Manager, Billing - Remote/Hybrid Opportunity

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Job Location (Full Address):

220 Hutchison Rd, Rochester, New York, United States of America, 14620

Opening:

Worker Subtype:

Regular

Time Type:

Full time

Scheduled Weekly Hours:

40

Department:

500003 Patient Financial Services-PAS

Work Shift:

Range:

UR URG 110

Compensation Range:

$60,431.00 - $84,603.00

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

Responsibilities:

Serves as Manager of professional fee billing for a multispecialty department. Responsibilities include supervision of business office employees, direction of billing collection, and cashiering operations, coding and compliance requirements and management of professional receivables.

Responsibilities General Purpose: Responsible for the administrative management of SMH and HH's billing and third-party collection functions for various insurances. Serves as the primary liaison with third party payers, hospital departments, other hospitals and institutions. Coordinates and monitors the administrative and operational activities of assigned staff. Provides direction and support for planning, developing procedures, and fiscal activities. Sets goals and objectives for assigned payors. Specific Responsibilities: Under general direction and with significant latitude for independent judgment: 35% Manages the accounts receivable for specific payors to assure the highest level of compliant collections. Identifies problem areas to control Hospital receivables: - Establishes and implements controls to evaluate the quality and quantity of work being performed to ensure appropriate billing and payment cycles - Establishes procedures for the timely collection of third-party receivables - Reviews status of aged high dollar accounts. Makes recommendations for appropriate follow up on these accounts - Monitors and approves requests for write off of accounts based on assigned level. - Develops and implements procedures to reduce loss of payments - Seeks continued improvement in operations 30% Maintains responsibility for the efficient operation of the billing and third-party collection functions for hospital accounts. - Develops related operating policies and procedures - Maintains technical knowledge of third-party payers, including Federal, State and local regulations that apply to outpatient reimbursement to understand and evaluates individual activities related to third party reimbursement - Writes, recommends, reviews and approves new billing procedures and makes changes to existing procedures/policies - Implements and teaches educational programs for staff; keep training and procedural documentation current - In collaboration with Associate Director/Manager, develops strategic initiatives related to billing functions. - Makes recommendations and assists in the implementation of system changes 20% Directs and coordinates activities of staff in supervisory positions and staff under own supervision. - Recruits, hires, trains and evaluates employees under own supervision - Monitors personnel action in order to assure consistency with the area and conformity to University policies - Ensures that federal and state regulations for time reporting are adhered to - Works to ensure that the physical environment is safe, clean and receptive to being an efficient work area. - Approves and monitors the use of overtime 10% Establishes and maintains effective communication to facilitate a smooth work flow and resolve problematic situations with: - The PFS Management team to ensure that Department goals and objectives are met - Provider representatives from insurance companies to identify ways to correct and/or automate the billing process and to secure payments faster - RIM to inform them of required billing information - Billing/PFS Managers at the other local hospitals - SMH/HH Management (Health Information, Utilization Review) to ensure early problem identification and effective problem resolution - Serves on various committees and project teams to report billing requirements 5% Prepares routine operational reports and special reports.