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Sup, Rev Cycle Mgmt, Hospital

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University of Rochester

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Location:
United States of America , Rochester

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Category:
Finance

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Contract Type:
Not provided

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Salary:

24.91 - 34.87 USD / Hour
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Job Description:

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 Responsibility:

  • Organizes and conducts operations that affect the revenue cycle (e.g., billing, collections, payment processing)
  • Develops and implements processes to meet revenue cycle goals in collaboration with medical practices
  • Conducts related training, monitoring, analysis and reporting on revenue cycle processes and results
  • Develops and implements practice-specific process improvement recommendations
  • Coordinates and supervises the daily activities of a support, production or operations team
  • Sets priorities for the team to ensure task completion
  • Provides overall supervisory, technical support and direction to the team
  • Trains staff to understand and adhere to contract language by payer for appropriate reimbursement to the hospital and ensure the accuracy of account reconciliation
  • Monitors compliance with timely filing requirements and takes corrective action if guidelines are not followed
  • Maintains knowledge of all current third-party coverage, federal and state billing, and reimbursement and compliance regulations and procedures
  • Serves as a contact to answer questions, solve problems for difficult and unusual accounts, and assist in problem identification and resolution
  • Reviews, compiles, approves, and submits patient refunds and complete balance transfers
  • Reviews mid-dollar report for approval for write-offs
  • Ensures requests for information from patients and external contracting agencies are responded to in a timely manner
  • Prepares team operational reports and special reports as needed to identify key indicators using specific criteria measuring quality, quantity and timeliness of tasks performed
  • Prepares, and in collaboration with staff, reviews the weekly and monthly quality indicators in the billing area
  • Initiates corrective action or recommends solutions as appropriate
  • Prepares specific reports developed with payers to identify accounts requiring provider intervention
  • Resolves flagged reports to ensure timely submission of claims to payers
  • Monitors and ensures worklists are completed in a timely manner
  • Monitors cash flow, receivables, Hold Bills, Claim Edits, and aging reports, as well as payment and denial worklists
  • Performs monthly audits of account notes and adjustments
  • Attends monthly team meetings with the Outpatient Manager and appropriate payer representatives
  • Runs, distributes and ensures resolution of accounts on reports
  • In collaboration with leaders, develops audit procedures within billing area to ensure payments from all third-party payers are based on rates identified on negotiated contracts
  • Ensures timely processing of secondary credit balances for government plans
  • Reviews reports generated within the billing systems to ensure accuracy and reconciliation
  • Coordinates and provides support for all internal and external billing audits, reviews or projects
  • Provides training, coaching and reinforces billing and customer service skills to team members to ensure exceptional service
  • Seeks feedback from other departments to improve processes and level of service within internal department area
  • Communicates with other departments regarding problem visits
  • Develops goals, objectives and operating policies and procedures for the billing team, in collaboration with leadership
  • Develops cross training programs within specific billing area for outpatient billing
  • Adds policies and procedures to the Patient Accounts shared drive
  • Completes performance evaluations for designated staff
  • Screens, reviews, interviews and make recommendations for new hires
  • Handles time reporting requirements in accordance with state and federal regulations
  • Addresses personnel disciplinary issues
  • Represents department at meetings and seminars, when appropriate
  • Provides cross coverage for leadership peers in other department areas, as needed
  • Represents the department on various internal and external committees, as needed
  • Attends continuing education seminars offered by local payers, as well as by Medicaid and Medicare
  • Other duties as assigned

Requirements:

  • Bachelor's degree and 2 years of relevant experience required
  • Or equivalent combination of education and experience

Additional Information:

Job Posted:
February 20, 2026

Employment Type:
Fulltime
Work Type:
Hybrid work
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