Senior Manager, Revenue Cycle
Company: Oregon Health & Science University
Posted on: January 27, 2023
This position is within the Women's & Children's Administrative
Services team (WCAS) that serve the Departments of Pediatrics,
Obstetrics & Gynecology, the Center for Women's Health, and the
Institute on Development and Disability.
This position is the pivot point between charge creation and
capture, coding and documentation compliance, referrals and
authorizations. - The position's focus will be the development,
maintenance and enhancement of processes that support full recovery
of all professional fees while maintaining compliance with various
institutional and industry regulations. - This position is also
responsible for training faculty and staff on these processes and
regulations and will provide leadership regarding key billing
functions. - A key component of this position is the production of
high-quality -data and reports on an ad hoc and routine basis.
Function/Duties of Position
1. Billing and Reimbursement
- Designs and monitors tracking system and EPIC work queues to
ensure all patient encounters generate a charge and that the charge
is coded and documented appropriately. - Develops and implements
policies and procedures that optimize and streamline revenue
relevant functions. Monitors work queues and resolves problems or
issues that may be responsible for transaction -backlog. - Manages
the outpatient coding and documentation processes. - Works
collaboratively with referral/authorization personnel and processes
across the faculty practice sites to maximize the number of patient
encounters that have proper referrals and authorizations. - Serves
as a reference to PAS and billing staff. - Answers questions from
all department personnel regarding authorizations, coding,
documentation and self-pay policies. - Collaborates with
departmental leadership to develop and communicate action plans for
resolving billing issues.
2. - Reporting/Analysis
- Works closely with UMG and department leadership on the
development of - -standard billing reports detailing departmental
performance in relation to -clinical service standards, department
set targets, and national benchmarks. -Compiles and formats various
views of the billing and collection cycles to illustrate the
performance of A/R drivers. - Reports clinic performance monthly
-to physicians and Division administrators. - Provides ad hoc and
routine reports as needed. -
- Coordinates training of faculty, residents and staff in
appropriate protocols and documentation and coding of services that
generate billing. - Works with Professional Services Coders on
developing and implementing strategies to correct issues identified
in internal audits. - Oversees fee schedule for professional fees,
reviewing fees annually to ensure schedule remains competitive in
the market. - Interfaces with OHSU compliance and integrity office.
- Works with UMG to expand knowledge of reimbursement practices of
insurers and to establish departmental processes to optimize
patient care revenue. -
4. Staff and Faculty Education
- Collaborates with PAS personnel, residents and faculty to the
basics of health insurance, purpose and technique of coding and
documentation, managed care contracting and HCFA regulations and
policies. - Maintains up-to-date knowledge on relevant industry
changes and educates coders / providers on these changes. -
5. -Human Resource Functions
- Develops position descriptions, opens recruitments, and selects
candidates. Responsible for supervision, including discipline and
evaluation for billing team.
6. - Supervisory -
- This is a supervisory role.
7. - Fiscal -
- Monitors expenditures against departmental budget; prepares
necessary documentation for supervisor review/approval; tabulates
budgetary data, calculates figures, and checks for accuracy
- Bachelor's degree in relevant field or equivalent years of
education, training, and experience.
- 5 years of experience in medical billing, office or medical
operations that included hands-on billing and collection and
patient contact to include experience in physician practice
management with responsibility for major components of billing
- Knowledge of medical industry billing, coding, claims cycle,
regulations, managed care, and authorization process.
- Proficiency with spreadsheet and database
- Proven ability to effectively communicate concepts and
instructions in written and verbal forms to all levels of staff in
a service oriented manner.
- Ability to compose policy and procedure documents.
- Knowledge of the operations of a physician practice.
- Strong analytical and organizational skills. -
- Ability to manage large quantities of data and communicate
- Advanced knowledge of Excel.
- Demonstrated public speaking and training experience.
- Coding experience.
- Demonstrated knowledge of EPIC, Cognos.
Please upload a cover letter and resume.
All are welcomeOregon Health & Science University values a diverse
and culturally competent workforce. We are proud of our commitment
to being an equal opportunity, affirmative action organization that
does not discriminate against applicants on the basis of any
protected class status, including disability status and protected
veteran status. Individuals with diverse backgrounds and those who
promote diversity and a culture of inclusion are encouraged to
apply. To request reasonable accommodation contact the Affirmative
Action and Equal Opportunity Department at 503-494-5148 or
firstname.lastname@example.org. As an organization devoted to the health and
well-being of people in Oregon and beyond, OHSU requires its
employees to be fully vaccinated against COVID-19.
Keywords: Oregon Health & Science University, Portland , Senior Manager, Revenue Cycle, Executive , Portland, Oregon
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