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The Importance of Staff Retention Metrics in
Your Revenue Cycle Department
Nicola Hawkinson DNP, RN
CEO & Founder of SpineSearch
March 7, 2016
AAPC
Morristown, NJ
Recruitment and retention are
important for business, but not all
companies know how to begin
and complete the process
Outlining Your Hiring Process
1) Identify the vacancy/need
2) Job advertisement and recruitment
3) Identifying qualified candidates
4) Interviewing
5) Follow-up
6) Extending an offer
7) Onboarding
1. Identify the Vacancy / Need
Why is there a need?
New Hire
Expansion
Increased volume
New practitioner
Replacement
Reason for turnover
Review of retention metrix
1. Identify the Vacancy / Need
Treat the hiring process as a key business
practice
Have a plan
Have a timeline
Reach your goal
1. Identify the Vacancy / Need
What position do you need to fill?
Title
Report to
Job Description
Compensation package
1. Identify the Vacancy / Need
The Job Description
Title
Report to
Scope of practice
Responsibilities
Hours
Good Practice Tips
When you are preparing a job description avoid jargon,
abbreviations or acronyms, which can only be
understood by 'people in the know'. Choose the
wording carefully so that you do not discriminate
against candidates unnecessarily. Remember
discrimination can be direct or sometimes unintentional
and more difficult to spot.
Obtain specimen job descriptions from
similar groups or samples from professional
bodies to compare.
1. Identify The Vacancy / Need
Job Description NO No’s
“We Don’t Have One”
“Can You Just Make One For Me”
“Tell Them We’ll Speak To Them When We Get
Here”
1. Identify The Vacancy / Need
The Compensation Package: Pay
Consideration should be given to pay
Factors: market rates, skills, years of experience
Supply and demand
1. Identify The Vacancy / Need
The Compensation Package: Benefits
Can determine the full remuneration package
Employees are not only motivated by money
Factors such as health care benefits, 401k, and
flex hours
The Compensation package need to be accurate and reflect
what the employer can actually afford
1. Identify The Vacancy / Need
What type of candidate do you need?
Pro’s and Con of the Prior Employee
Think about the qualities of the person who last held the prior
Company Culture
Personality type, interests, geographical barriers
Key Attributes
Loyal, hard working, flexible
1. Identify The Need / Vacancy
How do you find a person to fill the job?
Internal Candidates
Don’t forget your current employees
Provide opportunity for inter-company advancement
Retention, culture
External Candidates
Advertisement
Local universities
Social media
Partnership with a recruitment firm
2. Job Advertisement and Recruitment
How to Search
Have well-defined strategy
Ensure you have the budget / salary line
Determine the timeline for recruitment
Determine your ability to set aside time to
recruit / interview as well as time from all
others involved in the interview and decision
making process
How to Search
Defining the selection process
What methods will you utilize to search
What total number of candidates do you seek to
interview before making a selection
How will you organize the screening and interviewing
Criteria for selection
An employee who is the best fit for your position
2. Job Advertisement and Recruitment
Attend live events to meet candidates
Create innovative ways to announce job
opportunities - Advertise
Job fairs
Social Media
Web Page
Facebook
Twitter
2. Job Advertisement and Recruitment
Build a steady stream of applicants
Interview in groups of 3-5 depending
Set aside 2-3 hours for interviews
Approximately 30 minutes each
Allow time to discuss, score and summarize
Take notes, document so as not to forget
2. Job Advertisement and Recruitment
Do
• Try new approaches
• Think about cost
• Seek advice
2. Job Advertisement and Recruitment
Don't
Repeat an old advertisement unless it worked
Assume who is right for the job
Discriminate
Copy similar organizations - be different!
Be afraid to ask for advice
3. Identifying Qualified Candidates
Achieving strong financial results in today’s
reimbursement environment requires greater
consistency
The largest source of already standardized data
on patient health history often resides in your
revenue cycle management (RCM) record
3. Identifying Qualified Candidates
Resume review
Clean sharp, without grammatical errors
Resume paper, crisp not folded or wrinkled
Appropriate objective summary / cover letter
How does the candidate represent themselves
online? Over the phone? E-mail, In-person?
