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Manager Revenue Cycle

2 months ago

Chicago, United States Ann & Robert H. Lurie Children's Hospital of Chicago Full time

Ann & Robert H. Lurie Children's Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children's Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report.

Location

680 Lake Shore Drive

Job Description

General Summary:

The Manger of Revenue Cycle manages the revenue cycle operations and works with senior leadership to develop revenue cycle strategies that maximize process efficiency and reimbursement. Lead process improvement across the functional teams that contribute to the revenue cycle, such as claims, billing, and payment posting. This role monitors the effectiveness of activities contributing to the revenue cycle to identify and reduce missed revenue opportunities. Remains knowledgeable of insurance policy and governmental regulations affecting billing practices to ensure organizational compliance. Ensures department productivity and monitoring of work queues. Identifies training gaps and provides coaching to staff. Continuously collaborates with other leaders and vendors on workflow improvements. Reporting to the Director, the Manager, Revenue Cycle serves as a liaison to payors, revenue cycle staff and hospital clinical departments by ensuring effective communication between all parties.

Essential Job Functions:

  • Oversight of billing and collections functions.

  • Prepares month end reports and assists with budgeting process.

  • Acts as resource for clinical areas pertaining to charge capture, denials, and charge denial management. Analyzes and documents revenue cycle processes.

  • Recognizes and identifies revenue cycle process challenges or opportunities and escalates concerns in a timely manner.

  • Works on denial management and provides department with feedback on common errors that lead to denials, charge corrections or charge deletion.

  • Facilitates development and achievement of professional & personal goals for self and staff as well as continual improvement of staff and vendor performance.

  • The authority to hire, separate, promote, demote, write, and administer performance evaluations.

  • Maximizes efficiency of revenue cycle processes; review and interpret operational data and KPIs to assess need for procedural revisions and enhancements; review and approve revenue cycle policies, procedures, and standards.

  • Aligns department goals and manages department resources and budgets to meet Lurie Children's strategic objectives.

  • Meets regularly with divisional practice managers to ensure expectations are being met.

  • Manages revenue cycle staff, maintaining productivity and quality standards.

  • Interviews and selects prospective employees.

  • Conducts annual and mid-year performance appraisals and promotes staff development. Coordinates orientation and training of staff.

  • Monitors revenue cycle performance and address any issues to ensure that the activities of the revenue cycle department are meeting department and organizational goals.

  • Provides education, expert guidance, and support to Lurie staff on revenue cycle requirements.

  • Leads and/or participates in project teams as appropriate related to implementation of new revenue cycle initiatives.

  • Other job functions as assigned.

Knowledge, Skills, and Abilities:

  • Bachelor's Degree required.

  • Minimum five years in a healthcare revenue cycle, leadership, and supervision of staff.

  • Knowledge of ICD-10 coding, medical terminology, third party billing and collections, required

  • Knowledge of: Medicare and Medicaid appeals, Third party contracts, Insurance protocols, delay tactics, systems, and workflows, Federal & State regulations related to denials and appeals

  • Excellent communication and listening skills.

  • EPIC experience preferred.

  • Attention to detail, highly organized and strong process-focused aptitude.

  • Possess strong leadership and organizational skills and can positively influence others.

  • Ability to think creatively, be analytically minded, objective and independent.

  • Problem solving ability and able to handle multiple priorities.

  • Can deal with ambiguity and thrive in a highly dynamic environment.

  • Demonstrated ability to negotiate and provide alternative business solutions.

  • Must be able to track, respond, trend, and multitask within the practice management system. Thorough knowledge of patient accounting, third party payer procedures, governmental regulations and managed care contracting to be effectively proactive in the billing and collection process.

Education

Benefit Statement

For full time and part time employees who work 20 or more hours per week we offer a generous benefits package that includes:

Medical, dental and vision insurance

Employer paid group term life and disability

Employer contribution toward Health Savings Account

Flexible Spending Accounts

Paid Time Off (PTO), Paid Holidays and Paid Parental Leave

403(b) with a 5% employer match

Various voluntary benefits:

  • Supplemental Life, AD&D and Disability

  • Critical Illness, Accident and Hospital Indemnity coverage

  • Tuition assistance

  • Student loan servicing and support

  • Adoption benefits

  • Backup Childcare and Eldercare

  • Employee Assistance Program, and other specialized behavioral health services and resources for employees and family members

  • Discount on services at Lurie Children's facilities

  • Discount purchasing program

There's a Place for You with Us

At Lurie Children's we embrace and celebrate diversity and equity in a serious way. We are committed to building a team with a variety of backgrounds, skills, and viewpoints - recognizing that diverse identities strengthen our workplace and the care we can provide to the Chicago community and beyond. We treat everyone fairly, appreciate differences, and make meaningful connections that foster belonging and allyship. This is a place where you can be your best, so we can give our best to the patients and families who trust us with their care.

Lurie Children's and its affiliatesare equal employment opportunity employers. We value diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity or expression, religion, national origin, ancestry, age, disability, marital status, pregnancy, protected veteran status, order of protection status, protected genetic information, or any other characteristic protected by law.

Support email: candidatesupport@luriechildrens.org


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