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Administrator, Enterprise Clinical Revenue Cycle
UVA Health
Posted 11/18/2024
Introduction:
UVA Health is seeking a results oriented executive leader to join our high functioning Corporate Revenue Cycle team to oversee Hospital and Professional coding, CDI, and Utilization Management. The position will have span over 4 Directors who oversee these functions across our Enterprise that includes 4 Hospitals, and 2 Provider Groups.
Job Description:
The Administrator, Enterprise Clinical Revenue Cycle is the strategic and operational leader for: Technical/Facility coding, Professional coding, quality, provider education, continuous improvement activities with Clinical Departments, Utilization Management for continuous stay, and Utilization Review requirements for both governmental and non-governmental payors. Facilitates the overall structure, process, oversight, and accountability of professional coding and health data collection activities to ensure accurate provider documentation and coding as it relates to appropriate, compliant, and optimal reporting and reimbursement for health care services. This role reports directly to the Chief Revenue Officer of the Health System.
Required Qualifications:
Experience: Minimum of 12 years relevant experience required preferably in an Academic setting.
Education Qualifications:
Bachelor’s degree required; Master’s degree required.
Compensation/ Benefits:
Approximate hiring range $150K to $200K
Instructions for Resume Submission:
Please submit resumes directly to Brent McGhee @ [email protected]
Director – Professional Billing
UVA HEALTH
Charlottesville, VA
Posted: 9/26/2024
Introduction:
Director of Professional Billing directs service delivery for all business office processes, practices, and outreach physician services in locations throughout Virginia and the surrounding communities. Responsible for the management of accounts receivable for professional billing. Develops internal controls for all tasks necessary to ensure professional business office activities are completed on-time, including building relationships with internal and external clients throughout the UVAHS. Utilizes internal resources and analytical skills to make decisions in a fast-paced and fluid environment. Accountable for making strategic decisions guided by organizational challenges, trends, and business implications, while recognizing that decisions may have regional/local implications. The leader will have the skills to lead through influence and advocacy.
Job Description:
The successful candidate will have a demonstrated track record of overseeing high performing teams and as a change agent. Responsible for all aspects of professional billing, including but not limited to an ASC and associated community practices and physician offices. The responsibilities include but are not limited to revenue capture, claims management, denials, and short/over pays, Assures that all billing activities meet the standard of regulatory requirements with the highest degree of integrity Monitors and produces best practice standards in a billing environment based upon EPIC Financial Pulses (Denial, Automation and Financial) that include A/R days, cash/net revenue, A/R aging, denials management, credit balances, and other metrics reflecting performance against our peers. Provides detailed reporting to leadership on team productivity, key metrics with trends, and actions plans to address opportunities. Develops, implements an updates policies and procedures related to professional billing that support standards of work and achievement of financial goals and objectives Directs and oversees any required transitions from legacy billing systems to the EPIC PB billing system Directs and oversee any contracted 3rd party vendors assisting with claims and/or follow-up Supervises management team and staff, providing direction and guidance that fosters an engaged and high performing team through training, recognition/evaluation, and educational/advancement opportunities Mentors and coaches to achieve highest level of competency of leadership and staff Prepares, monitors, and maintains annual expense budget In addition to the above job responsibilities, other duties may be assigned.
Required Qualifications:
- Minimum 10 years of experience leading teams of and managing and improving Professional and Technical Patient Financial Services groups in complex operating environments
- Academic Health System experience
- Need to relocate to Charlottesville, VA as the position is on-site
Preferred Qualifications:
Master’s Degree Preferred
Education Qualifications:
Bachelor’s degree required.
Compensation/ Benefits:
Management Leadership compensation with bonus potential
Instructions for Resume Submission:
Apply online: UVA HEALTH, careers Req#R0063015