Responsible for the support of the UCSF Revenue Cycle Quality and Education Department and supporting programs/projects. Supports metrics administration and performs ongoing metrics surveillance and analysis of registration quality and other access and revenue cycle functions to support the Director, Patient Access Services and Revenue Cycle Quality and Education. This position serves as support to the revenue cycle departments and the enterprise in its work with the Medical Group (MGBS and the Office of Revenue Management), Patient Financial Services, Patient Access Services, Ambulatory Services and Faculty Practices, Ancillary Units, Clinical Services, affiliates, and APeX Financial and Clinical Systems teams encompassing efficiency, quality and standardized revenue cycle performance, as well as, optimization of APeX revenue cycle patient access applications and back-end revenue cycle operational processes and systems across the clinical enterprise.
Responsibilities include business data quality review, performance monitoring, identification and analysis of patient access quality defects, training and education requirements, month-end data and reporting capture and metrics dashboard management. Additionally, this role is responsible for preparing reports and provides analyses in an accurate, comprehensive and timely manner to Revenue Cycle leadership. Also, assists director in the planning and development of financials and other applicable projects.
Responsible for the support of the UCSF Revenue Cycle Quality and Education Department and supporting programs/projects. Supports metrics administration and performs ongoing metrics surveillance and analysis of registration quality and other access and revenue cycle functions to support the Director, Patient Access Services and Revenue Cycle Quality and Education. This position serves as support to the revenue cycle departments and the enterprise in its work with the Medical Group (MGBS and the Office of Revenue Management), Patient Financial Services, Patient Access Services, Ambulatory Services and Faculty Practices, Ancillary Units, Clinical Services, affiliates, and APeX Financial and Clinical Systems teams encompassing efficiency, quality and standardized revenue cycle performance, as well as, optimization of APeX revenue cycle patient access applications and back-end revenue cycle operational processes and systems across the clinical enterprise.
Responsibilities include business data quality review, performance monitoring, identification and analysis of patient access quality defects, training and education requirements, month-end data and reporting capture and metrics dashboard management. Additionally, this role is responsible for preparing reports and provides analyses in an accurate, comprehensive and timely manner to Revenue Cycle leadership. Also, assists director in the planning and development of financials and other applicable projects.
Bachelor's degree in Accounting, Finance, Business or four years of relevant experience. Five or more years of combined experience in any of the following areas: healthcare revenue cycle, finance, patient access, clinic administration/operations, revenue and A/R reporting, financial analysis, finance and audit. Healthcare revenue cycle management, analysis and reporting experience.
Experience in operation metrics, financial metrics or performance metrics. Proficient in use of MS Office applications (Word, Excel, Outlook, Access, PowerPoint, Visio). Prior experience working on healthcare systems like SMS, IDX, EPIC.
Demonstrated ability to determine the key risks that need to be addresses and develop action plans for director review that are multi-faceted in nature and include both business process and system components. In-depth knowledge of the practices, procedures, and concepts of the healthcare revenue cycle and its component operations, including billing, collections, charge capture, contractual adjustments, third-party reimbursements, and cash management.
In-depth understanding of the issues, processes, reporting instruments, metrics, dashboard design, and other tools and techniques involved with measuring and analyzing the revenue cycle. Advanced organizational and project management skills, and ability to lead a team, prioritize tasks, and see projects through from inception to completion on schedule. Advanced communications skills, with the ability to interpret and convey complex clinical finance information in a clear, concise manner.
Ability to prepare compelling and informative reports and presentations to all levels of staff and management. Advanced analytical and problem-solving skills, with the ability to evaluate the effectiveness of workflows and systems in revenue cycle program areas, to identify weaknesses and develop innovative solutions and process improvements. Advanced interpersonal skills, with the ability to collaborate effectively on highly complex projects in a team environment with a wide variety of business and clinical areas.
Strong ability to advise management, serving as a technical expert, providing proposals for improvement and guidance on regulatory changes and industry trends and developments in revenue cycle management. The ability to work onsite in Emeryville. Preferences: Advanced skills in report development, dashboard design, and various software tools specific to healthcare revenue cycle management.
Skills in common database, spreadsheet and presentation software. Understanding of revenue cycle processes, requirements and best practices, including Enrollment, Scheduling, Pre-registration, Registration, Patient Access Services, Financial Counseling, Charge Master, Coding, Charge Capture, Billing, Collections, Bad Debt, Payment Processing, Denial Management, Revenue Recognition and Accounts Receivable Finance Operations.
Familiarity with the role that Utilization Review, Case Management, HIMS and Compliance has on reimbursement. Experience in large consulting organizations. Thorough knowledge of Revenue Cycle experience.
Certification by a third party association that matches the related function or field.
Day shift