Revenue Cycle Advisor

Responsibilities

Job Summary

The Revenue Cycle Advisor is responsible for working across the professional fee organization, monitoring the revenue cycle performance for dedicated medical specialties and providing recommendations for process improvement within United Business Office (UBO) operations and the associated revenue cycle processes. Responsibilities include but are not limited to: department metrics review, collaboration with front end resources and providers on upstream improvement, partnership with UBO resources on back end process improvement. The Revenue Cycle Advisor prepares reports, analyzes data, and presents revenue cycle results to the Director of Revenue Cycle and other United Business Office leaders (e.g., Associate Directors) and Department Program Administrators and Clinical Chairs. The Advisor is familiar with data analytics and understands key revenue cycle metrics in general and specific to a medical specialty and is adept at creating informational based narratives to guide and improve revenue cycle processes. The Revenue Cycle Advisor is required to have demonstrated knowledge and understanding of all aspects of billing office operations, including principles of staff management/supervision, office workflows, billing and collection operations, including compliance requirements as well as payer credentialing, contracting and reimbursement practices. The Revenue Cycle Advisor reports directly to the Director of Revenue Cycle Advisory. The Advisor should be comfortable working independently as well as collaborating effectively with other colleagues across multiple areas in order to collectively drive revenue improvements.

Key Functions and Expected Performances

With general direction of the Associate Director of Revenue Cycle Advisory and considerable latitude for initiative and judgment:

35% Drives revenue cycle results by effectively monitoring all billing and follow-up activities for specific URMFG medical specialties within established guidelines and production standards and escalating issues to ensure deficiencies are addressed and resolved. Partners with leaders at multiple levels across the UBO to ensure all teams adhere to established policies and procedures and identifies opportunities to influence UBO operations to improve medical specialty performance. Develops action plans to ensure opportunities are appropriately quantified, addressed and systematically improved.

15% Reviews standard organizational metrics and utilizes data from all sources to create reports to meet the needs of all internal and external customers. Uses knowledge and experience to analyze detailed operational and financial data to identify accounts receivable and reimbursement problems, underlying root causes, and other related issues in regular reporting to the Director and Department Administrators and Chairs. Meets with medical specialty program administrative and clinical leaders and finance team to discuss revenue cycle trends and central business office performance and review improvement action plan performance.

15% Develops detailed action plans to improve revenue cycle performance across multiple medical specialties/ departments. Meets with central revenue cycle leaders to understand revenue cycle trends and promotes initiatives to positively influence revenue performance for specific medical specialties. Coordinates improvement recommendations across all relevant UBO Managers and Associate Directors to drive department revenue results.

15% Monitors and assesses department clinical and front-end revenue cycle operations impacting specific medical specialties revenue cycle performance to identify opportunities for performance and process improvements. Provides a high level of problem solving to support continual change management and recommend ideas to UBO Director, UBO Associate Directors and impacted clinical department leaders and administrators; follows-up to ensure approved changes are implemented and associated revenue cycle metrics are positively impacted.

10% Reports regularly to Director of Revenue Cycle regarding financial and operational performance. Provides some assistance and support to Director by acting in a project management capacity by leading various initiatives impacting URMFG billing operations. Identifies issues and uses consultative ability to develop resolution strategies. Directs implementation of operations improvement measures.

5% Cultivates and maintains professional relationships with primary customers within area of responsibility including medical directors, physicians, physician groups, patients, clinic leadership, supply vendors and external entities to foster opportunities for revenue enhancement, enhanced customer service and to positively impact core clinic measures.

5% Keeps current on relevant areas of knowledge and acts as a resource to the department. Interprets and ensures compliance with regulatory standards and requirements; keeps abreast of regulatory requirements, professional standards and competitive industry practices, as well as organizational initiatives with potential to impact current operations; monitors impact on existing activities to maintain service levels and work quality.

May perform other duties as assigned.

The Revenue Cycle Advisor will be flexible and adaptable to perform their duties and attend meetings at multiple locations: remotely, in the UBO office, and at affiliate hospitals and other locations as needed. The Advisor should be able to establish and maintain a secure home office for working remotely.

Qualifications:

• Required:

1. Bachelors Degree and 5 years of related relevant experience; or equivalent combination of education and/or experience

2. Demonstrated organizational and problem-solving skills

3. Effective written and verbal communication skills

• Preferred:

1. Strong working knowledge of the professional billing software applications

2. 5 years billing office experience, at the management level

3. 2 years of experience building reports, interpreting data and developing recommendations for process improvement.

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

Location: Medical Faculty Group
Full/Part Time: Full-Time
Opening: Full Time 40 hours Grade 055 United Business Office
Schedule: 8 AM-4:30 PM