Manager of Revenue Cycle
Full-time
Revenue Cycle Manager
The Manager of Revenue Cycle, reporting to the Chief Financial Officer (CFO), is an integral member of the Community-University Health Care Center’s (CUHCC) leadership team and is responsible for leading and managing revenue cycle activities and outcomes for the organization.
The candidate for this position is responsible for the following:
Planning, organizing, and managing all aspects of revenue cycle to ensure timely, compliant, and accurate billing while optimizing activities directly impacting revenue cycle performance.
Providing strategic and tactical planning, analysis, continuous quality and productivity improvements in order to meet key performance indicators established for the organization, and effectively achieve performance goals through collaborating with internal and external stakeholders.
Leading and mentoring staff to achieve and maintain revenue cycle targets based on industry benchmarks.
Providing a high satisfaction level for the patient’s experience.
Demonstrating the importance of how revenue cycle integrates and impacts the efficiency of the organization.
Developing relationships within the organization as key indicators for success.
This position is highly self-directed and requires competencies in the areas of revenue cycle management, process flows, and analysis activities and works collaboratively across the organization to provide solutions that meet the needs of the areas involved.
Essential Functions and Responsibilities:
Provides support for core revenue cycle process (30%)
Organize and direct all revenue cycle operational activities to ensure control and management of revenue cycle, which includes charge capture, medical coding and coding education, claims production and clearing house, billing, collections, customer service, denial management, cash posting, follow-up, self-pay bad debt placement, Accounts Receivable (AR) management, and patient financial services.
Work closely with Revenue Cycle Analyst to optimize revenue cycle workflows and manage ongoing changes within the OCHIN Epic system related to revenue cycle.
Ensure patient complaints are addressed timely and debriefed to the department as part of ongoing initiatives to provide for high patient satisfaction and the voice of the patient as part of ongoing department communications.
Develop and maintain patient financial services for the organization that will optimize program enrollment with CUHCC’s sliding fee discount program and Minnesota Health Care Programs.
Develop and implement outreach programs to patients who are uninsured to educate and support them through the application process.
Maintain appropriate internal control safeguards related to revenue cycle including, accounts receivable, collection of cash, charge capture, coding compliance to quality standards.
Ensure compliance with relevant regulations, standards, and directives from regulatory agencies and third-party payers and support the Director of Compliance with any compliance reviews or inquiries.
Maintain current policies and procedures for all departmental functions and implement new procedures as needed. Ensure compliance with the Health Resources and Services Administration (HRSA) protocols are met at all times.
Ensures that policies, procedures, and controls are adhered to in accordance with CUHCC and University of Minnesota standard practices.
Team and Organizational Leadership (30%)
Manages billing, coding and patient financial advocate teams and monitors performance related to department productivity and quality as well as creating efficiency leveraging technology to achieve leading practice performance.
Provide for routine evaluation of staff performance, meaningful feedback, coaching, and actions when necessary to support staff growth and development. Provide ongoing training to provide tools and resources to the Team to maintain high standards of performance.
Lead the Revenue Cycle Steering Committee with preparation and facilitation of committee meetings and provide support to Committee stakeholders to meet target expectations adopted by the Committee.
Provides subject matter expertise related to revenue cycle operations to the organization and represents CUHCC with external stakeholders.
Provide for revenue cycle representation on various committees within the organization and support the need for internal and external reporting related data provided within the revenue cycle operations (i.e., Medicare Cost Report, Uniform Data System (UDS) reporting, third-party payer, and contract audits, etc.).
Reporting, Analytics and Performance Measures (30%)
Establish performance metrics and Key Performance Indicators (KPIs) that align with benchmark standards and result in daily maximum output supporting a strong revenue cycle for the organization. Ensures the organization monitors and measures performance by providing timely and relevant data that result in improving outcomes for the organization.
Oversees functions, priorities, and staff effectiveness to ensure maximum efficiency and outcomes are achieved and work is executed in a compliant, accurate and timely manner.
