Rev Cycle Accts Rec/Reim Spec

Mission Statement

The University of Michigan Health System improves the health of patients, populations, and communities through excellence in education, patient care, community service, research, and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.

Responsibilities*

• Analyzes patterns and trends for avoidable write offs that are focused on front-line and clinical workflows. 

• Acts as a Revenue Cycle Project Manager for New Programs and Services 

• Conducts in-depth root cause analysis and summarizes detailed findings for leadership presentations. 

• Investigates mitigation strategies and proposes workflow, education, and technology related solutions to address systemic root cause.

• Leads projects to reduce Avoidable write offs for the AMC, UMH Sparrow and UMH West 

• Facilitates stakeholder meetings. 

• Conducts high-level problem solving with a focus on revenue, compliance, and operational impacts.

• Provides operational guidance to clinical operations and revenue cycle 

• Monitor's performance and summarizes quantitative and qualitative data to leadership. 

• Works collaboratively and creates partnerships with clinical and revenue cycle stakeholders. 

• Works with payers regarding policy changes or mishandling of claims that lead to write offs. 

• Provides education to clinical areas to improve outcomes on workflow, payers, process issues to mitigate write offs. 

• Leverages technology and software tools to manage and track progress.

• Partners with Regional IT to implement Epic build changes, functionality, and new workflows. 

• Partners with all Revenue Cycle operational divisions including Preservice, Mid-Service, Post-Service and Compliance as well as colleagues in Revenue Cycle Services.  

• Creates strong regional partnerships.

Required Qualifications*

• 5-8 years of project management, management, lead roles in process improvements or related experience in a revenue cycle operational area or health care industry setting 

• Bachelor's degree in health care, business or equivalent combination of education and experience 

• Strong leadership and interpersonal skills required 

• Advanced knowledge of clinical operations and revenue cycle operations with ability to translate information 

• Advanced knowledge in payer reimbursement and compliance guidelines 

• Excellent communication skills, demonstrated ability to communicate clear, concise, and accurate information both verbally and in writing

• Proven ability to solve problems creatively 

• Advanced knowledge of Epic clinical and revenue applications, reports, and system capabilities 

• Demonstrated ability to create project plans, complete projects according to outlined scope and timeline 

• Strong customer service skills 

• Demonstrated ability creating SBARs, power point slides, root cause analysis including recommendations and outcomes.

• Ability to lead meetings. 

• Ability to establish and nurture beneficial business relationships. 

• Self-motivated with a willingness to take initiative and solve complex problems 

• Capability to negotiate with and influence others 

• Strong analytical skills including demonstrated experience using Slicer Dicer and other reporting tools. 

• Ability to thrive in a demanding, high-pressure environment. 

• Flexibility, innovation, and creativity are necessary characteristics

• Desire to continuously learn and apply new improvement methodologies, and to spread successful innovation through the institution.  

• In-depth knowledge of hospital and professional billing processes including payer behavior

Desired Qualifications*

• Coding Certification 

• Project Management experience  

• Coding knowledge/experience with a variety of departments including Surgical Specialties, Pediatric Specialties, OBGYN and Emergency Departments 

• Experience with Tableau dashboards.

Modes of Work

Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes.

Underfill Statement

This position may be under filled at a lower classification depending on the qualifications/experience level of the selected candidate.

Application Deadline

Although the Posting End Date may indicate otherwise, this job opening may be filled and closed any time after a posting duration of seven calendar days.

U-M EEO Statement

The University of Michigan is an Equal Opportunity Employer. We are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants, including protected veterans and individuals with disabilities.