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Job Description

Who we’re looking for:

**The UW Medicine Department of Laboratory Medicine & Pathology (DLMP) in Seattle, WA has a fantastic opportunity for a Manager of Program Operations with the Revenue Team** ! We are looking for an individual who will develop, implement, and manage the overall strategic and operating plan for the Reference Lab billing unit in DLMP, with a specialized focus on Genetic/Molecular testing.

Work Schedule:

+ 100% FTE

+ Monday – Friday

+ Day shift

What you’ll contribute:

_Revenue Cycle Operations_

+ Perform highly complex management-level duties supporting all aspects of revenue cycle and billing operations for the UW Medicine Reference Lab with particular focus on Genetic/Molecular testing and Client Billing/Support. This manager is responsible for the daily operations of the following aspects of revenue cycle, including preauthorization programming, registration, claims, payment, and credits, insurance follow-up, client follow-up, and patient accounts and inquiry.

_Staff Management_

+ Lead the Reference Lab Genetic/Molecular PreAuth and billing teams toward common objectives and goals by providing clear direction, seeking input form others, ensuring staff have adequate resources and training, and articulating a vision which motivates others.

+ Develop job descriptions, over recruitment, hiring, orientation and training, manage workflow, set standards, recommend disciplinary actions if needed, conduct annual performance evaluations, coordinate schedules, approve leave, and lead team building and staff development.

+ Develop, implement and maintain programs for monitoring staff performance, productivity and quality assurance.

+ Demonstrate knowledge and understanding of patient privacy rights. Maintain confidentiality of all medical, financial, or other sensitive materials and information in printed, electronic or verbal form, which may jeopardize the privacy of patients. Access and use the minimum necessary patient identifiable information to perform job responsibilities and duties for authorized purposes. Ensure all staff comply with the above and any other regulations such as HIPAA, GAAP and FDCPA.

_Strategic Development and Program, Initiative, and Project Management_

+ Lead multiple complex projects and initiatives concurrently that are related to the ever-changing world of genetic/molecular testing. These projects include working with multiple teams inside and outside UW Medicine and involve aspects of billing, pricing, prior authorization, clinical and reimbursement policies, costs estimations, ROI, staffing needs, risk management, compliance requirements, as well as any other aspect necessary to complete the project.

+ Partner with leaders and participate on various committees across UW Medicine to develop and implement consistent, compliant and patient enhancing system-wide revenue cycle polices, standards and workflows. This may also include selection of vendors across UW Medicine.

+ Manage long-term programs critical to collecting revenue, including serving as the Administrative Lead of the Medicare Genetic & Molecular MolDX program that manages required Z codes for billing as well as project managing the Technical Assessment process for submitting medical necessity and other documentation to have testing approved by Medicare (which also affects other payers).

+ Must be able to prepare and deliver presentations at various meetings with representatives from inside and outside UW Medicine. This includes participants from front line staff to senior leaders from revenue cycle and clinical areas.

+ Partner with the DLMP Genetic/Molecular laboratory and division leadership to develop and implement strategies for growing the Reference Lab programs and improving both the client and patient experience. This includes providing analysis, reporting and recommendations.

_Data Analysis & Reporting_

+ Review and analyze revenue cycle metrics and reporting to determine opportunities for improvement within the Reference Lab billing team, resulting in cost efficiencies, increase in patient/client satisfaction, increase in employee satisfaction, and improved revenue cycle performance.

+ Development of ongoing reports, databases, and other data sources, including the development of various methodologies and coordination with other analytics and IT teams

_Genetic/Molecular Testing Policy & Process Development & Improvement_

+ Serve as a subject matter expert on genetic/molecular test billing and reimbursement. This includes reviewing Medicare/CMS, commercial payer and industry focus group polices and billing changes. Partner with DLMP leadership to update billing polices and processes to maximize patient experience, revenue and growth opportunities.

+ Partner with UW Medicine Compliance and DLMP Compliance/Regulatory affairs to ensure compliant billing practices

_Vendor & IT System Management_

+ Partner with external vendors which provide and support the Reference Lab billing system and ensure patient statement and payment systems are being used to their maximum ability and performance. Ensure all enhancement and upgrades are implemented in a timely manner.

+ Develop and improve reporting capabilities.

