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JOB SUMMARY :
This position is responsible for managing Revenue Integrity Analyst and Denials Manager positions. They will manage all tools as they relate to revenue integrity.
They are also responsible for CDM management, audit process and denials improvement processes.
This position is responsible for managing of the billing in Patient Financial Services in such a manner as to generate claims / bills which meet payor specifications, to collect timely payments on such claims / billings, and to effectively administer accounts receivable, and to provide a high-level of customer satisfaction, all within the confines of laws, rules and regulations.
Management of all SSI products to ensure proper utilization and training when necessary.
REPORTS TO :
JOB SPECIFIC RESPONSIBILITIES :
Identify revenue cycle problems, research / analyze data to resolve issues, identify and select
alternatives, and implement solutions for improvement. Provide revenue capture training as
needed, especially when issues arise.
for each go-live. Monitor and correct charge issues that result.
and all other departments.
Supervise and coordinate the activities of the Revenue Integrity employees including charge
creation and capture, audits, denials, etc.
Evaluate staff performance and provide timely and factual feedback as necessary. Complete
performance appraisals according to hospital policy.
Keep Director and administrators regularly informed of issues, recommendations for
improvement, and ongoing operation events.
Understand claim queue processing relating to networking between IDX and SSI, processing
claim queues and importing claims into SSI across UMC network. Coordinates hardware support
with IT department.
Communicates effectively with the Revenue Integrity Department to assure correctness of
CPT / HCPCS coding in charge master.
Demonstrates a high level of understanding relating to how SSI translates claims into SSI and
transmitting claims to payor groups.
rejections. This includes management of Hold Bills to assure proper billing.
Maintain claims forms for accuracy according to the payer specifications. Both the electronic
and paper claims.
Assist any employee within Patient Financial Services with any problems, issues or concerns on
a daily basis.
EDUCATION AND EXPERIENCE :
REQUIRED LICENSURES / CERTIFICATIONS / REGISTRATIONS :
None required.
SKILLS AND ABILITIES :
INTERACTION WITH OTHER DEPARTMENTS AND OTHER RELATIONSHIPS :
Constant interaction is required with Admitting, Utilization Review, Fiscal Administration, Resource Assistance, Health Information Systems and Information Technology.
Frequent interaction is required with all revenue generating departments. Interaction with other departments shall occur as needed.
PHYSICAL CAPABILITIES :
Adequate hand / eye coordination and fine motor skills required for typing. Talking and hearing is essential in dealing with co-workers and customers.
ENVIRONMENTAL / WORKING CONDITIONS :
Work in a well-lighted, heated and ventilated building. Hours may vary to accommodate needs of other departments.
DIRECT REPORTS :
UMC Health System provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment on the basis of race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
Last updated : 2024-06-22
Full Time
$69k-89k (estimate)
06/23/2024
09/21/2024
umchealthsystem.com
LUBBOCK, TX
25 - 50
1978
ROGER WOLCOTT
<$5M
UMC Health System is comprised of over 4,600 team members who have made our organization One of the Best Companies to Work for in Texas by Texas Monthly. Together with medical staff, volunteers, and leadership, we share a strong commitment to our patientsOur Passion is You! Why choose UMC? Because we are teaching the leaders of tomorrow while offering a culture of service today.
The job skills required for Patient service manager include Billing, Accounts Receivable, Coordination, Communicates Effectively, Problem Solving, Integrity, etc. Having related job skills and expertise will give you an advantage when applying to be a Patient service manager. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Patient service manager. Select any job title you are interested in and start to search job requirements.
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