Special Selection Applicants: Apply by 03/22/2019. Eligible Special Selection clients should contact their Disability Counselor for assistance.
Under the general direction of the Director of System Patient Revenue Cycle, the Manager is an essential member of the Patient Revenue Cycle management team, and has primary responsibility for managing day-to-day operations of the Customer Service Call Center for hospital and professional self-pay accounts.
The Manager is an experienced revenue cycle professional who contributes to meeting departmental financial goals, complies with all Federal, State and other regulatory compliance requirements, promotes UCSD Health values and excellent customer service in his/her capacity of managing patient/guarantor inquiries or concerns about patient/family accounts, and responding to financial assistance needs.
The Manager provides input for development of and for managing to the revenue and expense budget. The Manager develops policies and procedures to promote efficient and effective management of patient accounts; compliance with UCSD Health policies; compliance with regulatory and contractual requirements; and high level of patient satisfaction.
The Manager recruits and hires staff, provides education and training for staff, and effectively manages staff productivity and job performance. The Manager contributes to and leads performance improvement initiatives to resolve problems and meet operational goals, including evaluation, selection, and implementation/optimization of information technology that supports the Patient Revenue Cycle and Customer Service Call Center operations. The Manager provides coverage for other Managers of Patient Revenue Cycle department, including Manager of Self-Pay Follow-Up and Collection and Manager Financial Assistance.
A Bachelor's Degree in business, healthcare administration or related area and/or equivalent experience/training.
Five (5+) or more years of relevant experience revenue cycle management experience incomplex multi-specialty setting, with extensive experience managing insurance eligibility and benefits coverage verification, pre-service authorization, patient account billing and collection, customer service, bad debt management and use of collection agencies, charitable care, payment plans and other financial assistance programs.
Demonstrated experience and proven success in organizational skills AND ability to effectively manage multiple priorities in a fast-paced environment.
Experience working with Epic Resolute Hospital and Professional Billing or similarbilling/collection software.
Experience effectively managing and resolving complex customer concerns and complaints.
Eight (8+) or more years of revenue cycle management experience preferred, and with both hospital and professional services patient account billing.
Experience leading or participating in significant performance improvement and technology enablement initiatives.
Experience with Epic Resolute Hospital and Professional Billing systems.
Experience managing union-represented staff.
Certified Professional Coder (CPC or CPC-H). Documented completion of coursework or any level of certification in Lean Six Sigma.
HFMA Certified Revenue Cycle Representative.
Must be able to work various hours and locations based on business needs.
Employment is subject to a criminal background check and pre-employment physical.
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