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Revenue Cycle Manager

2 months ago

Louisville, United States UofL Health Full time

Overview:

WE ARE HIRING

Location: 550 S. Jackson Street Louisville,KY 40202


About Us


UofL Health is a fully integrated regional academic health system with seven hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehabilitation Institute and the Brown Cancer Center.


With more than 12,000 team membersphysicians, surgeons, nurses, pharmacists and other highly skilled health care professionalsUofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day.


Our Mission


As an academic health care system, we will transform the health of the communities we serve through compassionate, innovative, patient-centered care.

JOB SUMMARY:

The Manager of Revenue Cycle will work with individual facilities, post-acquisition, integration, and growth initiatives and/or expansion of services, serving as the point of contact for the Revenue Cycle Executive leadership to provide due diligence and leadership support. Revenue Cycle includes Patient Access, Health Information Management and AR Operations departments, and collaboration with Case Management and various clinical leadership. Must be able to work in a fast-pace work environment.

Responsibilities:

Serve as the Business and Finance Manager for Revenue Cycle Department(s).
Assists in identifying key revenue cycle items, processes, updates of note for consideration.
Prepares and analyzes appropriate due diligence check list and prepares an analysis for executive management.
Monitor indicators of revenue cycle excellence; cash collections, aged A/R, DNFC, DNFB, denials, cost-to-collect, bad debt, charity care, etc. for each facility.
Responsible for the facility provider enrollment third-party payors for billing and set-up of electronic transfer funds (EFT) working closely with AR Operations, Payor Contracting and the bank lockboxes.
Monitor each of the Revenue Cycle Department(s) budgets and obtain notes on variances.
Point of contact between Revenue Cycle and Physician Credentialing to resolve edits/denials related to NPI numbers and tracks unbillable services by the residents as related to academics.
Participates in standing meetings to discuss open items and issues impacting cash flow.
Contribute to positive business results by maintaining a workplace characterized by high performance, mutual support and respect, and teamwork.
Regularly search for and identify opportunities for quality and process improvement resulting in improved efficiency and increased productivity.
Responsible for keeping Revenue Cycle executive leadership up to date, includes verbal and written.
Review and provide pre-approval of write-offs or adjustments needing final approval of the executive leadership, i.e. Financial Assistance, Third-Party Liability settlements, complaints.
Performs various audits to validate processes and compliance throughout the revenue cycle.
Maintains an understanding of regulatory requirements for Government and third-party payers, including billing and payment guidelines and HIPAA requirements.
Work with other management and leadership to improve collections, reduce accounts receivable, reduce denials, and reduce avoidable write-offs through issue identification, research, communication, and process improvement.
Collaborate with the Revenue Cycle Department Directors to develop and document department policy and procedures.
Provides weekly written report of activity and updates to the VP Revenue Cycle.
Other revenue cycle related duties assigned which may not be outlined above.

Qualifications:

MINIMUM EDUCATION & EXPERIENCE
Bachelors degree in healthcare, business administration, accounting or equivalent experience
Advanced knowledge of revenue cycle operations
3 + years' experience with a strategic understanding and broad view of hospital Revenue Cycle operations
Cerner and STAR experience preferred.


KNOWLEDGE, SKILLS, & ABILITIES
Advanced knowledge in Excel with Experience in Microsoft Office application.
Skilled trainers and mentors in Revenue Cycle functions
Analytical strong analytical and problem-solving skills with high attention to detail and organization
Proactive - anticipates and plans for problems before they arise
Organized manages time effectively, keeps tasks appropriately prioritized
Flexible ability to change directions as needed for the good of the department or organization
Critical Thinking ability to think through issues and identify appropriate options
Work Ethics motivated, diligent, industrious and persistent in the workplace, stays on tasks to completion, works at a fast pace to ensure optimal efficiency
Interpersonal can build effective, strong working relationships with employees, colleagues, management and vendors through trust, communication, and credibility
Team ability to work with others, serve others, help others, lead others, mentor others, take directions from others in the interest of moving process and programs forward to the desired outcome.
Emotional Intelligence ability to not take issues personal, see the big picture in emotionally charged situations and respond in a mature, professional, composed manner
Self-Awareness ability to reflect, understand limitations, and seek appropriate assistance and guidance
Judgment exercises discretion and due diligence when making decisions and recommendations
Quality perform work in a neat, efficient, well-coordinated, well communicated manner with a high degree of accuracy and professionalism


WORKING CONDITIONS
Sedentary Work: Lifting 10lbs. maximum and occasionally lifting and/or carrying items as needed.
Frequent Talking (Expressing or exchanging ideas by means of the spoken word.)
Frequent Hearing (Perceiving the nature of the sounds by the ear.)
Frequent Seeing (Visual acuity, depth perception, field of vision, color vision).
Consistent use of hand movement for keyboarding purposes.
Concentration varies depending on the tasks at hand. High levels of mental concentration are required. Must handle multiple tasks simultaneously and is subject to interruptions. Physical effort requires sitting and reaching with hands and arms. Manual dexterity, visual acuity, and the ability to speak and hear are required.