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Duly Healthcare

Exec Director, BPO Vendor Management

Duly Healthcare, Downers Grove, Illinois, United States, 60516


BPO Vendor Management Director

Full-Time, 40 hours per week.

Monday- Friday: Hours will vary.

Hybrid Work Schedule - Must be willing to work at Downers Grove Corporate Office 3 days per week.

This position is responsible for managing our vendor partner relationships, striving to deliver consistent and timely support to our customers while meeting/exceeding levels of business performance. This position will also support and lead in partnership with Payers with whom Duly is contracted. Additionally, this position supports the development and execution of Duly Healthcare strategies that affect Customer Care and deliver measurable contributions. The RCM BPO Director will oversee all tasks assigned to the revenue cycle department staff. Responsibilities include identifying patient reimbursement issues, ensuring that claims, denials, and appeals are efficiently processed, and resolving billing-related issues. You should also be able to assist and understand coding diagnoses and procedures correctly. To be successful as an RCM BPO Vendor Director, you should manage both staff and vendor partnerships while addressing patient complaints. Ultimately, a top-performing RCM BPO Director should seek ways to improve the functioning of vendor management and RCM within Duly Healthcare.

Responsibilities

The RCM BPO Vendor Director acts as a primary liaison to our vendor partners. Constant communication and monitoring of service and quality are imperative in this role. Position will collaborate with Vendor partners to achieve key performance measures (KPMs) including service level, turnaround time, quality, and customer satisfaction.

Overseeing and implementing a system with vendors to ensure that accurate billing information is entered into the billing system.

Supervising the revenue cycle and vendor management department in various duties, such as account management, communications with insurance providers, collections, cash posting, contract analysis, and billing.

Managing staff performance by providing regular feedback, performance reviews, and one-on-one meetings.

Overseeing the hiring and training of staff.

Planning and structuring the department workflow and staffing.

Correctly coding diagnoses and procedures.

Providing guidance to team members and addressing performance issues if any arise.

Managing a team of Vendor Management Specialists and Vendors to ensure that client satisfaction is met or exceeded at all times.

Developing and implementing training programs for new hires to ensure that they are fully prepared for their jobs.

Conducting regular meetings with clients to ensure satisfaction with service standards.

Analyzing data to identify trends in customer needs or behavior patterns that may require changes to business processes.

Developing and implementing new processes or procedures to improve efficiency or quality of service.

Coordinating with other departments such as marketing, sales, or human resources to ensure that customers receive appropriate attention.

Qualifications

Bachelor’s degree in finance, business administration, healthcare administration, or related field.

3 years of experience in a managerial role.

3 years of claims and payor knowledge and experience.

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