Manager, Accounts Receivable

University of Utah Health•Salt Lake City, UT

About The Position

As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA This position is responsible for planning, directing and overseeing the operations and fiscal health of a revenue cycle business unit. Responsible for overseeing and leading the work of Accounts Receivable Management in accordance with State and Federal requirements. The ideal candidate should possess an in depth understanding of accounts receivable collections, transplant billing and collection processes, grants, corporate billing and account resolution. This position has no responsibility for providing care to patients. Corporate Overview: University of Utah Health is an integrated academic healthcare system with five hospitals including a level 1 trauma center, eleven community health centers, over 1,600 providers, and a health plan serving over 200,000 members. University of Utah Health is nationally ranked and recognized for our academic research, quality standards and overall patient experience. In addition to our clinical delivery system, we have a School of Medicine, School of Dentistry, College of Nursing, College of Pharmacy, and College of Health providing education and training for over 1,250 providers annually. We have over 2 million patient visits annually and research grants exceeding $350 million. University of Utah Hospitals and Clinics represents our clinical operations for the larger health system.

Requirements

Bachelor's degree in a related area of assignment, or equivalency.
Four years of more progressively responsible management experience.
Four years of demonstrated Accounts Receivable experience in a health care setting.
Knowledge of reviewing service level agreements.
Preparing and/or coordinating with Contracting Department and Legal Council on deficiencies with contracted and non-contracted payers.
Demonstrated leadership, human relations, and effective communication skills.
Ensuring collection policy on recoveries is followed and is in line with state and federal regulations as well as contractual agreements negotiated with the institution.
Knowledge of hospital business operations and demonstrated strategic planning skills.
Ability to interact with leadership, department managers and physicians regarding AR collections, outcomes, successes and barriers or other related financial issues.
Ability to analyze large sets of data and perform department analytics in support of strategic decision making.
Commitment to continuous learning and implementation of strategic visions with focus on IT & Operational partnership.
Knowledge of budgeting practices, reporting analysis, and forecasting.
Responsible for management and oversight of vendors.
Ability to lead, motivate, and effectively communicate with both on-site and remote staff members.
Ability to develop tools, processes, accountabilities for all collection decisions.
Exhibits and maintains an understanding and application of collection regulations and guidelines.

Nice To Haves

HEALTHCARE Revenue Cycle.
Epic.
Related project management.
Analytical (data trends) and reporting.
Understanding of payer contracts and reimbursements.
Master's degree in a related area, or equivalency.
Collections knowledge and experience.

Responsibilities

Monitor and manage delinquent accounts.
Develops and manages escalation pathways for unresolved claims or payer disputes.
Implements process improvements for admissions, billing, third party payer relations, compliance and collections to ensure that the financial health of the organization is effective and properly utilized.
Responsible for the ongoing strategic operation of activities falling under the timely collection of outstanding accounts receivables including researching, analyzing, and recommending collection methodologies.
Leads efforts to systematically collect, compile and report operational performance information, designs, implements and manages metrics and indicators to track performance to insurance collection program goals and objectives.
Monitors payer policies which include medical and reimbursement policies.
Tracks and remediates payer activities and published findings correlated cash, AR and aging information for Commercial and Government payers as well as special programs.
Identifies payment issues, opportunities and effective solutions and collaborates with other departments to improve processes and deliver results.
Participates in account reviews and strategic directives with various payer leadership to ensure focused outcomes are met and to foster collaborative relationships with payers.
Global Transplant Bundled Billing process that includes contract compliance, reconciliation and collaboration with Professional Billing.
Accountable for the development, implementation and maintenance of the Epic for Business Collections workflows, which includes functions in accordance with internal and external policies and procedures.
Hiring, training, developing, and communicating with staff.
Responsible to provide staff feedback on performance, including on-time appraisals and coaching.
Responsible to deal with conflicts in a proactive manner and to reach resolution in a timely manner.
Forms positive relationships with staff, peers, and senior leadership to support the mission, vision, values, and performance standards of the organization.
Actively engages staff with updates and news as well as involving staff in decisions and work teams. Provides feedback and recognition when appropriate.