RCM Vendor Management Backend Specialist - Duly Health and Care

Hours: Monday through Friday, 8am-5pm

Location: Downers Grove, IL (Hybrid)

Good enough isn’t for us. Duly Health and Care’s team members show up every day driven to exceed expectations. We see and support the remarkable in every person within and beyond the walls of our work.

Duly Health and Care works to understand what matters most to you. We recruit and retain team members who share a relentless passion and pride for helping others live happier and healthier lives. We invest in helping our team members develop their talents in a way that is rich in personal meaning.  We invite you to join us, fulfill your purpose and make your mark!

Holistic benefits designed to help our team members flourish in all aspects of their lives, including: 

• Comprehensive medical and prescription drug benefits that include medical coverage at 100% (after deductible) when utilizing a Duly provider.
• $5,250 Tuition Reimbursement per year. 
• 40 hours paid volunteer time off. 
• 12 Weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members. 
• 401(k) Match
• Profit-sharing program

Are you ready to challenge the expected to deliver the extraordinary?

This position acts as the primary liaison to our Vendor partners. Constant communication and monitoring of service and quality is imperative in this role. Position will collaborate with Vendor partners to achieve key performance measures (KPMs) that include; service level, turnaround time, quality, and customer satisfaction. The Vendor Management Specialist will audit and manage contracted service level measurements to assure contract obligations and customer satisfaction are being met. This role is responsible for ensuring efficiency on keeping an up-to-date Insurance, Credit work queue to expedite credit positing. This role will be responsible for researching and assisting in escalations of complex issues and is responsible for oversight of processing refund coding and adjustments when requested. This role is responsible for ensuring all processes in Accounts Receivable department on patient payment electronic and manual posting, insurance payments electronic and manual posting. The ideal candidate must have clear communication skills with staff and management on updates. This role will work collaboratively with department staff and senior management to resolve issues.

The Journeys and Adventures that Await

• Accountable for the Vendor relationship monitoring and reporting.
• Meets regularly with Vendor partners on the contractual responsibilities of the vendor partner business obligations and deliverables.
• Monitors key performance measures and shares individual and team results.
• Provides recognition and constructive performance feedback through mentoring and coaching of the Vendor partners.
• Assures partners have training and resources needed to effectively carry out their duties and to deliver value-add experiences for customers.
• Communicates and improves standard operating procedures and processes to support company and departmental objectives.
• Identifies and quickly resolves concerns through research and root cause analysis.
• Collaborates with Duly business units/department(s) to assure customer expectations are being achieved.
• Oversee vendor performance evaluations and establish regular reporting mechanisms to track and communicate vendor performance metrics, addressing any issues proactively.
• Mitigate potential risks by conducting regular vendor risk assessments
• Operate independently while conducting reviews of revenue cycle processes, both intra and inter departmental, to determine workflow deficiencies and root cause issues.Conduct audits of unit(s) performance in accordance with established protocols.

Qualifications

• Bachelor’s Degree in business or related field,or 5 years equivalent work experience.
  
• One year of Vendor or Business Process Outsourcing relationship experience preferred.  
• 2 years experience working with Epic in Accounts Receivable preferred.
• Proficient in contract management, vendor performance measurement, and risk assessment.   
• Strong understanding of healthcare industry dynamics and regulatory requirements, particularly in healthcare BPO
• 2-3 years of experience with medical claims, accounts receivable, commercial/federal/marketplace insurance plans
• Strong experience and knowledge of Excel
• Strong written and verbal communication skills
• Experience in auditing balances and receivables
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