Manager Revenue Cycle Operations - USFTGP UMSA RCO Back End
About The Position
The Manager of Revenue Cycle, Revenue Cycle Operations (RCO), USFTGP, provides leadership, oversight, and direction for professional services provided by the Tampa General Physicians Group. The role generates RCO performance and benchmark summaries, conducts high-level problem solving focused on compliance and revenue optimization, addresses systemic root causes of recurring problems, serves as the primary point of contact between TGMG for account-specific billing issues, and functions as the next level of issue escalation for revenue cycle staff. The manager works with TGMG management to identify improvement opportunities and resolve fiscal issues, and serves as a resource to clinical providers and departmental staff interpreting fiscal data, reimbursement, and managed-care matters. The role oversees financial and benchmark reporting, recommends corrective action, sets workflow goals, communicates reimbursement issues to physicians and clinical departments, and develops proactive methods to prevent denials. It also leads workflow optimization using Epic functionality and related automation technology, while balancing fiscal responsibility, customer service, and sustainable process improvement.
Requirements
- High school diploma or GED.
- Five or more years of experience in healthcare professional billing and/or follow-up functions.
- Experience supporting the Epic Professional Billing (PB) system, including configuration, troubleshooting, and optimization.
- Strong skills in data analytics, workflow redesign, and change management in complex healthcare environments.
- Demonstrated ability to lead cross-functional teams, drive operational efficiency, and implement sustainable improvements that enhance financial performance and patient outcomes.
- Knowledge of multispecialty practice billing and collection operations in an academic setting.
- Excellent communication skills, including the ability to present to different levels of leadership and staff.
- Intermediate computer skills, including Word, Excel, PowerPoint, databases, and reporting.
- Intermediate writing skills.
- Ability to provide excellent customer service.
- Knowledge of HCFA 1500 claim forms and diagnosis and procedure coding terminology.
- Ability to multitask, plan, and track progress.
- Comprehensive knowledge of medical group organization principles and practices and revenue cycle management.
- Proficiency in healthcare IT systems related to patient access and revenue cycle management.
Responsibilities
- Work with TGMG management to identify improvement opportunities and assist in resolving fiscal issues related to or involving Revenue Cycle Operations.
- Serve as a resource for clinical providers and departmental staff by interpreting fiscal data related to revenue, reimbursement, and managed-care issues.
- Generate or oversee RCO benchmark and financial reports, analytical spreadsheets, and other reports used to track trends, corrective-action needs, and revenue-optimization opportunities.
- Prioritize reports for the Senior Director, RCO, and for presentation to Department Chairs, Division Chiefs, and clinical departments as needed.
- Recommend actions when problem areas are identified.
- Establish realistic, ambitious goals and objectives to monitor workflows and revise processes as needed to ensure professional, accurate, customer-focused revenue cycle operations.
- Meet with physicians and clinical department staff to communicate reimbursement issues involving collections, front-end denials, and other front-end revenue cycle processes affecting departmental revenue.
- Establish rules and methods to proactively prevent denials by correcting errors before payer submission.
- Guide individuals and groups toward desired outcomes by setting goals and metrics, establishing performance standards, and communicating how employees' work contributes to team success.
- Motivate and inspire employees to work toward communicated goals and foster trust and collaboration among team members.
- Apply system-level and process-improvement approaches while considering the long-term impact of decisions and recommendations.
- Weigh fiscal responsibility and use sound judgment when making decisions, including under uncertainty.
- Guide and implement revenue cycle workflow optimization using Epic functionality and related automation technology.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
High school or GED
