The Manager for Credits is responsible for working across the professional fee organization, ensuring accurate and timely resolution of all credit balances across all payors and for developing and implementing recommendations for process improvement with all credit balance resolution processes. Functions include, but are not limited to: transaction/invoice review, adjustment and payment posting and refund processing. The Manager ensures appropriate credit balance prioritization based on contract and government requirements, prepares reports, identifies credit balance trends, and presents findings to the Associate Director of Cash Applications and Director of Revenue Cycle. The Manager is required to have demonstrated knowledge and understanding of basic aspects of billing office operations, including principles of staff management/supervision, office workflows as well as billing and collection operations, including compliance requirements as well as payer credentialing, contracting and reimbursement practices. The Manager for Credits reports directly to the Associate Director of Cash Applications.
Key Functions and Expected Performances:
With general direction of the Associate Director of Cash Applications and considerable latitude for initiative and judgment:
35% Drives revenue cycle results by effectively managing all government and commercial payor credit balances within established governmental and contractual guidelines and standards. Manages staff actions to ensure the refunds process is appropriately executed with established policies and procedures. Ensures that all regulatory requirements are met, and that transaction activity is being performed in a compliant manner.
25% Monitors standard organizational metrics and utilizes data from all sources to create reports to meet the needs of all internal and external customers. Uses knowledge and experience to analyze detailed operational and financial data to identify credit balance root causes and other related issues in regular reporting to the Associate Director. Monitors effectiveness of resolution efforts and works with Associate Director to develop and implements strategies to improve efficiency and decrease credit balances across all payors.
15% Manages the activities of employees under own supervision. Recruits, hires, trains, evaluates, and perform disciplinary actions as necessary following department and University guidelines. Constructs and monitors development plans and fosters functional unit employee engagement through focused team-building efforts, surveys and follow-up action plans.
15% Monitors and assesses current operations to identify opportunities for performance and process improvements and provides a high level of problem solving to support continual change management; recommend ideas to the Associate Director; implements approved changes and ensures that staff receive the training to ensure their understanding of quality/performance improvement initiatives.
10% Reports regularly to the Associate Director of Cash Applications regarding performance in the assigned area. Provides assistance and support to the Associate Director by supporting various initiatives impacting URMFG billing operations. Assists in implementation of operations improvement measures.
5% Keeps current on relevant areas of knowledge and acts as a resource to staff. Interprets and ensures compliance with regulatory standards and requirements; keeps abreast of regulatory requirements, professional standards and competitive industry practices, as well as organizational initiatives with potential to impact current operations; monitors impact on existing activities to maintain service levels and work quality.
May perform other duties as assigned.
Bachelors Degree and 5 years of related relevant experience; or equivalent combination of education and/or experience
Demonstrated organizational and problem-solving skills
Effective written and verbal communication skills
Strong working knowledge of the professional billing software applications
5 years billing office experience, at the management level
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: $58,000 - $113,000 Annual
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.
Apply for Job
Location: Medical Faculty Group
Full/Part Time: Full-Time