Revenue Cycle Manager, Utah State Hospital
About The Position
Are you a skilled medical billing professional passionate about making a meaningful impact in public health? The Utah State Hospital invites dynamic and detail-oriented financial leaders to apply for the Revenue Cycle Manager, Financial Analyst III, position. In this key role, you will lead end-to-end revenue operations, shape financial efficiency, and support exceptional care for our community. If you are ready to bring your expertise to a dedicated team, explore the details below and apply today! Day-to-day responsibilities of this position: As the Revenue Cycle Manager at the Utah State Hospital, you will be responsible for: Managing end-to-end revenue cycle operations, including payer identification and verification, eligibility and benefits, authorization requirements, charge capture, diagnosis coding, claim submission, payer follow-up, payment posting, denial and appeals management, account reconciliation, and collections. Monitoring all claims activity, including analyzing payment trends, researching payer-specific discrepancies, underpayments, and other reimbursement issues, and implementing appropriate corrective actions. Coordinating and maintaining all provider enrollments with Medicare, Medicaid, and commercial insurance companies. Analyzing health and reimbursement data and preparing reports to support internal and external financial activities. Ensuring revenue cycle activities comply with applicable federal and state laws, regulations, agency rules, payer requirements, organizational policies, standards and guidelines, etc. Protecting patients' rights by maintaining confidentiality and security of medical, personal, and financial information. Exercising sound judgement and accountability for actions and decisions in daily work.
Requirements
- Professional billing, coding, or health information management certification through AAPC or AHIMA, such as CPB, CPC, RHIA, RHIT, CCS, or equivalent, with demonstrated knowledge of CPT, HCPCS, and ICD-10-CM coding.
- Experience researching, interpreting, and applying Centers of Medicare and Medicaid Services (CMS) manuals, transmittals, change requests, and other guidelines for billing and coding.
- Strong working knowledge of CMS-1500 and CMS-1450/UB-04 claim forms.
- Familiarity with the National Correct Coding Initiative (NCCI), Local Coverage Determinations (LCDs), and National Coverage Determinations (NCDs).
- Strong computer skills, including Microsoft Office Suite.
- Excellent verbal, written communication, analytical, organizational, and problem-solving skills.
- Ability to learn quickly, build and maintain long-term professional relationships and work with minimal supervision.
- A strong ability to independently manage competing priorities and complex revenue cycle functions.
Nice To Haves
- Revenue forecasting and projections
- Strategic planning for Medicaid, Medicare, and private insurance maximization
Responsibilities
- Managing end-to-end revenue cycle operations, including payer identification and verification, eligibility and benefits, authorization requirements, charge capture, diagnosis coding, claim submission, payer follow-up, payment posting, denial and appeals management, account reconciliation, and collections.
- Monitoring all claims activity, including analyzing payment trends, researching payer-specific discrepancies, underpayments, and other reimbursement issues, and implementing appropriate corrective actions.
- Coordinating and maintaining all provider enrollments with Medicare, Medicaid, and commercial insurance companies.
- Analyzing health and reimbursement data and preparing reports to support internal and external financial activities.
- Ensuring revenue cycle activities comply with applicable federal and state laws, regulations, agency rules, payer requirements, organizational policies, standards and guidelines, etc.
- Protecting patients' rights by maintaining confidentiality and security of medical, personal, and financial information.
- Exercising sound judgement and accountability for actions and decisions in daily work.
Benefits
- This position is eligible for a full benefits package.
- Job Stability: Enjoy the security and reliability of employment within a well-established organization.
- Career Growth: Develop valuable skills and gain opportunities for leadership within a large organization.
- Meaningful Work: Contribute to an important service that benefits the community and supports organizational goals.
- Supportive Work Environment: Be part of a team that values cooperation, strong work ethics, and mutual support.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
