Rochester, NY, 14651, USA
48 days ago
Mgr, Rev Cycle Mgmt, Provider
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. **Job Location (Full Address):** 601 Elmwood Ave, Rochester, New York, United States of America, 14642 **Opening:** Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910502 United Business Office-PAS Work Shift: UR - Day (United States of America) Range: UR URG 112 Compensation Range: $70,197.00 - $105,295.00 _The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE: Manages the daily activities for the revenue cycle department for providers. Provides revenue cycle related consultation for new services and expanded products, revenue optimization projects, and in analyzing variances and understanding and reporting on key revenue cycle metrics. Assists in providing regulatory guidance as requested and implements any needed changes as required. Assists in overseeing many aspects of government reporting for the organization. May be accountable for the budget, performance and results of team of employees. Exercises full management authority, including performance reviews, pay decisions, recruitment, discipline, termination and other personnel actions. The Manager for Credits is responsible for working across the professional fee organization, ensuring accurate and timely resolution of all credit balances across all payors and for developing and implementing recommendations for process improvement with all credit balance resolution processes. Functions include, but are not limited to: transaction/invoice review, adjustment and payment posting and refund processing. The Manager ensures appropriate credit balance prioritization based on contract and government requirements, prepares reports, identifies credit balance trends, and presents findings to the Associate Director of Cash Applications and Director of Revenue Cycle. The Manager is required to have demonstrated knowledge and understanding of basic aspects of billing office operations, including principles of staff management/supervision, office workflows as well as billing and collection operations, including compliance requirements as well as payer credentialing, contracting and reimbursement practices. The Manager for Credits reports directly to the Associate Director of Cash Applications. Key Functions and Expected Performances: With general direction of the Associate Director of Cash Applications and considerable latitude for initiative and judgment: 35% Drives revenue cycle results by effectively managing all government and commercial payor credit balances within established governmental and contractual guidelines and standards. Manages staff actions to ensure the refunds process is appropriately executed with established policies and procedures. Ensures that all regulatory requirements are met, and that transaction activity is being performed in a compliant manner. 25% Monitors standard organizational metrics and utilizes data from all sources to create reports to meet the needs of all internal and external customers. Uses knowledge and experience to analyze detailed operational and financial data to identify credit balance root causes and other related issues in regular reporting to the Associate Director. Monitors effectiveness of resolution efforts and works with Associate Director to develop and implements strategies to improve efficiency and decrease credit balances across all payors. 15% Manages the activities of employees under own supervision. Recruits, hires, trains, evaluates, and perform disciplinary actions as necessary following department and University guidelines. Constructs and monitors development plans and fosters functional unit employee engagement through focused team-building efforts, surveys and follow-up action plans. 15% Monitors and assesses current operations to identify opportunities for performance and process improvements and provides a high level of problem solving to support continual change management; recommend ideas to the Associate Director; implements approved changes and ensures that staff receive the training to ensure their understanding of quality/performance improvement initiatives. 10% Reports regularly to the Associate Director of Cash Applications regarding performance in the assigned area. Provides assistance and support to the Associate Director by supporting various initiatives impacting URMFG billing operations. Assists in implementation of operations improvement measures. 5% Keeps current on relevant areas of knowledge and acts as a resource to staff. Interprets and ensures compliance with regulatory standards and requirements; keeps abreast of regulatory requirements, professional standards and competitive industry practices, as well as organizational initiatives with potential to impact current operations; monitors impact on existing activities to maintain service levels and work quality. May perform other duties as assigned. Qualifications: Required: - Bachelor's Degree and 3 years of related relevant experience; or equivalent combination of education and/or experience - Demonstrated organizational and problem-solving skills - Effective written and verbal communication skills Preferred: - Strong working knowledge of the professional billing software applications - 3 years billing office experience, at the management level **EOE Minorities / Females / Protected Veterans / Disabled:** The University of Rochester is committed to fostering, cultivating, and preserving a culture of equity, diversity, and inclusion to advance the University’s mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion/creed, sex, sexual orientation, citizenship status, or any other status protected by law. This commitment extends to the administration of our policies, admissions, employment, access, and recruitment of candidates from underrepresented populations, veterans, and persons with disabilities consistent with these values and government contractor Affirmative Action obligations. Notice: If you are a **Current** **Employee,** please **log into myURHR** to search for and apply to jobs using the Jobs Hub. Your application, if submitted using this portal, cannot be moved forward. **Learn. Discover. Heal. Create.** Located in western New York, Rochester is our namesake and our home. One of the world’s leading research universities, Rochester has a long tradition of breaking boundaries—always pushing and questioning, learning and unlearning. We transform ideas into enterprises that create value and make the world ever better. If you’re looking for a career in higher education or health care, the University of Rochester may offer the perfect opportunity for your background and goals At the University of Rochester, we commit to diversity, equity, and inclusion and united by a strong commitment to be ever better—Meliora. It is an ideal that informs our shared mission to ensure all members of our community feel safe, respected, included, and valued.
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