Manager – Revenue Cycle - 992919 (Internal to department)

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Nova Southeastern University (NSU) was founded in 1964, and is a not-for-profit, independent university with a reputation for academic excellence and innovation. Nova Southeastern University offers competitive salaries, a comprehensive benefits package including tuition waiver, retirement plan, excellent medical and dental plans and much more. NSU cares about the health and welfare of its students, faculty, staff, and campus visitors and is a tobacco-free university.

We appreciate your support in making NSU the preeminent place to live, work, study and grow. Thank you for your interest in a career with Nova Southeastern University.

 

Primary Purpose:

Oversees and optimizes the revenue cycle process within NSU Health. Manages the timely and accurate processing of medical claims, monitoring outstanding accounts, and ensuring the efficient collection of payments from patients, insurance companies, and other payers. Works closely with billing, coding, and collection teams to enhance revenue capture, minimize denials, and to optimize cash flow.

 

Job Category: Exempt

Hiring Range: 

Pay Basis:  Annually

Subject to Grant Funding? No  

Essential Job Functions: 

1. Plans, directs, supervises, and coordinates work activities of subordinates and staff, including hiring, coaching, evaluating, and terminating, all in accordance with university policies and procedures.
2. Supervises the daily operations of the medical accounts receivable department, including staff management and workflow oversight.
3. Ensures accurate and timely submission of medical claims to insurance companies and other payers.
4. Monitors and manages aging reports, addresses overdue accounts, and implements strategies to reduce accounts receivable days (AR Days).
5. Collaborates with billing and coding teams to ensure accurate and complete claim submissions.
6. Tracks and manages outstanding claims, following up with payers and patients as necessary to expedite payment.
7. Addresses and resolves patient billing inquiries, disputes, and payment issues, as well as complex issues related to patient accounts and insurance reimbursements.
8. Develops and implements payment plans for patients with outstanding balances, ensuring clear communication and compliance with payment arrangements.
9. Prepares and presents regular reports on accounts receivable performance, including aging reports, collection metrics, and cash flow projections.
10. Analyzes accounts receivable data to identify trends, issues, and opportunities for process improvement, while also recommending opportunities for process automation and optimization to reduce manual tasks and enhance overall workflow.
11. Provides actionable insights and recommendations to senior management to enhance revenue cycle performance.
12. Develops and implements policies and procedures to improve the efficiency and effectiveness of the accounts receivable function.
13. Builds and maintains effective relationships with patients, insurance companies, and other payers.
14. Performs other duties as assigned.
15. Completes special projects as assigned.

Job Requirements: 

Required Knowledge, Skills, & Abilities: Knowledge:
1. Proficient knowledge of MS Office Suite (Outlook, Word and Excel).
2. English Language - General knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar. 3. Customer and Personal Service - General knowledge of principles and processes for providing customer and personal services. This includes needs assessment, meeting quality standards for services, and evaluation of user satisfaction.
4. Expert knowledge of healthcare regulations, insurance policies, and compliance standards related to billing and collections.
5. Proficient knowledge of accounts receivable software and financial reporting.

Skills:
1. Active Listening - Proficient skills in giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
2. Speaking - Advanced skills in talking to others to convey information effectively.
3. Critical Thinking - Proficient skills in using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.
4. Reading Comprehension - Advanced understanding of written sentences and paragraphs in work-related documents.
5. Judgment and Decision Making - Proficient skills in considering the r