Billing Administrator

Rochester, NY

GENERAL PURPOSE:

With minimum direction and considerable latitude for decision-making, independently acts as the lead for billing, internal data, and report tracking, and data design. Collects, develops, and enhances data and finance reports for the Children’s Health Home. Analyzes and interprets highly complex data and financial information. Performs routine and non-routine duties requiring highly advanced data analyst skills and proficiency for Children’s Health Home Director and Care Manager Supervisor.

Analyzes situations, makes decisions affecting the outcome of Children’s Health Home activities, and re-directs others when appropriate. Efficiently handles requests regarding billing, revenue, data, and reports related to the Children’s Health Home Program and external care management agencies, including the Greater Rochester Health Home Network (GRHHN), Children’s Health Home of Upstate New York (CHHUNY), and others as needed.

Has oversight and development of tracking reports for non-salary-based transactions and provides reports monthly. Is aware of Children’s Health Home program requirements and conducts all work accordingly. Monitors and ensures that all functions are completed in an accurate, efficient, and customer-friendly manner. Demonstrates ICARE* values in each of the primary responsibilities.

JOB DUTIES AND RESPONSIBILITIES:

Billing Management (45%)

  • Provide billing and data analyst support Children’s Health Home Program. Responsibilities include designing and implementing customized data reports regarding Children’s Health Home activity.

  • Point of contact for any issues related to billing and payments received from Health Home Agencies (GRRHN & CHHUNY) or internally.

  • Manages receivables by observing trends, identifying problem areas, and directing actions to resolve deficiencies. Directs activities related to billing and collection. Ensures the accurate and timely processing of charges and related payments generated by physicians using expertise of third-party billing regulations and healthcare mandates. Ensures that

  • all regulatory requirements are met.

  • Ensures that internal controls are in place to safeguard accounts receivable records and the collection and application of cash.

  • Performs quality assurance monitoring to track timeliness and accuracy of posting, billing and collectionactivities to ensure standards are met.

  • Develops strategic initiatives related to billingfunctions.

  • Assists areas of responsibility with the resolution of billing and accounts receivable issues and maintains close liaison and positive relationships withstakeholders.

  • Assists with the preparation of the operating budget.

  • Develops, compiles, analyzes, and ensures the production of management reports regarding charges, collection, and accounts receivable. Develops and analyzes reports regarding care manager activity and reviews with the leadership team.

  • Reports regularly to supervisor regarding financialperformance.

  • Establishes and implements internal controls designated to provide an effective safeguard over practice revenue.

  • Develops, recommends, and implements financial policies and procedures relating to receivables.

  • Establishes and maintains effective working relationships with third- party representatives to ensure appropriate and timelyreimbursement.

Finance Management & Reporting (40%)

  • Develop and maintain reports for revenue from CHHUNY & GRHHN and any other outside agencies. Continually reviews requirements from CHHUNY, NYS, and GRHHN regarding payment structure changes and informs Director as needed.

  • Compiles and/or prepares reports, graphs, and charts of data analyzed. Makes presentations on areas of research or analysis.

  • Input of financial data in URGEM systems for accurate reporting.

  • Customizereports to measure and report on performance goals and objectives. Analyze data and identify drivers affecting outcomes.

  • Prepare reports monthly financial reports for Children’s Health Home regarding revenue received from Health Home Agencies (CHHUNY and GRHNN). Provide explanations and supporting data as needed.

  • Make day-to-day interpretations of financial transactions and attest to the integrity of reports.

  • Work closely with Administrative Assistant to track supplies, equipment, and other items for Children’sHealth Home. Provides regular reports for Associate Director.

  • Work withAccounts Payable and UniversityProcurement to ensure proper processing of finance forms.

  • Track program operatingexpenses.

Data Management & Reporting (10%)

  • Meets with project participants to help formulate project goals and determine protocols and information-gathering methods. Assist in the design, development, and programming of systems needed to meet optimum data presentation goals

  • Collaborates with the Children’s Health Home Quality group to analyze data, develop reports,identify trends, disseminateinformation, and strategize for quality improvement.

  • Responsible for tracking all data-related activity performed by the Children’s Health Home. Review reports, identify opportunities for improvement, and make recommendations to increase productivity and efficiency. Monitor changes and modifies based on outcomes.

  • Independently resolve day-to-day data management issues affecting Children’s Health Home reporting.

  • Provide reports as requested to the Department of Pediatrics, URMC, DSRIP, internal departments, and programs donors.

  • Develop and maintains databases for the program.

  • Maintains records and conducts correspondence with a variety of agencies and officials that provide a source of information(ePaces, Office of Inspector General, CHHUNY, and NYS)

  • Prepares reports and recommendations based upon analysis of informationgathered.

Other duties as assigned (5%)

  • Attend various departmental meetings as needed.

  • Perform ad hoc analyses and reports as requested

QUALIFICATIONS:

  • Bachelor’s degree required. A Master’s degree preferred, equivalent course work, or specialized experience in an appropriate field related to the assignment is desirable.

  • 3-5 years relevant experience, including at least two years at a managerial level. Demonstrated success as a leader with progressive

  • experience as a practice/division administrator.

  • Excellent oral and written communication skills. High levels of emotional intelligence. Ability to manage budgets in excess of

  • $5.0M, develop business proposals, analyze practice trends and staff efficiency. Knowledge of eRecord, McKesson Spotfire, URBudget, URFinancials, P2P, MAPP (Medicaid Analytic Patient Portal), NYS UAS System, URMC Workday,

  • BTQ Financial, NYS Health Commerce System, ePACES and GEMS preferred.

  • CLASP preferred

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

Pay Range: $ 58,800 - $ 82,300 Annually

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.

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