HB Revenue Recovery Manager

Hiring Department: Patient Accounting

Location: Chicago, IL USA

Requisition ID: 1015180

Posting Close Date: 05/10/2024

Salary Range: $85,000 - $95,000 Commensurate with experience

About UI Health
The University of Illinois Hospital & Health Sciences System (UI Health) provides comprehensive care, education, and research to the people of Illinois and beyond. A part of the University of Illinois at Chicago (UIC), UI Health comprises a clinical enterprise that includes a 495-bed tertiary care hospital, 22 outpatient clinics, and 13 Mile Square Health Center facilities, which are Federally Qualified Health Centers. It also includes the seven UIC health science colleges: the College of Applied Health Sciences; the College of Dentistry; the School of Public Health; the Jane Addams College of Social Work; and the Colleges of Medicine, Pharmacy, and Nursing, including regional campuses in Peoria, Quad Cities, Rockford, Springfield, and Urbana. UI Health is dedicated to the pursuit of health equity.

Position Summary
The Business Administrative Associate (HB Revenue Recovery Manager) is responsible for various managed care and contracted payment functions. This role is responsible for monitoring and collecting of payer underpayments. This manager is a resource for evaluating reimbursement and working with the Director of Revenue Recovery and Payer Operations on underpayments and payer issues. This role must have revenue cycle billing and collections experience as well as contract interpretation and adjudication experience.

Provides supervisory oversight and instructions to staff. Using the Epic Revenue Cycle system, continually evaluate KPIs as well as automation opportunities for reporting and tracking of underpayments or processing anomalies. Assists with contract management systems and inputs.
Duties & Responsibilities

• Manages Epic underpayment work queues and advising staff

• Monitors and manages staff productivity, and accuracy. Evaluates staff performance using Epic Revenue Cycle system and quality reviews

• Monitors the adjustments of the contract management system and may assist with loading contracts

• Acts a resource for other unit managers regarding payer guidelines and behaviors

• Acts as a point of escalation for other unit managers for payer issues and submits and prepares files for escalation. Investigates and validates before submitting to payer.

• Manages payer audits and ensures that the information is accurate and submitted timely

• Participates in department meetings to better understand workflows that impact billing and payments. Offers input as appropriate.

• Manages relationship with underpayment and other accounts vendors as appropriate. Investigates or escalates issues as needed.

• Evaluates and modifies procedures as necessary to optimize performance

• Compile monthly reports of payer underpayments and evaluates trends.

• Completes yearly staff evaluations

• Provide feedback and account review to Finance, or other internal or external depts.

• Works with Director of Revenue Recovery on creation of new insurance payer plans

• Other duties as requested and assigned

Minimum Qualifications

This position requires Illinois residency within 180 days of hire date.
Preferred Qualifications

• 5 years of hospital Revenue Cycle experience
• Ability to manually calculate complex hospital contract reimbursement
• Epic Billing and Collections experience

Fully complete all sections of the online application including adding your full work history with specific details of your duties & responsibilities for each position held. Fully complete the education, licensure, certification, and language sections.

You may upload a resume, cover letter, certifications, licensures, transcripts, and diplomas within the document section of your online application.

When completing your online application, please be sure to provide detailed information about your job knowledge and specific duties and responsibilities, as your qualifications for any Civil Service position will be primarily determined based on what is contained in the application. Dates of employment and if employed on a full or part time basis (including number of hours per week) must be indicated for each position held. Additional consideration will be given to supporting documentation i.e., resume, transcripts, licenses, and certifications so please be sure to attach all applicable documents.

If an application is not fully completed and submitted by the close date, the applicant/employee will not be considered for this position.

For fullest consideration, the above-mentioned requirements must be submitted no later than 5/10/2024.

Please note that once you have submitted your application you will not be able to make any changes. In order to revise your application, you must withdraw and reapply. You will not be able to reapply after the posting close date. Please ensure the application is fully completed and all supporting documents have been uploaded before the posting close date.
This is a full-time and benefits eligible position. UI Health offers competitive salaries commensurate with experience. All full time benefits eligible positions include a comprehensive benefits package which include; Health, Dental, Vision, Life, Disability & AD&D insurance, a defined benefit pension plan as well as paid leave which includes; Vacation, Holiday and Sick. In addition, we offer tuition waivers for employees and dependents. Go to https://www.hr.uillinois.edu/benefits for a complete list of Employee Benefits.

The University of Illinois System is an equal opportunity employer, including but not limited to disability and/or veteran status, and complies with all applicable state and federal employment mandates. Please visit Required Employment Notices and Posters to view our non-discrimination statement and find additional information about required background checks, sexual harassment/misconduct disclosures, COVID-19 vaccination requirement, and employment eligibility review through E-Verify.

The university provides accommodations to applicants and employees. Request an Accommodation