+ Serve as a super-user for development of Epic in relation to DLMP genetic/molecular and client billing.

What you’ll need:

Bachelor of Science or Bachelor of Arts in Accounting, Business Administration or related field

AND

Six (6) to eight (8) years of related experience, including:

+ At least two (2) years of strong supervisory experience, including project management, and fiscal and lead responsibilities, preferably in an academic or healthcare-related setting.

+ Strong experience with preauthorization and billing for genetic/molecular testing

+ Previous experience in management or healthcare billing and AR, preferably in an academic setting.

+ Experience working with outside laboratories/clients.

+ Experience with laboratory testing, preferably of a genetic/molecular nature.

+ Demonstrated project and program management skills.

+ Demonstrated excellent verbal, written, and interpersonal communication skills.

+ Proficiency in Microsoft Office software with UW fiscal and personnel procedures

+ Demonstrated problem-solving skills and fiscal skills, strong detail orientation and ability to adeptly manage multiple priorities and timelines.

An equivalent combination of education and experience may substitute for the stated requirements.

Desired qualifications:

+ Experience with laboratory or medical billing.

+ Experience with laboratory information systems, such as Sunquest and PowerPath.

+ In-depth knowledge of federal and state regulations as they pertain to patient, insurance, and client billing and Generally Accepted Accounting Principles (GAAP).

+ At least one (1) year of experience overseeing a Medicare MolDx program, including obtaining Z codes and coordinating the Technical Assessment process.

+ Ability to compile statistical, financial, accounting, or auditing reports and tables pertaining to such matters such as cash receipts, expenditures, and accounts payable and receivables.

+ Experience managing union/represented staff.

+ Proven ability to foster credibility and establish collaborative working relationships.

+ Strong organizational skills and ability to set priorities with high attention to detail.

+ Ability to manage multiple competing priorities concurrently as evidenced by timely completion of multiple tasks.

+ Ability to work with diverse people with tact, diplomacy, and discretion and sensitivity.

What we offer:

+ Vacation time and sick time off that accrues monthly, including 12 paid holidays.

+ State Employee Tuition Exemption Program covering up to 6 credits of qualifying coursework per quarter at the University of Washington or other participating colleges or universities.

+ Fully subsidized public transit pass (U-PASS) that covers multiple forms of public transportation in the region.

+ Excellent healthcare, dental, disability, retirement, and other plan options.

+ Lots of free fantastic fitness, healthy eating, finance, and stress reduction classes offered through the Whole U.

+ And much more!

About the UW Medicine Department of Laboratory Medicine & Pathology:

A regional resource for clinical laboratory services required for innovative patient care, research and educational programs, the **Department of Laboratory Medicine & Pathology (DLMP)** at UW Medicine combines the sophisticated testing and informatics capabilities of fully accredited laboratories with the resources of an academic institution in its delivery of clinical and anatomic pathology services. Recognized for excellence in clinical training, world-class research initiatives, and a commitment to community service, we serve labs and medical facilities both nationally and internationally. Please visit our website (http://dlmp.uw.edu/) to learn more about our department.

About UW Medicine:

UW Medicine is Washington’s only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine’s mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow’s physicians, scientists and other health professionals.

All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest.

Become part of our team (https://www.uwmedicine.org/jobs) . Join our mission to make life healthier for everyone in our community.

Compensation, Benefits and Position Details

Pay Range Minimum:

$80,292.00 annual

Pay Range Maximum:

$120,444.00 annual

Other Compensation:

-

Benefits:

For information about benefits for this position, visit https://www.washington.edu/jobs/benefits-for-uw-staff/

Shift:

First Shift (United States of America)

Temporary or Regular?

This is a regular position

FTE (Full-Time Equivalent):

100.00%

About the UW

Working at the University of Washington provides a unique opportunity to change lives – on our campuses, in our state and around the world.

UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty.

Our Commitment

The University of Washington is proud to be an affirmative action and equal opportunity employer (https://hr.uw.edu/eoaa/) . All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, national origin, age, protected veteran or disabled status, or genetic information.

To request disability accommodation in the application process, contact the Disability Services Office at 206-543-6450 or [email protected] .

Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law (https://app.leg.wa.gov/RCW/default.aspx?cite=28B.112.080) .

University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.