Manager, Billing Operations - Revenue Cycle

UT Southwestern Medical Center • Dallas, TX

15h • Onsite

About The Position

Manage the daily operations of the MSRDP front end revenue cycle operation ensuring optimal efficiency and maximization of services within established guidelines.

Requirements

• High School Diploma or equivalent
• 11 years experience in physician practice plan, healthcare, or medical insurance environment
• Three (3) years supervisory experience
• Previous exposure to hospital or physician billing

Nice To Haves

• Bachelor's Degree
• (CPC) CERT PROFESSIONAL CODER
• (ART) ASSOC RECORDS ADMIN
• (RRA) REGISTERED RECORDS ADMIN

Responsibilities

• Manages the centralized front end revenue cycle for an assigned group of departments.
• Manages staff and regularly analyzes operational volume to determine appropriate staffing requirements.
• Oversees the development of workflows to maximize staff productivity; monitors, evaluates and prioritizes projects such that established deadlines are met.
• Maintains policies and procedures.
• Manages staff recruitment and selection process.
• Oversees administration of annual employee performance appraisals.
• Manages employees responsible for resolution of outstanding Accounts Receivable.
• Assures timely and full collection of physician fees billed to Medicaid, Medicare, Managed Care, Commercial and other third-party payers.
• Analyzes, recommends, and implements policies and procedures as needed to maximize reimbursement for all services rendered in compliance with established third party guidelines.
• Compiles, analyzes and reports status, issues and recommendations for accounts receivables; manages overall production of claims according to departmental procedures.
• Constantly evaluates current charge capture and claim denial follow-up processes to ensure all revenue cycle systems are utilized to maximize charge capture and reimbursement.
• Ensures all charges are processed and billed accurately and in a timely manner.
• Reports deficiencies and change recommendations to the Director.
• Maintains effective communication with department senior staff to ensure receipt of new provider hire information, report charge capture and clinical documentation issues, resolve billing issues, and develop charge capture workflows for new programs and service lines.
• Works with the front end revenue cycle billing compliance team to: (a) Research and analyze reimbursement rules, regulations, and policies; (b) Develop billing policies and procedures for new technology and service lines; or (c) Assist in making appropriate billing and reimbursement policy recommendations.
• Monitors revenue cycle dashboard lag reports that include charge review, claim edit, and follow-up metrics.
• When required develops or improves processes to achieve and maintain the metric standards.
• Designs and compiles periodic financial reports for management to include analysis of revenue and medical service activity.
• Acquires and maintains thorough knowledge of Federal and State Legislative and Administrative action affecting physician reimbursement; disseminates acquired knowledge to faculty.
• Performs other duties as assigned.

Benefits

• PPO medical plan, available day one at no cost for full-time employee-only coverage
• 100%25 coverage for preventive healthcare-no copay
• Paid Time Off, available day one
• Retirement Programs through the Teacher Retirement System of Texas (TRS)
• Paid Parental Leave Benefit
• Wellness programs
• Tuition Reimbursement
• Public Service Loan Forgiveness (PSLF) Qualified Employer

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: High school or GED