Perform daily analysis of organizational status related to Pre-AR, accounts receivable including third party payment performance and the timeliness of cash collections and posting.
Support the month end close process to ensure all patient encounters are accurately reported within the period of performance.
Frequently communicates complex information and interacts with management.
Experience managing revenue cycle improvement initiatives with measurable outcomes.
Other duties as directed by the Chief Financial Officer (10%)
Ad Hoc analysis
Special projects as needed
Qualifications
All required qualifications must be documented on application materials
Required Qualifications
BA/BS Degree in Healthcare Administration or related field with six (6) + years of experience in all phases of revenue cycle as provided for in the job description.
Years of experience to include three (3) + years of experience leading teams.
Comprehensive knowledge of revenue cycle functions and ability to use data to inform decisions related to department productivity and prioritization of improvement initiatives.
Excellent interpersonal, organizational, verbal, and written skills.
Strong computer skills; Microsoft Word and Excel experience required.
Preferred Qualifications
Familiarity of Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS) and International Classification of Diseases (ICD)-10 codes required.
Exhibit a comprehensive understanding of healthcare regulatory and compliance (e.g., HIPAA)
OCHIN Epic experience or EPIC Experience in an outpatient clinical environment.
Revenue cycle experience with a Federally Qualified Health Centers (FQHC) highly desirable.
About the Department
CUHCC serves nearly 11,000 patients a year through over 55,000 visits annually. The patient population comes from over 12 different racial and ethnic groups that span five continents. CUHCC’s mission is to seek health equity in our community by advancing the well-being of diverse people. Candidates must be able to adapt behaviors to others’ styles; interact with people who have different values, cultures, or backgrounds; be of service to difficult people; optimize the benefits of having a diverse workforce.
Teamwork is an essential skill to promote synergy within the organization. Candidates must be able to share due credit with coworkers; display enthusiasm and promote a friendly group working environment; work closely with other departments as necessary; support group decisions and solicit opinions from coworkers; display team spirit.
Candidates must have excellent communication skills and be able to clearly present information through the spoken or written word; read and interpret complex information; talk with customers or clients; listen well.
Staff is expected to demonstrate a high level of service delivery; do what is necessary to ensure customer satisfaction; deal with service failures and prioritize customer needs.
Benefits
Working at the University
At the University of Minnesota, you’ll find a flexible work environment and supportive colleagues who are interested in lifelong learning. We prioritize work-life balance, allowing you to invest in the future of your career and in your life outside of work.
The University also offers a comprehensive benefits package that includes:
Competitive wages, paid holidays, and generous time off
Continuous learning opportunities through professional training and degree-seeking programs supported by the Regents Scholarship
Low-cost medical, dental, and pharmacy plans
Healthcare and dependent care flexible spending accounts
University HSA contributions
Disability and employer-paid life insurance
Employee wellbeing program
Excellent retirement plans with employer contribution
Public Service Loan Forgiveness (PSLF) opportunity
Financial counseling services
Employee Assistance Program with eight sessions of counseling at no cost
Employee Transit Pass with free or reduced rates in the Twin Cities metro area
Please visit the Office of Human Resources website for more information regarding benefits.
Diversity
The University recognizes and values the importance of diversity and inclusion in enriching the employment experience of its employees and in supporting the academic mission. The University is committed to attracting and retaining employees with varying identities and backgrounds.
The University of Minnesota provides equal access to and opportunity in its programs, facilities, and employment without regard to race, color, creed, religion, national origin, gender, age, marital status, disability, public assistance status, veteran status, sexual orientation, gender identity, or gender expression. To learn more about diversity at the U: http://diversity.umn.edu
Employment Requirements
Any offer of employment is contingent upon the successful completion of a background check. Our presumption is that prospective employees are eligible to work here. Criminal convictions do not automatically disqualify finalists from employment.