Manager Revenue Cycle Billing - Business Office

Description

Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.

Job Summary:

Responsible for the maintenance and monitoring of the denial management process by developing and maintaining systems and processes and short- and long-term goals to achieve departmental/organizational objectives.

Description of Job Responsibilities:

1. Develops and maintains systems and processes that effectively monitor staff activity and performance related to the billing, follow-up, collection and customer service aspects of the accounts receivable.

2. Develops and maintains systems and processes that facilitate timely and accurate billing to third party payors. Assures that all billing (paper or electronic) conform to all applicable regulations and contractual terms as stipulated by the third party payor.

3. Reviews daily patient accounting, billing, and follow-up activity and produces summary for management staff. Compiles weekly, monthly or quarterly activity analysis reports as defined. Explains variances from goals, targets or budget.

4. Maintains current knowledge and competence in all regulatory and third payor patient accounting, admission and registration requirements. Assures that all required patient accounting forms, bill/claim formats, notices, letters and messages meet existing standards and regulatory requirements. Conducts staff education and training related to these requirements to assure compliance.

5. Responsible for the coordination, maintenance and monitoring of denial management processes. In cooperation with department staff and other key departments and payers will assist or lead actions to identify and create improved procedures and solutions to increase cash flow, improve payer operational relationships and internal process improvements. Educates and works with all relative departments to ensure consistency and accountability in denial management. Identifies trends and maintains reporting for Director

Education Requirements:

Bachelor's degree (B. A.) from four-year college or university

Licensure/Certification Requirements:

No licensure or certification required.

Professional Experience Requirements:

Two years related experience required

Job Profile Knowledge, Skills, and Abilities Requirements:

Understands and appropriately applies principles, procedures, requirements, regulations, and policies related to specialized expertise.

Legal Employer: NCHEALTH

Entity: Shared Services

Organization Unit: Business Office

Work Type: Full Time

Standard Hours Per Week: 40.00

Pay offers are determined by experience and internal equity

Work Assignment Type: Hybrid

Work Schedule: Day Job

Location of Job: US:NC:Smithfield

Exempt From Overtime: Exempt: Yes

This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.

Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.

UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.