Rev Cycle Vendor Management Auditor

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Job Description

Serve as auditor/analyst in the Vendor Management Office / Revenue Cycle governing layer which will monitor and evaluate the performance of various ongoing vendor relationships. Act as a liaison between Jefferson Revenue Cycle Department and its vendors. Answer questions related to the revenue cycle to ensure vendors are provided with system and workflow background. Prepare patient estimates. Research and evaluate data from different sources to identify discrepancies, trends, address risk factors, potential barriers and provide potential problem resolution. Support initial vendor onboarding and ongoing training of systems and standard operating procedures.

1. Interacts with co-workers, visitors and other staff consistent with the values of Jefferson.

2. Perform quality review, auditing and root cause analysis of vendor account activity / transactions. Provide quality scoring using predefined grading standards and scorecard guidelines while adhering and meeting productivity requirements.

3. Prepare Patient Estimates.

4. Responsible for daily operations productivity managing vendor staff performance utilizing predefined metrics / data (ie. KPIs, Service Agreements, etc).

5. Evaluate vendor performance against quality and performance metrics/targets and service agreements. Provide Jefferson management team with analytical insight on the vendor qulity and performance standards.

6. Perform technical and operational training for the vendor team as needed on information systems (ie. Invision, IDX and Epic) utilized by Jefferson and workflow/standard operating procedures.

Participate in team meetings/huddles communicating change in policies, procedures, regulatory requirements or priorities

Proficient in revenue cycle functions (billing, follow-up, denials, account maintenance, etc...) ; Demonstrated critical thinking, problem-solving and decision making skills; Exceptional written and verbal communications, Must be able to analyze work, set goals, develop plans and utilize time effectively and efficiently. Experience of Revenue Cycle Systems ( i.e EPIC, Cerner, IDX), Strong execution skills.

High School Diploma or equivalent required; Bachelor's degree strongly preferred, or an additional four (4) years of experience in lieu of Bachelor's degree.

Bachelor's degree in Business Adm. Heath Adm. preferred

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Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.