MANAGER, HOSPITAL REVENUE CYCLE

Sinai Chicago•Chicago, IL

About The Position

The Manager of Revenue Management plans, leads, guides, evaluates, and manages Sinai Chicago Revenue Cycle functions. Serving as the associate to the Vice President of Revenue Cycle, the role oversees accounts receivable management activities, functions, and performance and leads efforts to achieve maximum efficiency and performance. Working collaboratively with other leaders, the manager facilitates best-practice models and executes standardization and performance-improvement plans. The manager oversees revenue management operations, including accounts receivable, charge reconciliation, claims, denials, collections, bad debt, and trend analysis. The role uses technology to support functional objectives, identifies gaps and solutions, analyzes performance metrics, and develops strategies to improve workflows and results. It also provides expert guidance on collections and Medicare and Medicaid billing, advises management and clinical departments about relevant industry and regulatory changes, and maintains relationships with government and third-party payer representatives. The position directs the Revenue Cycle Vendor Management Program, including documenting policies, workflows, expectations, performance measures, and reporting. The manager participates in committees and strategic planning, promotes best practices, and supports Sinai Health System’s mission and behavioral standards. Other duties may be assigned.

Requirements

Bachelor's degree in Business Management or equivalent work experience.
At least 3 years of experience with revenue cycle management.
At least 3 years of experience working with hospital billing.
Ability to work effectively at all levels of the organization.
Ability to learn and apply technical and regulatory rules.
Ability to train and provide guidance.
Excellent communication and interpersonal skills.
Knowledge of hospital billing guidelines and regulatory issues affecting hospital billing.
Knowledge of insurance company reimbursement practices and healthcare.
Ability to understand, find, and use data.
Strong analytical and problem-solving skills.
Organizational savvy and ability to get things done.
Attention to detail.
Strong interpersonal and relational skills, including listening and written and verbal communication.
Working knowledge of Microsoft Excel.
Experience with EPIC and MEDITECH software systems.

Responsibilities

Oversee revenue management operations and functions, including accounts receivable management, charge reconciliation, claims management, denial management, collections, bad debt, and trend analysis.
Leverage technology to ensure automated solutions and applications support functional objectives; identify gaps and propose solutions.
Analyze key metrics and ensure performance, quality, and accuracy.
Develop strategies to improve performance through workflows, software solutions, performance metrics, and payer communications.
Support strategic planning initiatives and participate in their effective execution for relevant functional areas.
Analyze accounts receivable trends regularly and suggest resolutions for negative trends.
Provide expert guidance on maximizing collections through data analysis.
Evaluate vendor performance and ensure it meets or exceeds expectations in key categories.
Advise management teams and clinical departments about industry and governmental regulatory changes affecting physician billing and reimbursement.
Serve as a subject-matter expert in Medicare and Medicaid billing, collections, and bad debt.
Maintain relationships with government and third-party payer representatives to resolve billing problems and clarify policies.
Serve on committees focused on improving processes, efficiency, systems, technology, regulatory implementation, and problem-solving.
Stay informed about industry changes affecting the functional area and revenue cycle, and identify their potential impacts and required changes.
Promote best practices within Revenue Cycle functional areas.
Support the SHS mission and standards related to teamwork, professional responsibility, adaptability, integrity, customer service, initiative, and behavior.
Direct the Revenue Cycle Vendor Management Program, documenting policies, workflows, expectations, performance measures, and reporting.
Perform other duties as assigned.