Manager, Revenue Cycle Informatics & Financial Advocacy

Central Maine Healthcare is seeking a Full Time, Manager of Revenue Cycle Informatics & Financial Advocacy to join our Patient Access team!

Position Summary:

The Manager Revenue Cycle Informatics and Financial Advocacy is responsible for operational leadership of the Revenue Informatics team and the Financial Advocates. This position contributes to the financial strength, compliance and overall performance of Revenue Cycle operations by providing leadership and support for all Patient Access functions, including hospital and physician (provider) services. Data integrity and reporting of financial performance and impact of improvement initiatives and standard KPIs is required. Net revenue/performance improvement goal setting, monitoring and achievement are required.

The position will provide leadership, coordination, and evaluation of Revenue Cycle operations and is specifically responsible for the following:

1. Revenue Cycle Informatics Management
   • Oversight of Informatics team
   • Patient Access denial management
   • Systems Support
   • Quality
   • Training
   • Policies
   • Professional Development
   • Workflow Redesign and Enhancement
   • Financial Improvement Goal Setting, Process Improvement, Tracking and Reporting
   • Data Trending
   • KPI and Operational Dashboards and Reports
   • Supporting Organizational Dashboards and Reports
2. Financial Advocacy Management
   • Oversight of Financial Advocate team
   • Optimization and improvements to processes and collections for patient responsibility
     • Insurance discovery
     • Maine Care
     • Marketplace including maintaining site and staff certifications (CAC)
     • Free Care in accordance with State of Maine guidelines
     • Financial clearance reviews for scheduled procedures
     • Upfront collection for bedded patients
     • Support of the Cancer Center including grant funding
     • Support all service locations
     • Processes for Disproportionate Share Hospital accuracy

It is critical that this position be highly effective in delivering the services described above and work harmoniously with leaders and staff across the organization.  Effectiveness will be measured in terms of measurable results, commitment, staff engagement and customer satisfaction (at all levels).

Education and Experience:

• Bachelor’s degree required, or five (5) years of relevant leadership experience in lieu of a Bachelor’s degree.
• Ten (10) years of experience in Revenue Cycle.

Equal Employment Opportunity:

CMH actively promotes diversity in its workforce at all levels of the organization. We strive to create and maintain a setting where we celebrate cultural and other differences and consider them strengths of the organization. CMH is an equal opportunity workforce and no one shall discriminate against any individual with regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, genetic information or veteran status with respect to any offer, or term or condition, of employment. We make reasonable accommodations to the known physical and mental limitations of qualified individuals with disabilities.

About Central Maine Healthcare:

Central Maine Healthcare is an integrated healthcare delivery system serving 400,000 people living in central, western and Midcoast Maine. CMH's hospital facilities include Central Maine Medical Center in Lewiston, Bridgton Hospital and Rumford Hospital. CMH also supports Central Maine Medical Group, a primary and specialty care practice organization. Other system services include the Central Maine Heart and Vascular Institute, a regional trauma program, LifeFlight of Maine's southern Maine base, the Central Maine Comprehensive Cancer Center and other high-quality clinical services.