Med-Metrix

Oversee client management operations, improve processes, and ensure client satisfaction within hospital revenue cycle services. | Requires 7+ years in hospital revenue cycle roles, 5+ years as a director overseeing staff, and familiarity with hospital systems and denials management. | Job Purpose The Director, Client Management will oversee the operational structure and implementation of the Denial Management client service operational requirements, responding to the client and business needs impacting the performance Division’s work product. This position will define and manage process review related to improving operational outcomes, recommendations for efficiencies, and staff performance to ensure efficient functioning of day-to-day business processes. Duties and Responsibilities • Oversee Client Managers to ensure organizational goals are appropriately prioritized and defined • Help define and improve the internal processes of the department • Define and oversee revenue cycle performance goals and metrics • Utilize domain knowledge and feedback from internal and external sources to ensure all needs related to Claim and Authorization Denials are met • Help innovate solutions, effectively target, identify, and manage inventory • Manage additions and/or reallocation of current staff/processes to ensure client needs are being addressed • Define client-centric projects and ensure the evolving AR goals of the client and business are met • Assist with the design and development of projects tailored towards meeting broad industry and local client needs within IT infrastructure • Implement strategies to improve performance, increase client revenue, and ongoing satisfaction • Ensure preparedness for client meetings • Communicate issues which require technical and/or business attention to upper management • Ensure compliance with applicable laws and regulatory standards • Advocate for positive changes to department workflow and staffing which can improve outcomes • Provide leadership, mentorship, and guidance to department managers and supervisors • Other duties as assigned • Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards • Understand and comply with Information Security and HIPAA policies and procedures at all times • Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties Qualifications • Bachelor’s degree in a related field • 7+ years of experience in hospital revenue cycle roles • 5+ years of experience as a director, or similar role overseeing staff, within hospital revenue cycle industry • Background and familiarity with various Hospital Accounting and EMR Systems • Solid ability to analyze, interpret and present data in meaningful ways • Experience managing and overseeing denials programs preferred Working Conditions • Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes. • Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. • Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress. • Work Environment: The noise level in the work environment is usually minimal. Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.

Assist management in monitoring financial data, translating business requirements into functional specifications, and supporting operational analysis. | Requires 2+ years in data analysis, proficiency in Power BI, Tableau, SQL, Excel, and healthcare industry experience. | Job Purpose The Business Analyst is responsible for assisting the management team in monitoring financial data and related processes that contribute to the successful operations of Med-Metrix In addition, the Business Analyst is responsible for translating business requirements into both high-level and detailed functional specifications. Candidates must be able to work at a detailed level while maintaining the big picture of the overall division goals. Other responsibilities include compiling comprehensive reports for clients, data mining and analysis, and providing support for the day-to-day operations. Duties and Responsibilities • Prepare recurring daily/weekly/month reports and dashboards to address and support key business functions and initiatives • Perform monthly and ad hoc cash goal analyses • Translate business requirements into both high-level and detailed functional specifications • Query and analyze client data to find/understand trends and their financial impact • Maintain a thorough working knowledge of client specific data, including payer mix, insurance and financial classes, patient access system details, data timing issues, and other issues of specific importance to each client • Support day-to-day operations with ad-hoc analysis • Communicate and collaborate with other team members and clients to develop solutions as needed • Compile comprehensive and accurate client facing reports on a timely basis • Analyze and solve problems quickly and thoroughly • Other duties as assigned • Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards • Understand and comply with Information Security and HIPAA policies and procedures at all times • Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties Qualifications • Bachelors Degree in finance, accounting, computer science, business or similar discipline or at least two years of experience in a similar position in the healthcare industry. • 2 years experience with Power BI and Tableu • Strong working knowledge of Microsoft Excel, including complex formulas, pivot tables, pivot charts, pivot formulas • Functional knowledge of databases and SQL or professional experience using a major programming language. • Experience working with customer support/client issue resolution management • A thorough understanding of best practices for efficiently working with very large data sets in Excel • Knowledge of insurance company practices regarding reimbursement • Strong interpersonal skills, ability to communicate well at all levels of the organization • Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses • High level of integrity and dependability with a strong sense of urgency and results oriented • Excellent written and verbal communication skills required • Gracious and welcoming personality for customer service interaction Working Conditions • Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes. • Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. • Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress. • Work Environment: The noise level in the work environment is usually minimal. Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.

