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MANAGER MSRDP PHYSICIAN COLLECTIONS - MG Rev Cyc-Med Follow-Up

Job Number: 92292
Categories: Professional & Executive
Location: 5323 Harry Hines Blvd, Dallas, TX
Department: 713008 - MG Rev Cyc-Med Follow-Up
Full/Part Time/PRN: Day Job
Regular/Temporary: Regular

Security


This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information

Salary

Salary Negotiable

Experience and Education

Bachelor degree and seven (7) years working experience in physician collections, including three (3) years progressive management in health care administration, physician group practice, and/or claims processing are required.
Care Administration and seven (7) years experience, including three (3) years progressive management as stated above; OR Associate's degree or two (2) years of college majoring in Finance, Business Administration, Health Care Administration and nine (9) years experience, including five (5) years progressive management, in health care administration in physicians group practice, claims processing or both.

Job Duties


* Works with Senior Administrators, Managers and department revenue cycle staff to research and analyze health care reimbursement rules, regulations and policies; makes appropriate reimbursement policy recommendations to physicians and department revenue cycle staff.
* Manages staff and regularly analyzes operational volume to determine appropriate staffing requirements. Oversees the development of workflows to maximize staff productivity; monitors, evaluates and prioritizes projects such that established deadlines are met.
* Evaluates current billing and collection processes to ensure all revenue cycle systems are utilized to maximum capacity. Reports deficiencies and recommendations for needed changes to Senior Administrators and managers.
* Supervises employees responsible for resolution of outstanding Accounts Receivable.
* Compiles, analyzes and reports status, issues and recommendations for accounts receivables; manages overall production of claims according to departmental procedures in support of internal departments.
* Assures timely and full collection of physician fees billed to Medicaid, Medicare, Managed Care, Commercial and other third-party payers; works with department revenue cycle staff to insure collection of all physician fees from third-party payers.
* Acts as liaison between and among assigned clinical departments to ensure the accurate development and implementation of service lines; assures that assigned clinical departments and ancillary providers are appropriately enrolled with all governmental agencies and payer groups for maximization of revenues and assure compliance with contracts with payer groups.
* Maintains effective communications with Clinical Chairs, Physicians and department revenue cycle staff to ensure they are timely and informed of transactions that prevent timely collections of accounts; works with senior administrators, managers and department revenue cycle staff to assess physician practice management needs through the Request for Information (RFI) process.
* Establishes and maintains appropriate working relationships with Human Resources; maintains current personnel, policies, procedures and practices; manages staff recruitment and selection process; and oversees administration of annual employee performance appraisal/rating program.
* Maintain high-level, confidential data to ensure high quality customer service in an effort to reduce any potential embarrassment or public relation issues for either the University or the Medical Practice Plan.
* Serves as Operational project leader for new software installation and process change initiatives; works with assigned clinical departments to resolve major billing issues and to develop new programs to ensure maximum reimbursement from each account.
* Performs other duties as assigned.
**Other Duties: Performs other duties as assigned.

Bachelor degree and seven (7) years working experience in physician collections, including three (3) years progressive management in health care administration, physician group practice, and/or claims processing are required. Care Administration and seven (7) years experience, including three (3) years progressive management as stated above; OR Associate's degree or two (2) years of college majoring in Finance, Business Administration, Health Care Administration and nine (9) years experience, including five (5) years progressive management, in health care administration in physicians group practice, claims processing or both. Works with Senior Administrators, Managers and department revenue cycle staff to research and analyze health care reimbursement rules, regulations and policies; makes appropriate reimbursement policy recommendations to physicians and department revenue cycle staff. Manages staff and regularly analyzes operational volume to determine appropriate staffing requirements. Oversees the development of workflows to maximize staff productivity; monitors, evaluates and prioritizes projects such that established deadlines are met. Evaluates current billing and collection processes to ensure all revenue cycle systems are utilized to maximum capacity. Reports deficiencies and recommendations for needed changes to Senior Administrators and managers. Supervises employees responsible for resolution of outstanding Accounts Receivable. Compiles, analyzes and reports status, issues and recommendations for accounts receivables; manages overall production of claims according to departmental procedures in support of internal departments. Assures timely and full collection of physician fees billed to Medicaid, Medicare, Managed Care, Commercial and other third-party payers; works with department revenue cycle staff to insure collection of all physician fees from third-party payers. Acts as liaison between and among assigned clinical departments to ensure the accurate development and implementation of service lines;assures that assigned clinical departments and ancillary providers are appropriately enrolled with all governmental agencies and payer groups for maximization of revenues and assure compliance with contracts with payer groups. Maintains effective communications with Clinical Chairs, Physicians and department revenue cycle staff to ensure they are timely and informed of transactions that prevent timely collections of accounts; works with senior administrators, managers and department revenue cycle staff to assess physician practice management needs through the Request for Information (RFI) process. Establishes and maintains appropriate working relationships with Human Resources;maintains current personnel, policies, procedures and practices;manages staff recruitment and selection process; and oversees administration of annual employee performance appraisal/rating program. Maintain high-level, confidential data to ensure high quality customer service in an effort to reduce any potential embarrassment or public relation issues for either the University or the Medical Practice Plan. Serves as Operational project leader for new software installation and process change initiatives; works with assigned clinical departments to resolve major billing issues and to develop new programs to ensure maximum reimbursement from each account. Performs other duties as assigned.

UTSouthwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. In accordance with federal and state law, the University prohibits unlawful discrimination, including harassment, on the basis of: race; color; religion; national origin; sex; including sexual harassment; age; disability; genetic information; citizenship status; and protected veteran status. In addition, it is UTSouthwestern policy to prohibit discrimination on the basis of sexual orientation, gender identity, or gender expression.

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