Mgr Revenue Cycle

Responsibilities

• Establishes and monitors auditing and clinical billing office policies and procedures to ensure maximization of revenue for department.
• Maintains confidentiality with respect to medical records and corporate documents (HIPAA, JCAHO, etc.).
• Monitors all charge/revenue related work queues to ensure resolution of accounts are occurring in a timely manner and leads support for WQ analytics for technical and professional services.
• Reports, investigates, and resolves significant revenue cycle metrics variances identified through continuous monitoring reports.
• Captures and analyzes financial and statistical data related to revenue cycle, including the creation, analysis, and distribution of revenue related reports.
• Recommends thorough analysis, solutions of revenue cycle problems.
• Project lead for revenue cycle/operational improvement projects and activities.
• Manages staff; interviews, hires, and guides direct reports with staff training, distribution of work, holding accountable for performance measures, appraises performance with rewards and discipline including annual evaluations, addresses complaints and resolves issues that may arise, and acts as a mentor for all department staff.
• Develops and maintains strong working relationships with Clinical Documentation staff (EM, Observation Medicine, Hyperbarics and Wound Center), Revenue Cycle Leaders, and other UPHS internal partnerships.
• Stays current with industry standards, rules, and regulations affecting reimbursement and revenue cycle and assists to implement changes accordingly to maximize revenue for services rendered in compliance with established third-party guidelines.

Qualifications

• H.S. Diploma/GED AND 7+ years billing/revenue cycle experience (Required).
• OR Bachelor's Degree in Business, Accounting or Healthcare AND 3 years supervisory or managerial experience and previous exposure to hospital or physician billing (Required).