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Galveston County Health District Texas City, United States**Coastal Health & Wellness** is Galveston County's Community Health Center, with clinics in Texas City and Galveston. We also service TCISD students and employees. First established in 1970 and then called Galveston County Coordinated Community Clinics (4C's), we provide high qu ...
Manager, Revenue Cycle - Houston, United States - The University of Texas Health Science Center at Houston
Description
Location:
Texas Medical Center-Houston, Texas
Hot
Category:
Accounting/Finance
McGovern Medical School at UTHealth Houston
Requisition #:
M
What we do here changes the world.
UTHealth Houston is Texas resource for healthcare education, innovation, scientific discovery, and excellence in patient care. Thats where you come in.
Once you join us you won't want to leave.
Its because we reward our team for the excellent service they provide. Our total rewards package includes the benefits youd expect from a top healthcare organization (benefits, insurance, etc.)
, plus:
100% paid medical premiums for our full-time employees
Generous time off (holidays, preventative leave day, both vacation and sick time all of which equates to around 37-38 days per year)
The longer you stay, the more vacation youll accrue
Longevity Pay (Monthly payments after two years of service)
Build your future with our awesome retirement/pension plan
We take care of our employees
As a world-renowned institution, our employees wellbeing is important to us. We offer work/life services such as
Free financial and legal counseling
Free mental health counseling services
Gym membership discounts and access to wellness programs
Other employee discounts including entertainment, car rentals, cell phones, etc.
Resources for child and elder care
Plus many more
Position Summary:
Assist with strategic planning regarding the clinical enterprise, providing highly specialized, thorough and complete reviews and reports of the various phases of the clinical revenue cycle for the Practice Plan.
Analyze and present data in various formats and levels to the DMO and other leadership, and make recommendations for changes to the revenue cycle as deemed appropriate with the ultimate goal of maximizing revenue.
Position Key Accountabilities:
High-level review of monthly clinical activity to include charges, collections, patient mix, and accounts receivable.
Monitor the charge capture and billing activities on a regular basis.
Report any significant discrepancies when compared to previous trends and/or expected levels of performance to the Clinical Billing Manager or other senior administrator in the department.
Review the monthly cash analysis spreadsheet for the department.Monitor reimbursements from third-party payers for accuracy as per contracted rates.
Report collections per RVU per financial class for specified periods of time to identify trends and/ or issues.
Conduct periodic reviews and analyses of the AR, billing areas, and providers and report to management when issues are identified.
Prepare forecasts and estimates of clinical revenue by billing area, location, and providers for budget purposes and for new program initiatives.
Monitor denials and prepare pertinent reports including but not limited to monthly denials, payer issues affecting reimbursements, and aging report by financial class.
Monitor top payers billing guidelines and policy changes regarding reimbursements.Communicate and respond to special project or analysis requests by the DMO or other senior leadership in a timely manner.
Demonstrate understanding of revenue cycle processes.Research and identify trends in healthcare, national and local benchmarks, especially in academic healthcare.
Participate in strategic planning meetings for the practice.
May manage Human Resources activities for direct reports in regards to: recruiting and selection, hiring and termination, training, professional development, mentoring, counseling, performance evaluations, and salary planning.
Performs other duties as assigned.Certification/Skills:
Advanced reporting skills and good working knowledge of Epic and CodeRyte, AAPC coding CPC and CIRCC certifications
Bachelors degree in business, health administration, health information management, or equivalent experience in lieu of degree.
Five (5) years of direct experience with revenue cycle monitoring and reporting for a medical practice or a billing company, handling billing for a group practice.
Experience in an academic setting preferred.Physical Requirements:
Exerts up to 20 pounds of force occasionally and/or up to 10 pounds frequently and/or a negligible amount constantly to move objects.
Security Sensitive:
This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code
Residency Requirement:
Employees must permanently reside and work in the State of Texas.
If you are looking for a great healthcare career in Houston,
University of Texas Health Science Center at Houston (UTHealth)
Established in 1972 by The University of Texas System Board of Regents, The University of Texas Health Science Center at Houston (UTHealth) is Houstons Health University and Texas resource for health care education, innovation, scientific discovery and excellence in patient care.
The most comprehensive academic health center in the UT System and the U.S.Gulf Coast region, UTHealth Houston is home to schools of biomedical informatics, biomedical sciences, dentistry, nursing and public health and the John P.
and Kathrine G. McGovern Medical School.UTHealth Houston includes The University of Texas Harris County Psychiatric Center, as well as the growing clinical practices UT Physicians, UT Dentists and UT Health Services.
The universitys primary teaching hospitals are Memorial Hermann-Texas Medical Center, Childrens Memorial Hermann Hospital and Harris Health Lyndon B. Johnson Hospital.UTHealth Houston offers a comprehensive and competitive benefits package. For more information on our benefits programs please refer to the UTHealth Houston Office of Benefits Website.
Equal Employment Opportunity Statement
UTHealth Houston is committed to providing equal opportunity in all employment-related activities without regard to race, color, religion, sex, sexual orientation, national origin, age, disability, genetic information, gender identity or expression, veteran status or any other basis prohibited by law or university policy.
Reasonable accommodation, based on disability or religious observances, will be considered in accordance with applicable law and UTHealth Houston policy.
The University maintains affirmative action programs with respect to women, minorities, individuals with disabilities, and eligible veterans in accordance with applicable law.
UTHealthHoustonhas adopted a policy consistent with CMS regulations to protect our patients and university community from exposure to COVID-19.This policy affects all employees, residents, fellows, students, contractors, new hires, visiting scholars program participants, adjunct faculty, and volunteers who work, train, or collaborate at the John S.
Dunn Behavioral Science Center.In addition, all UTHealthHoustonemployees who are assigned to work at a location that is subject to the affiliated partners hospital, clinical offices, or agency are required to abide by UTHealthsHoustonrules and regulations, as well as the affiliates rules and regulations, including COVID-19 vaccination and safety requirements.
Work location is based on the needs of the department and may be adjusted.#J-18808-Ljbffr
Manager, Revenue Cycle professionals in Houston
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Kristopher W. McDowell
Event Producer and Executive Planner