vision and values, as well as the department’s goals, to all staff.   Assists in the definition of performance objectives and metrics for the department and assesses the level of competence of staff in a timely manner.   Understanding and demonstrating (where applicable) the process, training and build necessary for a successful Center implementation. Speaks to and approaches others in a friendly and compassionate way; Is open to other employee suggestions Demonstrate proactive approach to problem identification and solutions. Works well with others. Demonstrate appropriate time management skills, prioritization and task completion. Ability to handle multiple assignments or pieces of work at one time. The capability of working within a stressful environment under consistent deadlines, pressures and interruptions. Demonstrates the ability to cope with and manage change. Demonstrates an exceptional grasp of required skills including: detail-oriented, commitment to accuracy, able to anticipate needs before they become critical. Self-motivated to keep self-current and relevant in skills and competency. Taking prompt and decisive action to produce service levels beyond what is minimally required in the job; Acting without prompting; regularly volunteer’s individual energy to a situation. Achieves performance excellence through skills of organization; able to create successful work flow processes; reliable in all areas of work. Seeks opportunities to accept ideas and help from co-workers to accomplish work goals; Willingness to share credit; Appreciates differences in personalities; actively seeks out opinions from others and honors them in decision making. Assumes all other duties and responsibilities: demonstrates willingness to identify and/or assume activities relative to the developmental needs of the reception department and center KEY ATTRIBUTES RISE – The extent to which an employee demonstrates participation in the RISE Program Respect Caring - Demonstrating an awareness for compassion toward all stakeholders Integrity - Being true to what we say we believe in, doing what we say we will do and adhering to our commitments Stewardship - Responsibility to properly utilize and develop our people. Property and assets while fostering a safe and secure environment Efficiency - Appropriate identification, selection and management of all resources to ensure excellent clinical and financial outcomes Quality – The extent to which an employee’s work is accurate, thorough and neat. Productivity – The extent to which an employee produces a significant volume of work efficiently in a specified period of time. Job Knowledge – The extent to which an employee possesses the practical/technical knowledge required on the job as evidenced by the annual competency assessment Reliability – The extent to which an employee can be relied upon regarding task completion and follow-up. Attendance – The extent to which an employee is punctual, observes prescribed work break/meal periods and has an acceptable overall attendance record. Independence – The extent to which an employee performs work with little or no supervision. Creativity – The extent to which an employee proposes ideas, finds new and better ways of doing things. Initiative – The extent to which an employee seeks out new assignments and assumes additional duties when necessary. Adherence to Policy – The extent to which an employee follows safety and conduct rules, other regulations and adheres to company policies. (Compliance, Risk, Safety, Infection Control, Sentinel Events, Abuse, etc.) Interpersonal Relationships – The extent to which an employee is willing and demonstrates the ability to cooperate, work and communicate with coworkers, supervisors, subordinates and/or outside contacts. Judgment – The extent to which an employee demonstrates proper judgment and decision-making skills when necessary. EDUCATION, LICENSURE, CERTIFICATION Required: High school diploma or general equivalency degree (GED) Seven years’ experience billing/collecting in a healthcare setting Knowledge of heath care operations Proficient computer skills Preferred: Five years of full cycle ASC experience   Two years supervisory experience Microsoft Office Specialist certifications PHYSICAL/ MENTAL REQUIREMENTS Language Skills: Ability to read, analyze and interpret general business information, or governmental regulations. Ability to write reports and business correspondence. Ability to effectively present information and respond to questions from groups of managers, clients, patients, physicians and the general public. Mathematical Skills: Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry. Ability to apply concepts of accounting. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. Computer Skills: Job requires specialized computer skills. Must be adept at using MS Excel, Word, PowerPoint, and Outlook. Reasoning Ability: Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations. Special Requirements: Must be able to work variable hours and be flexible to meet the needs of the center’s daily surgery schedule. Travel to client sites/ conferences may be required as necessary. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. WORKING CONDITIONS Environmental The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. Machines / Equipment used Office equipment, i.e. computers, printers, copy machines, telephones, public address system, and fax machine. SUPERVISORY REQUIREMENTS This position will be responsible for daily supervision of 5-10 full time employees to include; payroll approval and management, annual reviews, regular performance/ quality audits, training and day to day personnel issues.