Manager, Charge Management

Description

The Manager's overall objective is to support the various functions of the department through providing direction and supervision to Revenue Cycle staff. The Manager will support the day-to-day operations of the department using sound business principles compliant with all billing, collections, and compliance regulations. The Manager must be a highly motivated leader and be able to function in a high-pressure environment and lead the staff through the problem. The Manager will maintain a results-oriented profile to effectively manage the staff and the systems to access, identify, report and resolve the system business issues/needs. Must be extremely dependable, professional, have strong interpersonal skills, be an excellent communicator, maintain the ability to prioritize the workload, and constantly develop the staff. The manager must also be able to minimize the risk to UPMC and constantly be working towards process improvements to minimize problems.
 

This role will have the opportunity to rotate time in office and working from home. 

Responsibilities:

• Manage the Insurance Collections of new acquisitions as they transition onto Epic/Medipac. Investigate and perform analysis of issues/concerns, participate in identifying and implementing resolutions; as well as, serve as a Revenue Cycle liaison for our implementation team and the departments for Insurance related issues.
• Manage special projects and assignments related to departmental needs and priorities as assigned by leadership.
• Develop and maintain relationships with leadership, payers, facilities, practices, and other outside professionals and promote a positive customer service environment.
• Develop and implements revenue cycle procedures/enhancements to processes for optimal performance.
• Ensures timeliness and accuracy of the processes performed for third party claim submission and billing, ensuring it results in patient satisfaction, maximum collections/reimbursement and optimal revenue cycle and financial performance.
• Monitor and communicates the latest regulatory requirements to ensure UPMC facilities/practices are compliant with process requirements.
• Lead the implementation of new/existing initiatives and workflows for process improvements while tracking measurable results.

Qualifications

• Bachelor's degree and 2 years of relevant experience OR High School Diploma or equivalent and 4 years of relevant experience required.
• Previous supervisory or management experience required.
• Experience with medical terminology, charge capture, third party payer billing and reimbursement practices, and regulatory guidelines are highly preferred.
• Strong analytical skills utilizing PC-based software applications are required.
• Organization and time management skills.
• Ability to develop and maintain a working environment conducive to the education and training of staff. The incumbent must develop and manage relationships with colleagues in a professional, independent manner.
• The position requires the ability to maintain confidentiality with regard to all assignments.
• Must possess analytical problem solving skills as well as the ability to coordinate the work of others and communicate effectively with all levels of management.
  
  Licensure, Certifications, and Clearances:
  
  UPMC is an Equal Opportunity Employer/Disability/Veteran

Salary : $31 - $52