Revenue Cycle Manager

SUNY Upstate Medical University • Syracuse, NY

75d • $92,000 - $147,200

About The Position

The Revenue Cycle Manager provides leadership, management, and training for the Medical Service Group (MSG) Upstate University Medical Associates at Syracuse (UUMAS) staff within the revenue cycle areas of responsibility, including charge capture, billing, payment posting, collections and follow up, denials management, insurance questions and billing audits. This position will also significantly participate in the redesign of processes and systems to improve service, data integrity, and staff productivity/quality to achieve departmental goals and process outcomes. This position reports to the Principal Financial Officer of UUMAS.

Requirements

• Bachelors Degree in Health Administration or related field required
• Candidates must have at least six years of experience within healthcare industry, including medical reimbursement and insurance for physician practice, hospital or health system. Position requires at least two years of supervisory experience.
• EPIC experience required, knowledge of other EHR billing systems is advantageous.
• Current, in-depth knowledge of governmental and commercial insurance rules and regulations is required, including regulatory compliance requirements. Extensive knowledge of Medicare, Medicaid, Managed Care is required.
• Strong analytical and computer skills are required along with the ability to interpret data to identify trends or areas for improvement, and present information in a succinct, actionable manner.
• Requires strong written and verbal communication skills as well as ability to interact and collaborate effectively with personnel at all levels to expedite revenue cycle processes while supporting customer service.
• Capacity to manage multiple priorities in a fast-paced environment.

Responsibilities

• Facilitates the collection of earned reimbursement, reviewing payor contracts to ensure contract fees are modeled accurately in the billing system and working with billing staff to identify variances in actual payment.
• Identifies and implements solutions to problems and issues affecting revenue cycle functions, working collaboratively with other departments within our healthcare system, including the MSGs and UH.
• Develops and organizes groups/committees to address issues to improve oversight and efficiency of the revenue cycle.
• Reviews and tracks payment trends, presents data, makes recommendations for problem and issue resolution based upon staff findings, and reports findings to leadership.
• Resolves complex physician professional billing issues in a timely manner.
• Leads and mentors revenue cycle subject matter experts and their supporting teams within MedBest and the MSGs, ensuring a high level of engagement and productivity.
• Prepares service level metrics and explanatory summaries for leadership.
• Develops MSG standards and procedures for all points of the revenue cycle including, but not limited to, charge capture, data entry, payment posting, insurance follow up, collections and denials management.
• Adheres to all department and organization policies, procedures, and best practices.
• Maintains working knowledge of applicable Federal, State, and local laws and regulations. Monitors billing compliance with all third-party payer regulations.
• Maintains confidentiality in compliance with HIPAA regulations and ensures that department remains compliant with all relevant regulations.
• Completes other duties as needed and assigned.

Benefits

• Health insurance
• Dental insurance
• Vision insurance
• Eligibility for employer 401k funding after 1 year (3% quarterly/5% annual on vesting schedule)
• Tuition reimbursement
• Generous paid time off, including vacation and personal time
• Paid sick leave
• Holidays and floating holidays

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Hospitals
• Education Level: Bachelor's degree