Professionalism
Language
3. Identifying Qualified Candidates
Resume review
For most of you – you will utilize the resume to decide
who will be selected for a live interview again
Clearly written
Chronological order
Fresh presentation
Does experience reflect the qualifications you are in search of
3. Identifying Qualified Candidates
Email
Written professionally
Clearly stated subject – reason for search
Call
Speaks professionally
Language is clear
Skype
Dressed Professionally
Eye contact / enthusiasm
Without distraction
3. Identifying Qualified Candidates
Matching Resume with Job Description
Ensure skillset
Do not be distracted by personality compatibility
Be specific
4. Candidate Selection and Interviewing
Know What You Are Looking For
Have a detailed job description in place so you
know the type of candidate you are looking for
Review resumes carefully
Short time at jobs
Gaps in employment
Reason for job turnover
Unable to answer questions about previous job
responsibilities
4. Candidate Selection and Interviewing
Time Kills ALL DEALS
Applicants should be promptly acknowledged
They can be considering multiple
Opportunities
4. Candidate Selection and Interviewing
Resume review
Candidate selection for interview
Date, time, location
Practice website
Who will attend
Special testing (typing, billing, pivot tables)
Personality testing
Trial or shadowing days
Plan for a second interview- follow up
4. Interviewing
Usually Poorly Planned, Rushed and
Unstructured
Some Prep Tips:
Alert the reception area you have a visitor coming
Ensure the interview room is private, and not cluttered
Do not accept calls, NO TEXTING
Have all documents prepared
JD, Resume, questions and paper for notes
4. Interviewing
80/20 Rule
Candidates should do most of the talking
Allow time to answer questions
Allow time for them to formulate questions to you
Conclude by outlining next steps and follow up
Exchange contact information if you choose
4. Interviewing
Ask the right questions
Don’t overlook small things, they could turn into
bigger issues
If their job experience does not match what you
are looking for don’t ignore it
Take notes
Utilize a grading metrix
Speak to decision makers
4. Candidate Selection and Interviewing
Selection Process
The selection process should be just as thorough
as the recruitment process
Does the candidate meet the expectations and
fulfill the job requirements you have in place?
Does the candidate’s experience match the
qualifications you are looking for?
Does the candidate seem like a good fit? Will their
personality be a good match with other
employees?
4. Candidate Selection and Interviewing
Choose a “Reserve Candidate”
Second choice
Consider if first choice does not accept
Or, if references and background are unsatisfactory
A reserve candidate will save
you from having to go through the process
again, and may, in some cases, provide you
with a possible candidate for another position
5. Follow-up
A big lapse in time between interview and follow-
up could cause you to loose candidates
Act in a timely manner
Organize- After the interview you should review
your notes and contact the candidate within 24
hours about next steps
5. Follow Up
Design a 'points system' to measure how
candidates meet your criteria.
For example
3 = exceeds criteria
2 = meets criteria
1 = partly meets criteria
0 = doesn't meet criteria
5. Follow Up
References and Background
Design reference questions that are tailored
specifically to your business/practice
Contact 3-5 references
Pay attention to how the reference talk about the
candidate
Spend as much time on call with them as possible
You must receive permission from the candidate to call upon
his/her references
5. Follow Up
References and Background
Checks should be made regarding the following:
• Eligibility to work in the US
• Previous employment and character references
• Criminal Records Bureau checks
• Health screening/questionnaire
• Qualifications
5. Follow Up References and Background
The real importance of references is that they
help you to spot the very small number of job
applicants who give misleading information
about their past, or are giving false information.
Hire Slow….Fire Fast
6. Making a Contingency Offer
When you feel you have successfully recruited,
interviewed, and selected a candidate you are
ready to extend a job offer
Offer contingent on references and background check
Don’t disengage from the hiring process; Stay involved.
Candidates can be simultaneously receiving multiple offers
Candidates may have questions regarding compensation
6. Making a Contingency Offer
The Offer Letter
The principal statement must include:
The legal and trading names of the employer
The name of the employee
• The address of the employee’s place of work
• Job title or a brief description of the work
• The date when the employment began
6. Making a Contingency Offer
The Offer Letter
May also include
Pay, and intervals of Pay
Hours
Benefits
Guidelines for resignation / termination
Many states will include employment at will
7. Onboarding Process
Day 1
Have the new employee arrive with a plan from you
When and where to arrive
Who to report to
An idea of the day’s agenda
The candidate should see that there was thought an planning
implemented to onboard successfully
7. Onboarding Process
Good Practice Tip
Taylor induction to the individual
Identify a mentor or 'buddy', who can be used to
support, advise, motivate and encourage
A good mentor will view the staff member
objectively and give constructive feedback along
with general guidance.
