Dir. Revenue Cycle-UMCEPH Central Billing Office
Summary Job Summary : Oversees the strategic initiatives and daily operations of the 501a revenue cycle, including policies, objectives, and initiatives for the 501a practices. Responsible for management, direction, and leadership of the coding, billing, revenue cycle follow-up services. Responsible for the EMR revenue cycle relationship, including communication, service description compliance, and tracking/trending. Also, responsible for reviewing, designing, and implementing processes surrounding pricing, coding, billing, third party payer relationships, collections, and other financial analyses. The Director also works closely with Finance, UMC Revenue Cycle Management, and other departments in the coordination of certain reimbursement and budgeting functions. Minimum Job Requirements: Work Experience: Five years of progressive management and leadership experience in Healthcare Revenue Cycle operations, billing/reimbursement, internal audits, and Charge Master Maintenance. Experience with performance improvement and change management concepts and tools required. License/Registration/Certification Certified Public Accountant (CPA) preferred. Education and Training: A master’s degree in a related field required. Skills: Critical thinking, problem-solving and decision-making skills. Ability to analyze and resolve problems that affect the claim submission process. Knowledge of medical terminology. Knowledge of negotiating skills. Knowledge of total quality management (TQM) concepts and tools. Knowledge of healthcare industry financial statistical indicators. Knowledge in the use of ICD, CPT, HCPCS APC, DRG, Revenue Codes and Status indicators. Knowledge and skills with Microsoft Office applications (Excel, Word, Outlook, PowerPoint). Knowledge in the areas of patient registration, billing, accounts receivable (AR), cash management requirements, managed care contractual terms and requirements, health insurance practices, industry regulatory requirements, business office operations, AR and financial reporting technology, and industry standards for healthcare revenue resolution management practices. Financial management skills, including the ability to analyze data for operations, budgeting, auditing, forecasting; basic accounting knowledge; AR and reserve analysis, market analysis; staffing and financial reporting skills. Leadership skills to motivate cross-departmental teams’ performance towards excellence and develop team concepts and consensus-building management styles. Knowledge of business processes which support the confidentiality of patient protected health information and meet HIPAA standards. Ability to train others as needed. Ability to establish productivity standards for employees in related fields, educate staff on productivity expectations, as well as creating accountability for others.
