Manager, Billing & Insurance at UPMC

Pittsburgh, Pennsylvania, United States -

Full Time

Start Date

Immediate

Expiry Date

06 Mar, 26

Salary

0.0

Posted On

06 Dec, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Billing, Insurance, Process Improvement, Leadership, Analytical Skills, Communication, Time Management, Customer Service, Relationship Management, Problem Solving, Revenue Cycle, Payer Management, Project Management, Staff Development, Confidentiality, A/R Reserve Process

Industry

Hospitals and Health Care

Description

UPMC Revenue Cycle is hiring a Manager for Billing and Insurance to join our team. This role will work Monday through Friday during business hours with a hybrid work-from-home schedule. This role will be based out of the Quantum One Building in Pittsburgh, PA. In this role, you will be responsible for all Insurance Discovery Related Vendor work. The Manager is responsible for developing and implementing process changes that result in the reduction of cost and process improvement in the net revenue. The Manager will provide direct support, education and functional oversight as well as serve as a direct support to Senior Leadership. The Manager must be a highly motivated leader and be able to function in a high-pressure environment and lead the staff through the problem. The Manager will maintain a results-oriented profile to effectively manage staff and systems to access, identify, report, and resolve the system business issues/needs. Must be extremely dependable, professional, have strong interpersonal skills, be an excellent communicator, maintain the ability to prioritize the workload, and constantly develop the staff. The Manager must also be able to minimize the risk to UPMC and constantly be working towards process improvements to minimize problems. Responsibilities: Perform on-going analysis to ensure manual processes are minimized and electronic/automated processes are implemented to lead to lower cost and improved net revenue. Lead the implementation of new and existing initiatives and workflows for process improvements while tracking measurable results. Manage special projects and assignments related to departmental needs and priorities as assigned by leadership. Develop and maintain relationships with leadership, payers, facilities, practices, and other outside professionals and promote a positive customer service environment. Monitor department’s productivity, quality and outcomes to support the overall department goal of lowering cost and improving net revenue Perform ongoing reviews of processes, market trends and payer/regulatory changes to identify opportunities for process improvement for optimal performance, enhancement of patient satisfaction and keep the institution from any risk-related issues. Provide reporting and analysis to executive management, and ensure all metrics are monitored appropriately. Consults with Executive management and leadership on all facets of the department, including regulatory and payer benchmarks Ensures timeliness and accuracy of the processes performed for third-party claim submission and billing, ensuring it results in patient satisfaction, maximum collections/reimbursement and optimal revenue cycle and financial performance. Manage the Insurance Collections of new acquisitions as they transition onto Epic/Medipac. Ensuring, effective and timely cash flow, perform analysis of issues/concerns, participate in identifying and implementing resolutions; as well as, serve as a Revenue Cycle liaison for our implementation team and the departments for insurance related issues. Bachelor's degree and 2 years of relevant experience, OR High School diploma or equivalent and 4 years of relevant experience required. Previous supervisory or management experience required. Strong automated billing and health care accounts receivable management experience. Strong analytical skills utilizing PC-based software applications are required. Organization and time management skills. Ability to develop and maintain a working environment conducive to the education and training of staff. The incumbent must develop and manage relationships with colleagues in a professional, independent manner. The position requires the ability to maintain confidentiality with regard to all assignments. Must possess analytical problem-solving skills as well as the ability to coordinate the work of others and communicate effectively with all levels of management. Ability to manage multiple payers. Must possess qualities to lead payer/vendor meetings Working knowledge of A/R reserve process Licensure, Certifications, and Clearances: Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

Responsibilities

The Manager will oversee all Insurance Discovery Related Vendor work and implement process changes to reduce costs and improve net revenue. They will also provide support and education to staff while managing relationships with leadership and external professionals.