Remote Insurance Controller Jobs in Michigan (NOW HIRING)

Employment Type:
Full timeShift:
Description:
Purpose
Accountable for leading, guiding, & directing revenue cycle standard work. Provides effective use of system resources to drive optimal revenue cycle outcomes and performance measures. Enables regional level strategy to address internal or external business & regulatory issues; provides functional expertise & ensures fulfillment of performance & service standards. Responsible for consistent operating performance & achieving financial goals. Identifies, defines & solves complex problems that impact the management & direction of the business; Collaborates with Service Area, Regions & Health Ministries to ensure consistency & integration of strategy & operations. Maintains awareness of new industry developments & standards. Provides decision support, operations & / or optimization leadership focus.
Essential Functions
Our Trinity Health Culture: Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions.
Leadership
• Providing advice, guidance, & leadership to RHM & Region leaders in developing strategies & in the achievement of performance goals.
• Enable Collaboration across & within service area, RHM, & Regions to ensure consistency & integration of strategy & operations
Direction & Growth
• Providing advice, guidance, & leadership to service area, functional area, RHM, & Regions.
• Leading standardization/systemness & optimization of policy, process, methodology, establishing a national community of practice
• Oversee Vendor/Contract Labor Management including centralizing strategy & optimizing spend
Strategic Support & Accountability
• Collaborates in system-wide strategy development & deployment of functional area priorities & initiatives
• Responsible for supporting regional efforts to comply with functional area priorities
• Accountable for the selection, evaluation, & overall success of the functional leadership teams
• Organization-wide focal point for establishing functional strategies & governance over financials & staffing
• Accountable for communication between service area, functional area, RHM, & Regions leader
Operational Delivery
• Responsible for measuring & reporting KPIs/metrics & value delivery
• Providing advice, guidance, & leadership for the colleague life cycle
Maintains a working knowledge of applicable Federal, state & local laws/regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.
Minimum Qualifications

• Bachelors degree in business, healthcare administration or a related field, or equivalent combination of education and experience
• Seven (7) to ten (10) years of progressive experience in revenue cycle operations, revenue metrics & analytics & revenue management.
• Five (5) years of management experience in a multi-facility, integrated health care delivery system, or revenue cycle consulting experience.

Additional Qualifications (nice to have)

• Experience with revenue cycle & accounting systems & insurance issues, healthcare industry issues & trends, legal issues in field of expertise, required third party & governmental guidelines, & work processing. Epic experience strongly preferred.
• Experience with medical group front office operations, ICD-10 & CPT coding & medical terminology, with federal, state, & payer-specific regulations relating

Physical & Mental Requirements & Working Conditions
Indirect / Healthcare Support Services: (OSHA: Healthcare support services mean services that facilitate the provision of healthcare services.)

• Rare clinical / patient facing work environment.
• Includes continuous work time indoors (subject to travel requirements) under temperature-controlled & well-lit conditions; may encounter occasional variable external environmental conditions.
• Includes occasional lifting, up to 30 pounds unassisted, frequent travel & use of computer; Includes continuous sitting & may require rare long periods of continued walking, standing, stooping, bending, pulling & pushing.

Direct Healthcare & Indirect / Support Healthcare Services: must be able to:

• Adapt to frequent interruptions, shifting priorities & stressful situations; Attend to tasks until complete, understand & relate to complex ideas & concepts & be able to remember multiple tasks & regimens extending over long periods of time & work on concurrent tasks / projects.
• Read small print, frequent ability to hear normal sounds & voice patterns, able to give / receive instructions & other verbal communications in-person & over the phone / computer / device / equipment assigned with some background noise.
• Perform frequent manual dexterity activities & occasional grasping/handling.
• Continuous attention to maintain a safe working environment & use of available personal protective equipment (PPE).

Comply with Trinity Health's policies & procedures.
KEY: Average Workday Activity: Occasional (1% - 33%), Frequent (34% - 66%), Continuous (67% - 100%)
*References OSHA 1910.502 https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.502
ADDENDUM: Functional Roles
Responsible for planning, directing, & managing support & day-to-day operational tasks for Trinity Health Medical Group (THMG) Revenue Cycle in assigned Service Area with annual net patient revenue greater than or equal to $500M.
Manages Medical Group Revenue Cycle Site Operations for the assigned Health Ministries.
Date Created/ Last Updated
April 5, 2024- OD&D
The above statements provide a representative description of the nature & level of work being performed by persons assigned to positions within this job description. This is not an exhaustive list of essential functions, conditions, & duties; other job-related tasks may be required. Additional detail may be provided by policies, procedures, guidelines, protocols, standards, & other communications. Requests for reasonable accommodation will be considered in compliance with federal, state, & local law.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.