Strategic Services Associate – Pre Service Verification

This is a fully remote position, open to applicants in North Carolina.

📋 Description

• Develop and execute strategies aimed at improving performance, minimizing denials, and reducing write-offs through performance enhancement techniques and methodologies.

• Assess operational workflows to pinpoint opportunities for increasing efficiency through technology, bots, and automation.

• Implement and uphold technological solutions within the department.

• Suggest policy, procedure, and training documentation pertinent to initiatives and projects.

• Set performance targets for the department.

• Act as a subject matter expert in eligibility, authorization, and medical necessity.

• Cultivate, maintain, and enhance knowledge of Electronic Health Record systems and third-party vendor functionalities to support optimal workflows.

• Function as a resource on performance improvement methodologies.

• Collaborate with service lines and revenue cycle departments regarding pre-service verification operations.

• Educate supporting clinics on pre-service verification protocols and address system-related workflow challenges.

• Convey the departmental improvement strategy and devise plans to achieve performance metrics.

• Fulfill the role of project manager for interdisciplinary teams.

• Ensure that training and documentation are in place for new and evolving processes.

• Advocate for the PRMO strategic vision, mission, and purpose.

• Deliver prompt verbal and written responses to patients, providers, payors, and departmental staff.

• Attend meetings and engage in committees, workgroups, and Work Culture initiatives.

⛳️ Requirements

• A bachelor's degree in a business or health-related discipline is mandatory.

• A minimum of 5 years of professional experience is required.

• At least 3 years of experience with substantial responsibility in performance/process improvement.

• Proven experience in leading work teams is necessary.

• Strong written and verbal communication skills are essential.

• Ability to engage with customers and staff from diverse educational backgrounds.

• Skilled in analyzing data and processes to identify improvement opportunities.

• Capable of managing multiple diverse projects simultaneously through effective prioritization, efficient time usage, and organization.

• Familiarity with revenue cycle operations is required.

• Strong attention to detail and accuracy is essential.

• Proficiency in computer literacy is necessary.

🏝️ Benefits

• Relocation Assistance (subject to eligibility).

• Quality of Life: Experience living in the Triangle!