Job Description

Location: Chicago, IL

Hospital: RUSH University Medical Center

Department: Patient Financial Services

Work Type: Full Time (Total FTE between 0.9 and 1.0)

Shift: Shift 8

Work Schedule: 8 Hr (8:00:00 AM - 5:00:00 PM)

Summary:

The Vendor Solutions Consultant is responsible for assisting PFS Leadership team manage outsourced vendor solutions that support billing and collection functions. The Consultant will evaluate vendor contracts, coordinate the request for proposal process, onboard vendors, and evaluate performance against contract terms. The Consultant will work closely with vendors to ensure high performance and adherence to RUSH and Revenue Cycle Policies; as necessary, the Consultant will identify areas of opportunity or risk to the organization and report to PFS management. The Consultant will coordinate monthly performance meetings, compile metrics and lead discussions with vendors. The Consultant will reconcile monthly invoices to ensure invoices are accurate prior to payment. The individual who holds this position exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures.

Responsibilities:

• Develop working relationship with Vendors to support PFS operational needs.

• Facilitate recurring/ad hoc meetings between Revenue Cycle leaders and Vendors to focus on Operational Processes and Performance.

• Analyze, monitor and generate key metrics and drivers of vendor performance against targets (i.e. budget, forecast, strategic plan, etc.) Distribute performance reports to PFS leadership team. Identify risks, barriers and accomplishments.

• Accountable for Vendor Performance outcomes; address shortfalls and opportunities with vendor when established metrics and goals are not achieved.

• Ensure vendor staffing levels are adequate to achieve expected outcomes.

• Ensure vendor is meeting terms of Contract / Statement of Work. Evaluate annual performance, make recommendations to AVP on modifying or terminating vendor contract during renewal periods.

• Conduct RFP evaluation for onboarding new vendor solutions.

• Monitor Vendor Work Queue (WQ) activity and the age of accounts in WQs; escalate accounts approaching timely filing or timely appeal.

• Reconcile Vendor invoices to ensure fees are calculated correctly; dispute incorrect fees.

• Leverage technology to streamline and automate where possible and ensures that automated solutions and applications (Epic and non-Epic) support functional objectives to ensure vendor performance.

• Monitor reconciliation of data interfaces with vendor.

• Coordinate with IT to activate/deactivate user accounts with applicable RSH systems.

• Establish Vendor Onboarding Program. Facilitate training and for Vendor on Rush Billing and Collection Policies and Procedures and tools, as applicable.

• Ensure vendors are adopting Rush System for Health policies and procedures according to organization’s standards and legal requirements.

• Work closely with vendor to ensure the quality and productivity of vendor staff performance meets established Rush policy.

• Ensures protection of private health and personal information, including credit card information. Adheres to all federal and state compliance regulations.

• Stays abreast of industry & regulatory changes impacting functional area and Revenue Cycle and identifies potential impact and required changes. Strives to promote best practices within functional area and within revenue cycle.

• Performs related duties as required

Other information:

• Bachelor’s degree in business, finance or related discipline required; equivalent work experience may be considered in lieu of degree.

• At least five years of experience required in billing, collections, insurance, technology support, or customer service.

• Must have strong knowledge of revenue cycle business operations.

• Excellent verbal and written communication skills due to direct interaction with senior management.

• Strong time management and organizational skills with the ability to effectively multi-task and meet deadlines.

• Strong problem solving and financial analytical skills.

• High degree of accuracy for analyses and processes.

• Self-motivated.

• Must have a strong customer service focus.

• Ability to plan, coordinate and implement projects.

• Ability to interact professionally with all levels of employees

• Ability to work amongst diverse teams.

• Aptitude for improving professional knowledge and technical skills through development efforts.

• Must have a high level of integrity.

• Ability to observe payment trends, determine root cause of errors, identify possible solutions and suggest changes to workflows as needed.

• Ability to provide colleagues with necessary documentation and pertinent summaries regarding vendor performance, including productivity, quality audit results, expense analysis and cost reduction measures.

Preferred Job Qualifications:

• Professional certification (CPA, HFMA, Epic system or similar) preferred

• At least one year of leadership experience in a multi-facility, integrated health care delivery system or consulting experience

Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.

Position Vendor Solutions Consultant - Revenue Cycle

Location US:IL:Chicago

Req ID 5283