Directs the activities of a multi-specialty billing office. Manages activities that affect receivables (e.g., billing, third party collection, cash application, coding and compliance requirements and various support functions) within the billing office and coordinates the completion of these activities with other internal departments and external agencies. Develops policies and procedures.
Manages and monitors billing office operations including coding, charge entry, prior authorizations, and follow-up on denied and no response claims for various payors. In collaboration with administrator, develops strategic initiatives related to billing functions.
Performs quality assurance monitoring to track timeliness and accuracy of coding, charge entry, billing and collection activities to ensure standards are met.
Assists areas of responsibility with the resolution of billing and accounts receivable issues and maintains close liaison and positive relationships with physicians. May provide consultation to physicians on proper coding and issues related to their billing needs. Collaborates with outside agencies and University department leadership. Work directly with faculty and/or compliance staff to ensure all billing is compliant with internal and external regulations. Serves as department contact for physicians and staff for coding and charge compliance guidance.
Directs the activities of billing office employees under own supervision. Recruits, hires, trains, evaluates, and perform disciplinary actions as necessary following department and University guidelines. Monitors and evaluates work of subordinates to assure adherence to policies and procedures. Develops new policies and procedures for assigned area. Assists staff in utilizing the billing system. Ensures early problem identification and effective resolution. Identifies and presents new ways to improve operations. Reviews the charges and fee schedules of physicians/dental providers and recommends revisions as appropriate.
Develops, compiles, analyzes and ensures the production of management reports regarding coding and charges. Develops and analyzes reports regarding physician activity and reviews with individual physicians as appropriate. Reports regularly to supervisor regarding financial performance.
Maintains thorough knowledge of charges, services, fees, allowances and coding requirements to assure that all billing and payments are accurate and reimbursement is maximized.
Serves as department contact for Patient Accounts Office staff for assistance with charges, claims, denials and record requests. Establishes and maintains effective working relationships with third party representatives to ensure appropriate and timely reimbursement. Maintains effective working relationships with management, staff, physicians, dental providers and their staff, and the governing agencies of URMFG/UBO and the Hospital.
Bachelor’s Degree in business administration or related field required
3-5 years of experience in business office and professional fee billing operations with at least 2 years of progressive supervisory experience; or an equivalent combination of education and experience required.
Required to obtain Radiation Oncology certified coder certification within 1 year of employment required.
Certified Professional Coder preferred
The University of Rochester is committed to fostering, cultivating, and preserving a culture of equity, diversity, and inclusion to advance the University’s mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion/creed, sex, sexual orientation, citizenship status, or any other status protected by law. This commitment extends to the administration of our policies, admissions, employment, access, and recruitment of candidates from underrepresented populations, veterans, and persons with disabilities consistent with these values and government contractor Affirmative Action obligations.
How To Apply
All applicants must apply online.
EOE Minorities/Females/Protected Veterans/Disabled
Pay Range: $ 58,800 - $ 82,300 Annually
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.
Location: Strong Memorial Hospital
Full/Part Time: Full-Time
Opening: Full Time 40 hours Grade 054 Radiation Oncology SMH
Schedule: 8 AM-4:30 PM