Mgr, Rev Cycle Mgmt, Hospital

University of Rochester•Town of Gates, NY

About The Position

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. Job Location (Full Address): 905 Elmgrove Rd, Rochester, New York, United States of America, 14624 Opening: Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500003 Patient Financial Services-PAS Work Shift: UR - Day (United States of America) Range: UR URG 112 Compensation Range: $70,197.00 - $105,295.00 The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations. Responsibilities: Manages the daily activities for the revenue cycle department. Provides revenue cycle related consultation for new services and expanded products, revenue optimization projects, and in analyzing variances and understanding and reporting on key revenue cycle metrics. Assists in providing regulatory guidance as requested and implements any needed changes as required. Assists in overseeing many aspects of government reporting for the organization. Accountable for the performance and results of a team. Exercises full management authority, including performance reviews, pay decisions, recruitment, discipline, termination and other personnel actions. ESSENTIAL FUNCTIONS Manages all government and commercial payor credit balances within established governmental and contractual guidelines and standards. Manages staff actions to ensure refunds process is appropriately executed with established policies and procedures. Ensures all regulatory requirements are met and transaction activity is performed in a compliant manner. Monitors standard organizational metrics and utilizes data from all sources to create reports to meet the needs of all internal and external customers. Analyzes detailed operational and financial data to identify credit balance root causes and other related issues in regular reporting to leadership. Monitors effectiveness of resolution efforts and works with leadership team to develop and implement strategies to improve efficiency and decrease credit balances across all payors. Manages the activities of employees under own supervision. Recruits, hires, trains, evaluates, and performs disciplinary actions as necessary, following department and University guidelines. Constructs and monitors development plans and fosters employee engagement through focused team-building efforts, surveys, and follow-up action plans. Monitors and assesses current operations to identify opportunities for performance and process improvements and provides a high level of problem solving to support continual change management. Recommends ideas to leadership team. Implements approved changes and oversees staff training to ensure an understanding of quality/performance improvement initiatives. Reports regularly to leadership team regarding performance in the assigned area. Provides assistance and support to leadership team by supporting various initiatives impacting the division’s billing operations. Assists in implementation of operations improvement measures. Keeps current on relevant areas of knowledge and acts as a resource to staff. Interprets and ensures compliance with regulatory standards and requirements. Keeps abreast of regulatory requirements, professional standards and competitive industry practices, as well as organizational initiatives with potential to impact current operations. Monitors impact on existing activities to maintain service levels and work quality. Other duties as assigned. MINIMUM EDUCATION & EXPERIENCE Bachelor's degree and 3 years of relevant experience required Or equivalent combination of education and experience The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University’s Mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law. Notice: If you are a Current Employee, please log into myURHR to search for and apply to jobs using the Jobs Hub. Your application, if submitted using this portal, cannot be moved forward. Learn. Discover. Heal. Create. Located in western New York, Rochester is our namesake and our home. One of the world’s leading research universities, Rochester has a long tradition of breaking boundaries—always pushing and questioning, learning and unlearning. We transform ideas into enterprises that create value and make the world ever better. If you’re looking for a career in higher education or health care, the University of Rochester may offer the perfect opportunity for your background and goals. At the University of Rochester, we are committed to fostering, cultivating, and preserving an inclusive and welcoming culture and are united by a strong commitment to be ever better—Meliora. It is an ideal that informs our shared mission to ensure all members of our community feel safe, respected, included, and valued.

Requirements

Bachelor's degree and 3 years of relevant experience required
Or equivalent combination of education and experience

Responsibilities

Manages the daily activities for the revenue cycle department.
Provides revenue cycle related consultation for new services and expanded products, revenue optimization projects, and in analyzing variances and understanding and reporting on key revenue cycle metrics.
Assists in providing regulatory guidance as requested and implements any needed changes as required.
Assists in overseeing many aspects of government reporting for the organization.
Accountable for the performance and results of a team.
Exercises full management authority, including performance reviews, pay decisions, recruitment, discipline, termination and other personnel actions.
Manages all government and commercial payor credit balances within established governmental and contractual guidelines and standards.
Manages staff actions to ensure refunds process is appropriately executed with established policies and procedures.
Ensures all regulatory requirements are met and transaction activity is performed in a compliant manner.
Monitors standard organizational metrics and utilizes data from all sources to create reports to meet the needs of all internal and external customers.
Analyzes detailed operational and financial data to identify credit balance root causes and other related issues in regular reporting to leadership.
Monitors effectiveness of resolution efforts and works with leadership team to develop and implement strategies to improve efficiency and decrease credit balances across all payors.
Manages the activities of employees under own supervision.
Recruits, hires, trains, evaluates, and performs disciplinary actions as necessary, following department and University guidelines.
Constructs and monitors development plans and fosters employee engagement through focused team-building efforts, surveys, and follow-up action plans.
Monitors and assesses current operations to identify opportunities for performance and process improvements and provides a high level of problem solving to support continual change management.
Recommends ideas to leadership team.
Implements approved changes and oversees staff training to ensure an understanding of quality/performance improvement initiatives.
Reports regularly to leadership team regarding performance in the assigned area.
Provides assistance and support to leadership team by supporting various initiatives impacting the division’s billing operations.
Assists in implementation of operations improvement measures.
Keeps current on relevant areas of knowledge and acts as a resource to staff.
Interprets and ensures compliance with regulatory standards and requirements.
Keeps abreast of regulatory requirements, professional standards and competitive industry practices, as well as organizational initiatives with potential to impact current operations.
Monitors impact on existing activities to maintain service levels and work quality.
Other duties as assigned.