Commercial Specialty Manager (Manager, Revenue Cycle)

Oregon Health & Science University•Portland, OR

About The Position

This role is responsible for the management and control of the MVA, Workers Comp, and Commercial Specialty Follow-up units. Function/Duties of Position Personnel Management Direct management and supervision of the MVA, Workers Comp, and Commercial Specialty Follow-up units: 0.5 Coordinator 8 Patient Account Reps 1 Admin Assistant 1 Office Specialist Provide essential leadership direction pertinent to the operations of the department. Develop goals and objectives that promote a customer service culture. Hire, motivate, and coach a department of individuals dedicated to providing excellent customer service to all stakeholders. Ensure staff have adequate information and training to perform assigned tasks. Oversee staff with issues that arise with personnel, patient accounts, and organizational direction. Utilize Aeos and Aeos Analytics to the fullest to ensure success of units. Ensure that all tasks on the manager’s checklist are done daily, weekly, and monthly. Ensure that all staff have standard response guidelines which include pend times. Operations Support Monitor department activities and provide recommendations that resolve problems and prevent future occurrences. Report and analyze trends. Work collaboratively to improve operational workflows, billing processes, individual patient accounts and overall, all accounts receivable. Communicate effectively with all OHSU Health staff in order to provide assistance and quality service. Present complex information effectively to a range of audiences. Performs other related duties as assigned or requested.

Requirements

Bachelor’s degree in relevant field or equivalent years of education, training, and experience.
4 years’ experience in medical billing office or medical operations that included hands-on billing and collection and patient contact.
2 years of supervisory/managerial experience.
In-depth knowledge of hospital and physician billing and reimbursement.
Leadership skills to develop team concepts and consensus-building management styles.
Able to supervise a number of people and multiple priorities in a highly complex environment.
Clear, effective verbal and written communication skills
Knowledge of healthcare industry financial statistical indicators.
Strong working knowledge of the clinical and coding aspects of the revenue cycle and the CDM.
Must have strong analytical, clinical and interpretive skills in areas of revenue capture, CDM analysis and overall needs of Federal, State and local healthcare initiatives.
Ability to facilitate/manage projects independently utilizing project management principles and tools.
Able to work in an autonomous environment and take initiative to do problem solving as required.

Nice To Haves

Master of Healthcare Administration preferred.
Position requires leadership, analytical, organizational and communication skills generally acquired through completion of a bachelor's degree program.
Demonstrated knowledge of hospital and physician billing and reimbursement.
At least one year of Management experience in healthcare.

Responsibilities

Personnel Management Direct management and supervision of the MVA, Workers Comp, and Commercial Specialty Follow-up units
Provide essential leadership direction pertinent to the operations of the department.
Develop goals and objectives that promote a customer service culture.
Hire, motivate, and coach a department of individuals dedicated to providing excellent customer service to all stakeholders.
Ensure staff have adequate information and training to perform assigned tasks.
Oversee staff with issues that arise with personnel, patient accounts, and organizational direction.
Utilize Aeos and Aeos Analytics to the fullest to ensure success of units.
Ensure that all tasks on the manager’s checklist are done daily, weekly, and monthly.
Ensure that all staff have standard response guidelines which include pend times.
Monitor department activities and provide recommendations that resolve problems and prevent future occurrences.
Report and analyze trends.
Work collaboratively to improve operational workflows, billing processes, individual patient accounts and overall, all accounts receivable.
Communicate effectively with all OHSU Health staff in order to provide assistance and quality service.
Present complex information effectively to a range of audiences.
Performs other related duties as assigned or requested.