7. Onboarding Process
Candidate-Centric Approach
Create a culture where the best employees want
to work.
Engaging work environment
Set a date for 90 day review
Follow Up / check in
Employee Engagement
Give meaningful feedback
Define clear goals and link to organizational goals
Recognize and Reward
Give them the tools and resources they need
Employee Engagement
Employee evaluations
Mentorship program
Professional and career development
opportunities
Team Approach
Executives that lead an initiative for revenue
integrity by leveraging a team approach can more
readily gather the key performance indicators
needed to assess performance on the established
standards.
Recognizing achievements in relation to the
standards serve to spur further advancement.
Team Approach
Organizations aligned for revenue integrity are
more easily able to address the gaps that
inevitably exist between systems and processes.
This is because the initiative provides greater
insight into all parts of an organization, including
its silos.
Team Approach
The need for this type of clarity and increased
transparency is greater today in order that the
revenue integrity team can prevent the revenue
leakage and compliance risk occurring in these
gaps.
And Finally…to Staff Retention
You need to ensure that after appointing the
correct person for the job you hold onto
them!
• Staff retention will only happen when you
have all your management policies right.
• Educating staff about what is required in order to
remain current with ongoing changes to
regulations and the requirements for sufficient
documentation.
And Finally…to Staff Retention
Communication
Motivation
Mentoring / Support
Formalized Review Process
Staff Questionnaires
Personal Development Profiles
Once the revenue integrity team is established,
see that they have easy access to information that
answers questions on payer requirements, which
can change quickly.
Conclusion
Conclusion
Recruit smart
Identify a strategic recruitment plan
Be proactive, not reactive
Follow through with your process and be timely
Conclusion
Know what you are looking for
Take the interview process seriously
Respond to candidates in a timely manner
Pay attention to red flags
Conclusion
Use references and background check as an aide
during the selection process
Plan out the new employees first week prior to the
start date
Be as organized as possible
Refine and revise your process with each new hire
Questions?
Thank You!
Nicola Hawkinson, DNP, RN
SpineSearch
www.Spine-Search.com
1.516.333.5050

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Importance of Staff Retention Metrics in Your Revenue Cycle Department

  • 1. The Importance of Staff Retention Metrics in Your Revenue Cycle Department Nicola Hawkinson DNP, RN CEO & Founder of SpineSearch March 7, 2016 AAPC Morristown, NJ
  • 2. Recruitment and retention are important for business, but not all companies know how to begin and complete the process
  • 3. Outlining Your Hiring Process 1) Identify the vacancy/need 2) Job advertisement and recruitment 3) Identifying qualified candidates 4) Interviewing 5) Follow-up 6) Extending an offer 7) Onboarding
  • 4. 1. Identify the Vacancy / Need Why is there a need? New Hire Expansion Increased volume New practitioner Replacement Reason for turnover Review of retention metrix
  • 5. 1. Identify the Vacancy / Need Treat the hiring process as a key business practice Have a plan Have a timeline Reach your goal
  • 6. 1. Identify the Vacancy / Need What position do you need to fill? Title Report to Job Description Compensation package
  • 7. 1. Identify the Vacancy / Need The Job Description Title Report to Scope of practice Responsibilities Hours
  • 8. Good Practice Tips When you are preparing a job description avoid jargon, abbreviations or acronyms, which can only be understood by 'people in the know'. Choose the wording carefully so that you do not discriminate against candidates unnecessarily. Remember discrimination can be direct or sometimes unintentional and more difficult to spot. Obtain specimen job descriptions from similar groups or samples from professional bodies to compare.