Assist supervisors with coordinating call center activities, training staff, monitoring performance, handling escalations, and ensuring compliance with healthcare billing regulations. | High school diploma, 1-3 years call center experience, knowledge of medical billing codes and software, strong communication and leadership skills. | Job Purpose The Team Lead, Call Center supports supervisors with the coordination of activities and operations of customer service department and staff. Duties and Responsibilities Assists Supervisors in the Monitoring of service calls to observe customer service representatives’ demeanor, technical accuracy, and conformity to company policies; provides feedback to the Reps as needed Coordinate onboarding and training of new customer service staff as directed by supervisors Assist in monitors productivity of customer service representatives and provides this feedback to Supervisors to complete employee evaluations. Fields questions from customer service representatives and clients; recommends corrective services to address customer complaints. Assist supervisors in educating the customer service department and staff of new policies/procedures/processes being put in place Ability to maintain composure and de-escalate particularly difficult calls with customers before they reach a supervisor level Assist management in the monitoring and training of offshore customer service staff Assists supervisors in working emails in the shared departmental mailboxes. Prepares reports and correspondence as needed Assists with the implementation of policies and procedures necessary to comply with federal, state, and third-party regulations which govern billing and collection activities for physician services Performs customer service representative duties as needed Performs other related duties as assigned by management Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards Understand and comply with Information Security and HIPAA policies and procedures at all times Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties Qualifications High School diploma or equivalent required 1-3 years experience in a call center environment required Related training/experience (preferably within the past five years) Proficiency in Epic, GE, eClinicalworks a plus Possesses and maintains thorough knowledge of the medical billing industry Possess thorough knowledge of healthcare claims processing including: ICD-9/10, CPT, and HCPC codes, as well as 1500 forms Proficiency in the use of Excel Spreadsheets, PowerPoint, and various software programs Excellent interpersonal and organizational skills Strong leadership, independent thinking and decision-making skills Strong organizational, problem-solving, and analytical skills Excellent oral and written communication skills Ability to communicate with all members of the health care team Independent thinking and decision-making ability Ability to prioritize assignments Working Conditions Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress. Work Environment: The noise level in the work environment is usually minimal. Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.

Lead and manage all phases of patient intake automation implementation projects, coordinate cross-functional teams, provide training, and ensure customer satisfaction while maintaining HIPAA compliance. | Bachelor’s degree or equivalent experience, 2+ years in implementation or project management, SaaS environment experience, healthcare or practice management preferred, strong communication and problem-solving skills, and ability to work in a flexible schedule with occasional travel. | Job Purpose The Implementation Consultant, Patient Intake Automation is responsible for the implementation of Med-Metrix’s Patient Intake Automation Tool. The Implementation Consultant, Patient Intake Automation will use their project management skills and lead cross-functional teams (sales, data management, development, and customer support) to deliver a comprehensive solution and ensure client needs are met. Duties & Responsibilities • Plan, organize, and manage all phases of a project (design, build, training, and monitoring) to ensure customer satisfaction throughout the implementation process • Conduct presentations and product training via web conferencing tools • Prioritize and coordinate closely with cross-functional teams for faster resolution of customer needs • Provide product training and workflow recommendations to internal team members and customers • Escalate and communicate priorities, successes, and project risks to Project Management and Leadership • Other duties as assigned • Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards • Understand and comply with Information Security and HIPAA policies and procedures at all times • Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties Qualifications • Bachelor’s Degree or equivalent Customer Service work experience and 2+ years’ experience working in an implementation or project management setting • Prior experience supporting or implementation customers in a SaaS environment • Healthcare/practice management experience preferred • Application system configuration & testing experience, direct interaction with Development or IT teams is preferred • Creative-minded thinker with the ability to investigate, troubleshoot, and resolve issues by finding workarounds as well as evaluating where true engineering support is needed • Be customer centric in style and approach, with a genuine desire to create and deliver value for customers throughout the project and deliver an outstanding customer experience • Ability to work well individually and in a rapidly changing environment • Energetic with strong desire to learn • High Proficiency with MS Office, particularly Excel and Visio • Strong interpersonal skills, ability to communicate well at all levels of the organization • Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses • High level of integrity and dependability with a strong sense of urgency and results oriented • Excellent written and verbal communication skills required • Gracious and welcoming personality for customer service interaction Working Conditions • Ability to work a flexible schedule and work outside of normal work hours on occasion • Occasional travel to client sites may be required to support go-live • Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. • Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress. • Work Environment: The noise level in the work environment is usually minimal. Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.