Company

Cu MedicineSee more

addressAddressAurora, CO
type Form of workFull-Time
CategoryInformation Technology

Job description

University of Colorado Medicine (CU Medicine) is the region's largest and most comprehensive multi-specialty physician group practice. The CU Medicine team delivers business operations, revenue cycle and administrative services to support the patients of over 3,500 University of Colorado School of Medicine physicians and advanced practice providers. These providers bring their unparalleled expertise at the forefront of medicine to deliver trusted, compassionate health care services at primary and specialty care clinics as well as facilities operated by affiliate hospitals of the University of Colorado.
We are seeking a highly motivated Revenue Cycle Client Manager to join our team. The individual in this role will support the Department of Surgery in addition to other specialties as assigned.
We will consider out of state candidates for this opportunity as the job can be performed remotely.
The Client Manager is responsible for providing comprehensive analysis of billing and collection (B&C), charge capture, and coding trends for assigned departments, divisions, and related clinical specialties' within the CU School of Medicine (SOM). The individual in this position will provide consistent monitoring, reporting, and communication of department-specific trends and related effects on overall revenue cycle performance. The Client Manager will serve as the key representative between CU Medicine business office functions, SOM department/division physicians and administrators, and all other stakeholders (e.g., front-end hospital operations) to proactively identify opportunities and assist in the resolution of issues. The goal of the Client Manager will be to maximize reimbursement in a cost-effective manner and comply with federal, state, and payer-specific billing requirements.
Duties include but are not limited to:

  • Collaborate with the CU Medicine business intelligence team to prepare, assemble, and analyze standard revenue cycle reports for assigned SOM departments/divisions.
  • Facilitate regular meetings with assigned SOM department/division administrators to discuss financial and revenue cycle performance metrics (e.g., A/R figures, write-offs, collection rates), key trends (e.g., rejection patterns, payer mix shifts), reimbursement opportunities (e.g., reduction of front-end related denials, identified coding opportunities), and other relevant topics.
  • Collect and distribute post-meeting action items and address follow-up items identified in monthly SOM department meetings.
  • Respond to questions from SOM department leadership related to B&C activities with direct impact on provider productivity and clinical income and when appropriate, coordinate issues across hospital and SOM stakeholders.
  • Assist physicians and other stakeholders in bringing patient- and invoice-specific complaints to positive resolution. Communicate the status and final resolution to SOM department management with simultaneous recommendations for future optimization.
  • Review and analyze financial performance and trends (e.g., A/R figures, write-offs, collection rates) for presentation at regular SOM department/division administrator meetings and proactive issues management.
  • Audit allowance write-offs to control losses due to errors and maintain integrity in the tracking mechanism that ensures reliable reporting of controllable and uncontrollable impacts to revenue.
  • Collaboratively review internal systems, processes, and procedures for business operation optimization opportunities.
  • Maintain an in-depth knowledge of federal, state, and all third-party insurance policies, practices, and procedures. Continuously monitor, educate, and implement changes to government and payer-specific policies and overall revenue cycle.
  • Analyze front-end-related trends, proposing recommendations to decrease ongoing deficiencies. Subsequently, work collaboratively with front-end stakeholders to reduce actions that impact insurance, registration, billing, claims, reimbursement, coding, and collections performance.
  • Analyze and prepare SOM department/division findings related to rejection patterns for the CU Medicine directors of patient accounts and fee coordination. Provide recommendations to positively impact the SOM department and broader CU Medicine business unit.
  • Assist with special projects and perform other duties as assigned

Requires a bachelor's degree, preferably in business or healthcare management, and a minimum of 5 years direct responsibility in physician practice management, or a senior-level position with professional fee B&C responsibilities. Master's degree is highly preferred. Alternatively, 8 years of direct relevant healthcare and high profile physician B&C responsibilities may be considered in lieu of the advanced degree. Must have or obtain a Certified Professional Coder (CPC) certification within 6 months of hire and maintain it throughout employment in the position. Advanced working knowledge of ICD-10 and CPT-4 coding requirements and medical insurance terminology for federal and state programs is required. Experience with Family Medicine, Neurosurgery &/or Ophthalmology is a plus. Must also demonstrate advanced working knowledge of physician reimbursement and payer contract analysis with the ability to request and/or run, interpret, analyze, and provide information obtained from all CU MEDICINE financial reporting. High level proficiency in Microsoft Office applications, including Word, Excel, and PowerPoint is required. Working knowledge of GE Centricity Business and Epic is preferred. Strong mathematical and analytics skills are essential, including the ability to accurately request reports from the CU MEDICINE data analytics team. Outstanding communication, clerical, and organizational skills are key to success.
TO APPLY FOR THIS POSITION, please visit our website at www.cumedicine.us and reference job #765. All applications MUST be submitted via our website.
CU Medicine is dedicated to ensuring a safe and secure environment for our staff and visitors. To assist in achieving that goal, we conduct background investigations for all prospective employees prior to their employment. We are an equal opportunity employer.
The listed pay range (or hiring rate) represents CU Medicine's good faith and reasonable estimate of the range of possible compensation at the time of posting and is based on evaluation of competitive market data.
A variety of factors, including but not limited to, internal equity, experience, and education will be considered when determining the final offer.
CU Medicine provides generous leave, health plans and retirement contributions which take your total compensation beyond the number on your paycheck. Find information about our benefits here
CU Medicine supports a Tobacco Free Workplace Environment which prohibits smoking and the use of tobacco products on CU Medicine property, Anschutz Medical Campus and adjacent business locations.
CU Medicine will post all jobs for a minimum of 7 days or until 250+ applicants have been received (whichever comes first)
Other details
  • Pay Type Salary
  • Min Hiring Rate $98,000.00
  • Max Hiring Rate $110,000.00

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Refer code: 8434578. Cu Medicine - The previous day - 2024-03-03 01:37

Cu Medicine

Aurora, CO
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