  • 9. 1. Identify The Vacancy / Need Job Description NO No’s “We Don’t Have One” “Can You Just Make One For Me” “Tell Them We’ll Speak To Them When We Get Here”
  • 10. 1. Identify The Vacancy / Need The Compensation Package: Pay Consideration should be given to pay Factors: market rates, skills, years of experience Supply and demand
  • 11. 1. Identify The Vacancy / Need The Compensation Package: Benefits Can determine the full remuneration package Employees are not only motivated by money Factors such as health care benefits, 401k, and flex hours The Compensation package need to be accurate and reflect what the employer can actually afford
  • 12. 1. Identify The Vacancy / Need What type of candidate do you need? Pro’s and Con of the Prior Employee Think about the qualities of the person who last held the prior Company Culture Personality type, interests, geographical barriers Key Attributes Loyal, hard working, flexible
  • 13. 1. Identify The Need / Vacancy How do you find a person to fill the job? Internal Candidates Don’t forget your current employees Provide opportunity for inter-company advancement Retention, culture External Candidates Advertisement Local universities Social media Partnership with a recruitment firm
  • 14. 2. Job Advertisement and Recruitment
  • 15. How to Search Have well-defined strategy Ensure you have the budget / salary line Determine the timeline for recruitment Determine your ability to set aside time to recruit / interview as well as time from all others involved in the interview and decision making process
  • 16. How to Search Defining the selection process What methods will you utilize to search What total number of candidates do you seek to interview before making a selection How will you organize the screening and interviewing Criteria for selection An employee who is the best fit for your position
  • 17. 2. Job Advertisement and Recruitment Attend live events to meet candidates Create innovative ways to announce job opportunities - Advertise Job fairs Social Media Web Page Facebook Twitter
  • 18. 2. Job Advertisement and Recruitment Build a steady stream of applicants Interview in groups of 3-5 depending Set aside 2-3 hours for interviews Approximately 30 minutes each Allow time to discuss, score and summarize Take notes, document so as not to forget
  • 19. 2. Job Advertisement and Recruitment Do • Try new approaches • Think about cost • Seek advice
  • 20. 2. Job Advertisement and Recruitment Don't Repeat an old advertisement unless it worked Assume who is right for the job Discriminate Copy similar organizations - be different! Be afraid to ask for advice
  • 21. 3. Identifying Qualified Candidates Achieving strong financial results in today’s reimbursement environment requires greater consistency The largest source of already standardized data on patient health history often resides in your revenue cycle management (RCM) record
  • 22. 3. Identifying Qualified Candidates Resume review Clean sharp, without grammatical errors Resume paper, crisp not folded or wrinkled Appropriate objective summary / cover letter How does the candidate represent themselves online? Over the phone? E-mail, In-person? Professionalism Language
  • 23. 3. Identifying Qualified Candidates Resume review For most of you – you will utilize the resume to decide who will be selected for a live interview again Clearly written Chronological order Fresh presentation Does experience reflect the qualifications you are in search of
  • 24. 3. Identifying Qualified Candidates Email Written professionally Clearly stated subject – reason for search Call Speaks professionally Language is clear Skype Dressed Professionally Eye contact / enthusiasm Without distraction
  • 25. 3. Identifying Qualified Candidates Matching Resume with Job Description Ensure skillset Do not be distracted by personality compatibility Be specific
  • 26. 4. Candidate Selection and Interviewing Know What You Are Looking For Have a detailed job description in place so you know the type of candidate you are looking for Review resumes carefully Short time at jobs Gaps in employment Reason for job turnover Unable to answer questions about previous job responsibilities
  • 27. 4. Candidate Selection and Interviewing Time Kills ALL DEALS Applicants should be promptly acknowledged They can be considering multiple Opportunities
  • 28. 4. Candidate Selection and Interviewing Resume review Candidate selection for interview Date, time, location Practice website Who will attend Special testing (typing, billing, pivot tables) Personality testing Trial or shadowing days Plan for a second interview- follow up
  • 29. 4. Interviewing Usually Poorly Planned, Rushed and Unstructured Some Prep Tips: Alert the reception area you have a visitor coming Ensure the interview room is private, and not cluttered Do not accept calls, NO TEXTING Have all documents prepared JD, Resume, questions and paper for notes
  • 30. 4. Interviewing 80/20 Rule Candidates should do most of the talking Allow time to answer questions Allow time for them to formulate questions to you Conclude by outlining next steps and follow up Exchange contact information if you choose
  • 31. 4. Interviewing Ask the right questions Don’t overlook small things, they could turn into bigger issues If their job experience does not match what you are looking for don’t ignore it Take notes Utilize a grading metrix Speak to decision makers
  • 32. 4. Candidate Selection and Interviewing Selection Process The selection process should be just as thorough as the recruitment process Does the candidate meet the expectations and fulfill the job requirements you have in place? Does the candidate’s experience match the qualifications you are looking for? Does the candidate seem like a good fit? Will their personality be a good match with other employees?
