Full Time 40 hours Grade 053 Financial Services SMH Responsibilities General Purpose: Provide service excellence to our hospital departments, clinical department leadership, physicians, URMFG, and ISD to gain greater visibility into business processes and to develop workflows, communication, accountability and ensure optimal charge capure/reimbursement. Improve the performance of revenue cycle processes including developing best practices/clinical documentation, coordinating issue resolution, and establishing proactive prevention measures. Duties cover Strong Memorial, Highland, URMFG and regional affiliated hospitals. Job Description: Under general direction and with significant latitude for the exercise of independent judgment and initiative: Operations/Workflows Coordinates processes between clinical operations and revenue cycle departments to insure accurate and timely charge capture and revenue reconciliation. Monitors compliance with revenue integrity initiatives during Epic go live and on an ongoing basis in the future within assigned department(s). Monitors charge review work queues related to volume, productivity, and other relevant factors and initiates action as required. Collaborates with Patient Financial Services, RIM, URMFG billing, and others on revenue cycle initiatives including but not limited to reducing charging delays/errors, and charge review work queues. Educates departments on Epic reports, dashboards and work queues. Communication Serves as a resource and educator to the clinical departments and URMFG practice staff regarding appropriate patient status, charge capture, and billing. Ensures designated areas of responsibility are capturing all appropriate revenue through ongoing monitoring via Dashboards and reports. Operations Develops workflows, policies and procedures related to charge capture and revenue reconciliation to establish the expectations for clinical departments, physicians, URMFG and ISD.Implements âœbest practice standardsâ. Directs initiative to educate departments on procedures, tools, benchmarks, reports, etc. regarding revenue integrity and charge reconciliation. Responsible for reviewing and ensuring proper reimbursement and revenue capture of assigned department(s). Issue Management Identify all risk, develop mitigation strategies/plans and work to implement strategies as needed. Escalate issues appropriately as they are identified to Associate Director Revenue Integrity. Resolves problems and addresses issues related to charge capture by working with clinical department leadership, Patient Financial Services, RIM and URMFG billing. Identifies gaps in charges and develops solutions to insure revenue is captured. Other Performs other duties as assigned by Director Revenue Integrity or Associate Director Revenue Integrity. Requirements: Bachelor's degree in Accounting or Business Administration and 3-4 years of related experience; or an equivalent combination of education and experience. Master's preferred.
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