How to Apply
A cover letter is required for consideration for this position and should be attached as the first page of your resume. The cover letter should address your specific interest in the position and outline skills and experience that directly relate to this position.
Summary
Under general supervision of the Director, perform multiple functions to support quality and performance auditing activities. Formulate and define goals and objectives through research and fact-finding of applicable business operations, business systems and industry standards. Identify and document any gaps with the current workflow and technology. With this knowledge, present findings and make recommendations to business process owners. Work with the Pre-Service Revenue Cycle management teams to develop or modify auditing tools for various workflows and conduct quality and performance auditing tasks and thorough root cause analysis. Perform testing and training related to new features and upgrades of operational processes and technology enhancements. Monitor and analyze results to ensure positive outcomes.
Mission Statement
Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.
Responsibilities*
- Performs business analysis, technical evaluation and documentation of duties for Pre-Service, Revenue Cycle quality and performance auditing.
- Works closely with Prior Authorizations, Financial Clearance and Patient Financial Counseling and other operational areas to understand business and user needs.
- Documents business requirements, standard operating procedures, workflows, develop testing scripts and timelines, conduct technical evaluations, perform design and process analysis, and other pertinent documentation duties.
- Facilitate communication with third-party payors to establish and maintain working knowledge of medical policies and prior authorization requirements.
- Stays current on Key Performance Indicators for various operational units in Pre-Service.
- Audit financial clearance, financial counseling, estimate, authorization and collection activities for thoroughness and accuracy.
- Investigate and solve issues for staff related to prior authorizations; analyze issues to isolate specific problematic component(s).
- Complete root cause analysis on denials and write-offs; prepare and analyze reports to track and identify trends. Present findings to Revenue Cycle and Clinical leadership.
- Research and identify best practices for financial clearance, financial counseling, estimates, authorizations and collection efforts; share information and assist leadership in developing and implementing best practices to improve Michigan Medicine?s overall financial performance.
- Considers the business implications of the application of the technology to the current business environment.
- Promote a patient centered financial advocacy environment.
- Provide reporting and analysis to management and other duties as assigned.
Required Qualifications*
- A Bachelor's degree in Information Technology, Business Administration, Health Care Administration or related field, or an equivalent combination of education and experience is necessary.
- 2 - 5 years of professional experience
- Ability to perform thorough business analysis duties.
- Demonstrated ability to work independently and collaboratively with teams of all sizes.
- Strong computer skills and ability to adapt to new technology.
- Outstanding organizational skills and ability to prioritize multiple tasks with competing deadlines.
- Effective interpersonal and communication skills.
- Experience with Epic Estimate Tool, Coding and Prior Authorizations.
- Ability to troubleshoot and resolve problems, provide user support, create reports and communicate to management.
- Experience with Customer Service/Patient Financial Clearance and Counseling.
Desired Qualifications*
Coding certification (CPC). Experience working across UMHS departments to gather requirements and define business needs for system application build and support. Knowledge of MiChart Billing. Understanding of Lean principles and practices.
Work Locations
This position is a remote position where you will work from home/virtually once training is completed and performance-based competency has been obtained. High speed internet is a requirement for this position and the cost is the responsibility of the staff member. There may be occasions where the staff member may need to report to the business office location, including meetings, computer, or technology requirements, or to complete work that is not possible to handle remotely. The business location will have space available to reserve onsite work when required or necessary. Although there is some flexibility in working hours, the business location and operations are in the Eastern Time Zone and work hours must accommodate interactions, including video conferencing, with colleagues during these hours. Computing resources including required software applications, VPN, desktop or laptop computer, monitor, webcam, keyboard, and mouse, will be provided by the employer. Remote staff are not provided with a mobile phone but are provided with computer telephone and fax technology. Office equipment such as desk, chair, and printer are not provided. Basic supplies such as paper and pens, are stocked at the business location and are available to remote staff for pick-up should they choose. Unless otherwise agreed in advance with your manager, additional hardware, software, printing, and cost of office supplies preferred by the staff member, are the responsibility of the employee.
Technology Skills required include the ability to set-up computer and monitors and connect accessory items such as mouse, keyboard, and web cams. Remote computing support is available 24/7 via phone, chat, or ticketing system, to all staff members. Staff will be expected to effectively communicate and resolve most computing issues directly with computing support resources.
Background Screening
Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.
Application Deadline
Job openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.
U-M EEO/AA Statement
The University of Michigan is an equal opportunity/affirmative action employer.