  • 33. 4. Candidate Selection and Interviewing Choose a “Reserve Candidate” Second choice Consider if first choice does not accept Or, if references and background are unsatisfactory A reserve candidate will save you from having to go through the process again, and may, in some cases, provide you with a possible candidate for another position
  • 34. 5. Follow-up A big lapse in time between interview and follow- up could cause you to loose candidates Act in a timely manner Organize- After the interview you should review your notes and contact the candidate within 24 hours about next steps
  • 35. 5. Follow Up Design a 'points system' to measure how candidates meet your criteria. For example 3 = exceeds criteria 2 = meets criteria 1 = partly meets criteria 0 = doesn't meet criteria
  • 36. 5. Follow Up References and Background Design reference questions that are tailored specifically to your business/practice Contact 3-5 references Pay attention to how the reference talk about the candidate Spend as much time on call with them as possible You must receive permission from the candidate to call upon his/her references
  • 37. 5. Follow Up References and Background Checks should be made regarding the following: • Eligibility to work in the US • Previous employment and character references • Criminal Records Bureau checks • Health screening/questionnaire • Qualifications
  • 38. 5. Follow Up References and Background The real importance of references is that they help you to spot the very small number of job applicants who give misleading information about their past, or are giving false information. Hire Slow….Fire Fast
  • 39. 6. Making a Contingency Offer When you feel you have successfully recruited, interviewed, and selected a candidate you are ready to extend a job offer Offer contingent on references and background check Don’t disengage from the hiring process; Stay involved. Candidates can be simultaneously receiving multiple offers Candidates may have questions regarding compensation
  • 40. 6. Making a Contingency Offer The Offer Letter The principal statement must include: The legal and trading names of the employer The name of the employee • The address of the employee’s place of work • Job title or a brief description of the work • The date when the employment began
  • 41. 6. Making a Contingency Offer The Offer Letter May also include Pay, and intervals of Pay Hours Benefits Guidelines for resignation / termination Many states will include employment at will
  • 42. 7. Onboarding Process Day 1 Have the new employee arrive with a plan from you When and where to arrive Who to report to An idea of the day’s agenda The candidate should see that there was thought an planning implemented to onboard successfully
  • 43. 7. Onboarding Process Good Practice Tip Taylor induction to the individual Identify a mentor or 'buddy', who can be used to support, advise, motivate and encourage A good mentor will view the staff member objectively and give constructive feedback along with general guidance.
  • 44. 7. Onboarding Process Candidate-Centric Approach Create a culture where the best employees want to work. Engaging work environment Set a date for 90 day review Follow Up / check in
  • 45. Employee Engagement Give meaningful feedback Define clear goals and link to organizational goals Recognize and Reward Give them the tools and resources they need
  • 46. Employee Engagement Employee evaluations Mentorship program Professional and career development opportunities
  • 47. Team Approach Executives that lead an initiative for revenue integrity by leveraging a team approach can more readily gather the key performance indicators needed to assess performance on the established standards. Recognizing achievements in relation to the standards serve to spur further advancement.
  • 48. Team Approach Organizations aligned for revenue integrity are more easily able to address the gaps that inevitably exist between systems and processes. This is because the initiative provides greater insight into all parts of an organization, including its silos.
  • 49. Team Approach The need for this type of clarity and increased transparency is greater today in order that the revenue integrity team can prevent the revenue leakage and compliance risk occurring in these gaps.
  • 50. And Finally…to Staff Retention You need to ensure that after appointing the correct person for the job you hold onto them! • Staff retention will only happen when you have all your management policies right. • Educating staff about what is required in order to remain current with ongoing changes to regulations and the requirements for sufficient documentation.
  • 51. And Finally…to Staff Retention Communication Motivation Mentoring / Support Formalized Review Process Staff Questionnaires Personal Development Profiles
  • 52. Once the revenue integrity team is established, see that they have easy access to information that answers questions on payer requirements, which can change quickly. Conclusion
  • 53. Conclusion Recruit smart Identify a strategic recruitment plan Be proactive, not reactive Follow through with your process and be timely
  • 54. Conclusion Know what you are looking for Take the interview process seriously Respond to candidates in a timely manner Pay attention to red flags
  • 55. Conclusion Use references and background check as an aide during the selection process Plan out the new employees first week prior to the start date Be as organized as possible Refine and revise your process with each new hire
  • 57. Thank You! Nicola Hawkinson, DNP, RN SpineSearch www.Spine-Search.com 1.516.333.5050