The Revenue Cycle Manager (RCM) within Hospital Accounts Receivable Management (P/HARM) division within Patient Financial Services (PFS) will be responsible for planning, coordination and management of all aspects of revenue cycle management operations and projects for an area(s) within P/HARM. A main focus area of responsibility will be the Hospital Medicaid/MCO area. The RCM will have responsibility for supervising 2-5 front-line supervisors, each with additional direct staff report and will manage and direct revenue activities in the following areas:
- Plan, coordinate and manage the operations of multiple insurance and billing follow up business units including the University of Iowa Physicians (UIP) and UIHC departments.
- Serve as liaison to Hospital Departments, Clinical Departments, third party payers, and external vendors.
- Drive excellence in all areas of operations by focusing on People, Quality, Service, Financials, Growth and Employee Motivation. Define and track key performance measures, monitor progress, and consistently deliver results.
- Design, test, and implement work processes and technology to promote automation and to increase process efficiencies.
- Develop and implement new procedures and workflow to enhance cash collections for services rendered by clinical departments.
- Monitor statistical data including payer denial data in order to recommend and implement operational procedures and protocols to improve services, reduce costs, decrease days of revenue, and increase cash flow.
- Schedule and assign all supervisory and clerical staff in the assigned areas ensuring staffing levels are maintained to provide timely and accurate follow-up.
- Develop, implement and monitor staff performance standards including development of motivational incentives within established institutional and state guidelines.
- Develop and present to PFS Leadership and UIHC Administration on critical topics tied to revenue management.
- Assist in planning, developing and implementing computer applications, upgrades to billing system, Epic workflows and other bolt-on software products.
- Assist Associate Director with compilation and preparation of special and periodic statistical and financial reports for the Director of Patient Financial Services, Clinical Department Administrators, Clinic Department Executive Officers, as well as College of Medicine and Hospital Administration.
- Perform human resource functions including interviewing, selection, training, performance evaluation, salary determination, promotion and disciplinary action.
- Work closely with the PFS Training Department to create training curriculums and communicate areas of training needs specific to the P/HARM staff.
- Respond to inquiries and complaints from patients, clinical and hospital staff, and public; determine escalation of patient accounts to upper management.
- Assist P/HARM Associate Director in the establishment of annual operating budgetary needs for designated departments and monitor performance to achieve targeted levels of fiscal performance.
- Assist in negotiating and monitoring contracts with external vendors.
- Coordinate with Strategic Relations and other University departments to request bids for contracted services and to manage the implementation of services once the supplier is awarded the contract.
The information contained herein is not intended to be an exhaustive list of all responsibilities and qualifications required of individuals performing the job.
***Please note: Five (5) professional references will be required at a later step during the hiring process.