University of Rochester

Healthcare

MGR,Rev.CycleMgmt,Provider

$70–105k Rochester, New York, United States FULL TIME
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Manager candidates.

The Brief

“MGR, Rev. Cycle Mgmt, Provider at University of Rochester. Skills: Revenue cycle management, Billing, Claims, Accounts Receivable. Manage daily revenue cycle activities. Provide revenue cycle consultation”

Industry & Context.

Healthcare
Problems you'll solve

Problem solving

What They're Looking For.

Must Have

5+ years billing/coding experience, 3+ years management/supervisory experience, Working knowledge of CDT, CPT, ICD-10, Compliance background or national compliance certification

Nice to Have

CPC or RHIT, CCS preferred, Nationally recognized billing certification (CMBS) preferred

What You'll Do.

Manage daily revenue cycle activities

Provide revenue cycle consultation

Report on revenue cycle metrics

Assist with regulatory guidance

Implement needed regulatory changes

Oversee revenue cycle reporting

Manage team performance

Supervise department managers and staff

Manage third-party insurer relations

Develop and implement policies and procedures

Ensure efficient charge entry

Ensure efficient payment posting

Ensure efficient accounts receivable management

Determine departmental review processes

Ensure compliance with billing procedures

Ensure compliance with medical billing practices

Assess current operations for improvements

Identify opportunities for process improvements

Provide problem solving for change management

Recommend improvements to leadership

Implement approved changes

Oversee staff training on initiatives

Perform non-routine analyses

Participate in projects

Develop and maintain reports

Communicate billing operations results

Analyze billing systems and procedures

Implement changes for process improvements

Manage non-routine claim issues

Manage non-routine payment issues

Monitor accounts receivable

Monitor collection rates

Maximize reimbursement

Update billing systems

Ensure fee schedules are current

Incorporate CDT/CPT/ICD10 codes

Review CMS regulations

Review eMedNY regulations

Review insurer regulations and policies

Incorporate regulations into procedures

Incorporate regulations into patient documentation

Train staff in proper billing procedures

Train staff in proper coding procedures

Train staff in compliance issues

Resolve payment issues with insurers

Oversee performance evaluations

Provide leadership in billing policies

Provide leadership in third-party contracts

Ensure compliance with billing policies

Ensure compliance with billing procedures

Assign and monitor workflow

Provide cross-training opportunities

Monitor standard organizational metrics

Utilize data to create reports

Meet needs of internal customers

Meet needs of external customers

Analyze operational data

Analyze financial data

Identify billing issues

Identify claim related issues

Monitor effectiveness of resolution efforts

Develop strategies to improve efficiency

Implement strategies to improve efficiency

Decrease unbilled services

Keep current on relevant knowledge

Act as a resource to staff

Ensure compliance with regulatory standards

Ensure compliance with regulatory requirements

Keep abreast of regulatory requirements

Keep abreast of professional standards

Keep abreast of competitive industry practices

Monitor impact on existing activities

Maintain service levels

Maintain work quality

How You'll Work.

Team & Collaboration

Leadership team; Compliance Department

Full Job Description

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. _**Job Location (Full Address):**_ 135 Corporate Woods, Ste 150, Rochester, New York, United States of America, 14623 _**Opening:**_ Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 920706 Dentistry Central Billing Work Shift: UR - Day (United States of America) Range: UR URG 112 Compensation Range: $70,197.00 - $105,295.00 _The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job 's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations._ _**Responsibilities:**_ Manages the daily activities for the revenue cycle department. Provides revenue cycle related consultation for new services and expanded products, revenue optimization projects, and analyzing variances and understanding and reporting on key revenue cycle metrics. Assists in providing regulatory guidance as requested and implements any needed changes as required. Assists in overseeing many aspects of revenue cycle reporting. May be accountable for the budget, performance, and results of team of employees. Exercises full management authority, including performance reviews, pay decisions, recruitment, discipline, termination, and other personnel actions. **ESSENTIAL FUNCTIONS** * Directs and manages the Billing, Claims and A/R functions of the Revenue Cycle department of the Eastman Institute for Oral Health ﴾EIOH﴿, responsible for the billing, insurance claim

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