REVENUE CYCLE HC MGR 1 bei UCSF Health
UCSF Health · Emeryville, Vereinigte Staaten Von Amerika · Onsite
- Senior
- Optionales Büro in Emeryville
Job Summary
This position is also responsible for the identification, analysis, recommendation, implementation and communication of resolutions on Systems issues, as well as enhancements and modifications related to various systems used to manage pro-fee billing for UCSF and MGBS. This includes the Epic Resolute systems as well as other supporting systems (i.e. Optum Claims Manager, Cirius Pre-Bill, etc.). This position has broad responsibilities regarding input and knowledge of UCSF Health.
The Assistant Director of Operations coordinates and monitors staffing levels, personnel issues, quality, and productivity as it relates to the following units: Payment Posting, Charge Entry, Imaging, Correspondence, Credit Balance, Retro-adjudication, Claims Edits and Systems, including charge correction requests, Outsourced A/R, and limited PB Charge Review and PB Follow-up. Specific duties will involve unit stabilization, implementing and optimizing new workflows and protocols.
This position will collaborate with the APeX Clinical team regarding Epic maintenance, tickets & development projects that impact Pro Fee Billing, as well as new clinical revenue into the SOM and the UCSF Medical Center from the purchase of medical clinics throughout California. The incumbent will coordinate extensively with Senior MGBS management, Client Service Managers, Clinic Departments and Clinical Systems/IT on resolving system and/or unit issues as they arise.
The Assistant Director of Operations coordinates and monitors staffing levels, personnel issues, quality, and productivity as it relates to the following units: Payment Posting, Charge Entry, Imaging, Correspondence, Credit Balance, Retro-adjudication, Claims Edits and Systems, including charge correction requests, Outsourced A/R, and limited PB Charge Review and PB Follow-up. Specific duties will involve unit stabilization, implementing and optimizing new workflows and protocols.
This position will collaborate with the APeX Clinical team regarding Epic maintenance, tickets & development projects that impact Pro Fee Billing, as well as new clinical revenue into the SOM and the UCSF Medical Center from the purchase of medical clinics throughout California. The incumbent will coordinate extensively with Senior MGBS management, Client Service Managers, Clinic Departments and Clinical Systems/IT on resolving system and/or unit issues as they arise.
The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. The salary range for this position is $157,800 - $236,700, with a target entry point of $166,410, depending on experience. To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html
Job Title
Assistant Director, Systems and Operation
Employee Class
Career
Percentage
100%
Shift Length
8 Hours
Shift
Days
Additional Shift Details
M-F
Bargaining Unit
99 - Policy-Covered (No Bargaining Unit)
Job Category
Accounting / Finance, Financial, Professional and Managerial
Required Qualifications
- Bachelor’s degree in a related field or four years of equivalent experience in overseeing operations and efficiency optimizations in a large Multi-Department physician based environment or related field.
- Ten or more years of work-related operations experience. Experienced leadership in a large Medical Center Pro-fee billing environment including demonstration of achieving effective results against standard benchmarks.
- Five or more years’ experience in coordinating system-related projects, to include specification development, testing and user training.
- Five or more years’ experience in Epic systems build and functionality as it relates to PB Resolute
- Five or more years’ experience in coordinating system-related projects, to include specification development, testing and user training.
- Demonstrated leadership skills: An ability to lead teams, which provide excellent customer service. An ability to build strong results-oriented teams that excel in a performance-driven environment. Record of accomplishment in meeting performance hurdles for hitting targets, goals and stretch goals. Effective collaboration with other members of the revenue cycle teams to ensure success in achieving MGBS, Medical Center and/or system performance targets. Personnel Management: An ability to supervise 25+ employees and the ability to manage through managers.
- Computer software skills (Microsoft Office: Excel, Word, Outlook, PowerPoint and Access).
- Experience in working with all facets of electronic claim and remittance processing. (e.g. 837, 835, clearinghouses, etc.).
- Excellent analytical and organizational skills, problem-solving, interpersonal, verbal, and written communication skills.
- A self-starting individual driven by results, with the ability to reshape actions to achieve desired results.
- Significant knowledge of medical terminology, billing procedures (CPT4, and ICD9 HCPCS Coding) and standard insurance claim adjudication practices.
- Experienced knowledge of EPIC PB billing systems.
- The ability to work in Emeryville three days a week and when required, based on business needs.
Preferred Qualifications
- Master's Degree in business or healthcare or ten years of combination of education and experience
- Ten years of experience in managing accounts receivable for Pro Fee Billing
- Crystal report writing
License/Certification
EPIC PB Certification required
Position Type
Full Time
Department Name
Medical Group Business Services
Equal Employment Opportunity
The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law.
Department Description
The Medical Group Business Services (MGBS) Department is responsible for the accounts receivable management for the School of Medicine departments (SOM) currently billing through MGBS. MGBS’s primary function is to capture and maximize the billing and reimbursement of the professional fees generated by the SOM.
About UCSF
At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what’s possible for the patients we serve – a promise we share with the professionals who make up our team.
Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report – UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents.
Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report – UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents.
Pride Values
UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence – also known as our PRIDE values.
In addition to our PRIDE values, UCSF is committed to equity – both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available at diversity.ucsf.edu
Join us to find a rewarding career contributing to improving healthcare worldwide.
In addition to our PRIDE values, UCSF is committed to equity – both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available at diversity.ucsf.edu
Join us to find a rewarding career contributing to improving healthcare worldwide.
Location
Emeryville, CA
Campus
Emeryville
Work Style
Flexible
