Associate Director Revenue Cycle _ Pre Authorization Unit

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Thank you,

Human Resources

Please complete this application in entirety by providing all of your work experience, education and certifications/

license.  You will be unable to edit/add/change your application once it is submitted.

Degree (Associate's or Bachelor's) and five (5) years of revenue experience including two (2) year of supervisory experience.

N/A

Previous experience in revenue cycle operations and billing / authorization is preferred.

In-depth knowledge of large group physician billing and government and other payor billing rules and regulations. Verbal and written communication skills. Organizational and analytical skills. Ability to design and implement measures to increase productivity, maximize collections, attain or exceed accounts receivable goals and industry benchmarks, and improve customer service. Ability to train, motivate, and supervise staff.

Responsibilities

• Provides operations oversight of Revenue Cycle billing and collection activities, ensuring that functions are aligned with the strategic goals and objectives that meet or exceeds peer group benchmarks
• Designs and implements measures to increase productivity and maximize cash flow by attaining or exceeding industry standards for accounts receivable management, pre-service financial clearance, excellent customer service, cost containment, automation and resource utilization 
• Assists in establishing and implementing short- and long-range billing and collections goals and objectives; provides feedback to staff and implements policy and procedure changes necessary to accomplish goals
• Reviews, daily, weekly, and monthly reports and dashboards to spot trends and support performance improvement; performs monthly analysis to observe trends and measures volume and source of charge and collection activity; recommends and implements measures to improve benchmarks and mitigate negative trends
• Monitors and ensures compliance with all applicable regulations, contractual agreements, and billing policies. Maintain current knowledge of governmental, legal and regulatory provisions related to medical billing, practice management and collection activity.
• Review payer guidelines and policies and effectively communicate changes to staff
• Establish and monitor performance goals and objectives for assigned team. Manage and oversee employee performance through training, coaching and performance improvement plans. Performs quality checks to minimize errors in billing and insurance denials/rejections. Reports quality and productivity results to upper leadership along with performance improvement plans
• Ensure teams have the necessary tools, resources and training and mentoring to support high functioning revenue cycle
• Recommend and establish policies and procedures to support revenue cycle functions, improvement initiatives, and regulatory compliance
• Ensures timely and thorough account inquiry responses to internal and external customers demonstrating excellent communication and customer service practices. Work collaboratively across enterprise as an integral part of the revenue cycle leadership team
• Promote and ensure UMMC standards of professionalism across the team
• The duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive. Management retains the right to add or change duties at any time.

Physical and Environmental Demands
Requires occasional working hours significantly beyond regularly scheduled hours, occasional travelling to offsite locations, occasional activities subject to significant volume changes of a seasonal/clinical nature, constant work produced subject to precise measures of quantity and quality, occasional bending, occasional lifting and carrying up to 75 pounds, occasional climbing, occasional crawling, occasional crouching/stooping, occasional driving, occasional kneeling, occasional pushing/pulling, occasional reaching, frequent sitting, frequent standing, occasional twisting, and frequent walking. (occasional-up to 20%, frequent-from 21% to 50%, constant-51% or more).