Revenue Cycle Manager - Military Veterans

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

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.