"Alerted.org

Overview

Top candidates will have experience in one or more of the following:

- HEALTHCARE Revenue Cycle.

- Epic.

- Related project management.

- Analytical (data trends) and reporting.

- Understanding of payer contracts and reimbursements.

_As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA_

This position is responsible for planning, directing and overseeing the operations and fiscal health of a revenue cycle business unit. Responsible for overseeing and leading the work of Accounts Receivable Management in accordance with State and Federal requirements. The ideal candidate should possess an in depth understanding of accounts receivable collections, transplant billing and collection processes, grants, corporate billing and account resolution. This position has no responsibility for providing care to patients.

Corporate Overview: University of Utah Health is an integrated academic healthcare system with five hospitals including a level 1 trauma center, eleven community health centers, over 1,600 providers, and a health plan serving over 200,000 members. University of Utah Health is nationally ranked and recognized for our academic research, quality standards and overall patient experience. In addition to our clinical delivery system, we have a School of Medicine, School of Dentistry, College of Nursing, College of Pharmacy, and College of Health providing education and training for over 1,250 providers annually. We have over 2 million patient visits annually and research grants exceeding $350 million. University of Utah Hospitals and Clinics represents our clinical operations for the larger health system.

Responsibilities

+ Monitor and manage delinquent accounts.

+ Develops and manages escalation pathways for unresolved claims or payer disputes.

+ Implements process improvements for admissions, billing, third party payer relations, compliance and collections to ensure that the financial health of the organization is effective and properly utilized.

+ Responsible for the ongoing strategic operation of activities falling under the timely collection of outstanding accounts receivables including researching, analyzing, and recommending collection methodologies.

+ Leads efforts to systematically collect, compile and report operational performance information, designs, implements and manages metrics and indicators to track performance to insurance collection program goals and objectives.

+ Monitors payer policies which include medical and reimbursement policies.

+ Tracks and remediates payer activities and published findings correlated cash, AR and aging information for Commercial and Government payers as well as special programs.

+ Identifies payment issues, opportunities and effective solutions and collaborates with other departments to improve processes and deliver results.

+ Participates in account reviews and strategic directives with various payer leadership to ensure focused outcomes are met and to foster collaborative relationships with payers.

+ Global Transplant Bundled Billing process that includes contract compliance, reconciliation and collaboration with Professional Billing.

+ Accountable for the development, implementation and maintenance of the Epic for Business Collections workflows, which includes functions in accordance with internal and external policies and procedures.

+ Hiring, training, developing, and communicating with staff.

+ Responsible to provide staff feedback on performance, including on-time appraisals and coaching.

+ Responsible to deal with conflicts in a proactive manner and to reach resolution in a timely manner.

+ Forms positive relationships with staff, peers, and senior leadership to support the mission, vision, values, and performance standards of the organization.

+ Actively engages staff with updates and news as well as involving staff in decisions and work teams. Provides feedback and recognition when appropriate.

Knowledge / Skills / Abilities

+ Knowledge of reviewing service level agreements.

+ Preparing and/or coordinating with Contracting Department and Legal Council on deficiencies with contracted and non-contracted payers.

+ Demonstrated leadership, human relations, and effective communication skills.

+ Ensuring collection policy on recoveries is followed and is in line with state and federal regulations as well as contractual agreements negotiated with the institution.

+ Knowledge of hospital business operations and demonstrated strategic planning skills.

+ Ability to interact with leadership, department managers and physicians regarding AR collections, outcomes, successes and barriers or other related financial issues.

+ Ability to analyze large sets of data and perform department analytics in support of strategic decision making.

+ Commitment to continuous learning and implementation of strategic visions with focus on IT & Operational partnership.

+ Knowledge of budgeting practices, reporting analysis, and forecasting.

+ Responsible for management and oversight of vendors.

+ Ability to lead, motivate, and effectively communicate with both on-site and remote staff members.

+ Ability to develop tools, processes, accountabilities for all collection decisions.

+ Exhibits and maintains an understanding and application of collection regulations and guidelines.

Qualifications

Qualifications** **Required

+ Bachelor's degree in a related area of assignment, or equivalency.

+ Four years of more progressively responsible management experience.

+ Four years of demonstrated Accounts Receivable experience in a health care setting.

Qualifications (Preferred)

Preferred

+ Master's degree in a related area, or equivalency.

+ Collections knowledge and experience.

Working Conditions and Physical Demands

_Employee must be able to meet the following requirements with or without an accommodation._

+ This is a sedentary position that may exert up to 10 pounds and may lift, carry, push, pull or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions.

Physical Requirements

Color Determination, Listening, Manual Dexterity, Near Vision, Pulling and/or Pushing, Reaching, Sitting, Speaking, Standing, Walking

Multi-lingual Candidates Welcomed

_To inquire about this posting, email: [email protected]_

EEO Statement

_University of Utah Health Hospitals and Clinics, a part of The University of Utah, values candidates who have experience working in settings with students and patients from all backgrounds and possess a strong commitment to improving access to higher education and quality healthcare for historically underrepresented students and patient populations._

_All qualified individuals are encouraged to apply. Veterans’ preference is extended to qualified applicants, upon request and consistent with University policy and Utah state law. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities._

_University of Utah Health Hospitals and Clinics, a part of The University of Utah, is an Affirmative Action/Equal Opportunity employer and does not discriminate based upon race, ethnicity, color, religion, national origin, age, disability, sex, sexual orientation, gender, gender identity, gender expression, pregnancy, pregnancy-related conditions, genetic information, or protected veteran's status. The University does not discriminate on the basis of sex in the education program or activity that it operates, as required by Title IX and 34 CFR part 106. The requirement not to discriminate in education programs or activities extends to admission and employment. Inquiries about the application of Title IX and its regulations may be referred to the Title IX Coordinator, to the Department of Education, Office for Civil Rights, or both._

_To request a reasonable accommodation for a disability, please contact the University of Utah Health Hospitals and Clinics Human Resources office at 801-581-6500. If you or someone you know has experienced discrimination or sexual misconduct including sexual harassment, you may contact the Director/Title IX Coordinator in the Office of Equal Opportunity (OEO). More information, including the Director/Title IX Coordinator's office address, electronic mail address, and telephone number can be located at:www.utah.edu/nondiscrimination/_

_Online reports may be submitted atoeo.utah.edu/_

_The University is a participating employer with Utah Retirement Systems (“URS”). Eligible new hires with prior URS service, may elect to enroll in URS if they make the election before they become eligible for retirement (usually the first day of work). Contact Hospitals and Clinics Human Resources at (801) 581-6500 for information. Individuals who previously retired and are receiving monthly retirement benefits from URS are subject to URS’ post-retirement rules and restrictions. Please contact Utah Retirement Systems at (801) 366-7770 or (800) 695-4877 or Hospitals and Clinics Human Resources at (801) 581-6500 if you have questions regarding the post-retirement rules._

_This position may require the successful completion of a criminal background check and/or drug screen._

**Requisition Number** _80092_

**Reg/Temp** _Regular_

**Employment Type** _Full-Time_

**Shift** _Day_

**Work Schedule** _M-F, 8am-4:30pm_

**Clinical/Non-Clinical Status** _Non-Clinical_

**Location Name** _Business Services Building_

**Workplace Set Up** _Hybrid_

**_City_** _SALT LAKE CITY_

**_State_** _UT_

**Department** _COR ISC 10D REV CYCLE SUPP SVC_

**Category** _Finance/Accounting_

**Workplace Set Up** _Hybrid_