MANAGER, HOSPITAL REVENUE CYCLE in Chicago, Illinois at Sinai Chicago

About Us:

At Sinai Health System d/b/a Sinai Chicago, we take health care personally. Excellence in health care is about more than just medicine, technology, tests, and treatments, it is about really caring for people with dignity and respect. That is what we do. We are dedicated to providing the best care to meet the needs of people, for our community, for our patients and for you.

Position Purpose:

The Manager of Revenue Management plans, leads, guides, evaluates and manages the functions of Sinai Chicago Revenue Cycle. The position serves as the associate to the Vice President of Revenue Cycle. The position oversees the accounts receivable management activities, functions, and performance. This position is responsible for leading the efforts to achieve maximum efficiency and performance. Working collaboratively and in tandem with other leadership, this position will help facilitate best practice models and execute plans for standardization and performance improvement.

Key Job Activities:

• Provides oversight for all operations and functions of revenue management, accounts receivable management, charge reconciliation, claims management, denial management, collections, bad debt, and trend analysis.
• Leverages technology to ensure that automated solutions and applications support functional objectives. Identifies gaps and proposes solutions where necessary.
• Analyzes key metrics, ensures performance, quality and accuracy.
• Develops strategies to improve performance through workflows, software solutions, performance metrics, and payer communications.
• Supports strategic planning initiatives and participates in effective execution of planning relevant to functional area(s).
• Provides regular analysis of trends in the accounts receivables and provides suggestions for resolution of negative trends.
• Provides expert guidance on maximizing collections through data analysis.
• Evaluates vendor performance and ensures that performance meets or exceeds expectations in key categories.
• Advises management team/clinical departments of changes in industry and governmental regulations that impact physician billing and reimbursement.
• Serves as a subject-matter expert for Medicare and Medicaid billing, collections and bad debt.
• Maintains relationships with representatives of governments and other third-party payers to resolve billing problems and clarify policies.
• Serves on committees slated to improve processes, efficiencies, systems, technology, implement regulatory requirements, and problem-solving.
• Stays abreast of industry changes impacting the functional area and revenue cycle and identifies potential impact and required changes. Strives to promote best practices within the functional areas within the Revenue Cycle.
• Supports the mission established by the SHS relative to teamwork, professional responsibility, adaptability, integrity, customer service, initiative, and behavioral standards.
• Directs the Vendor Management Program in the Revenue Cycle; documents policies and workflows, and establishes reporting necessary for the success of the program, documents expectations, and current performance measures.
• Performs other duties as assigned.

Education and Work Experience:

• Bachelor's degree in Business Management or work equivalent
• 3+ years of experience with revenue cycle management
• 3+ years of experience working with hospital billing

Knowledge and Skills:

• Demonstrated ability to work effectively at all levels of the organization
• Demonstrated ability to learn and apply technical and regulatory rules
• Demonstrated ability to train and provide guidance
• Excellent communication and interpersonal skills
• Knowledge of hospital billing guidelines
• Knowledge of regulatory issues impacting hospital billing
• Knowledge of insurance company’s practice, regarding reimbursement and healthcare
• Understands data, how to find and use it
• Strong analytical and problem-solving skills
• Must be organizationally savvy; know how to get things done
• Must be detail-oriented
• Exceptionally strong interpersonal and relational skills, including listening, written and verbal
• Working knowledge of Microsoft Excel

Experience in EPIC and MEDITECH software systems