Revenue Cycle Accounts Receivable Manager

University Of Michigan - Ann Arbor, MI

Full-time - Mid Level

Hybrid - Ann Arbor, MI

Educational Services

About the position

We are seeking a Hospital Billing Manager to join our dedicated team of revenue cycle professionals for our Hospital Billing Team. The preferred candidate will have a working knowledge specifically with BCBSM, Blue Care Network, Commercial insurances and audit and appeal experience. Medicare background also helpful. This position reports to the unit Director and is responsible for independently planning, managing, and coordinating Account Receivable Billing and Follow-up activities for Facility claims. We are in search of a highly motivated individual who, under indirect supervision, is responsible for independently planning, managing, and coordinating Account Receivable Billing and Follow-up activities. The role involves recommending, developing, and implementing policies, programs, and system enhancements to improve the financial and operational performance of the unit. Additionally, the manager will monitor and assess daily workflow, utilize Lean Thinking principles, and maintain strong relationships across Revenue Cycle Departments and Payer Representatives. The mission of Michigan Medicine is to improve the health of patients, populations, and communities through excellence in education, patient care, community service, research, and technology development, guided by our Strategic Principles. The Revenue Cycle Post Service Hospital Billing Unit is a goal-oriented, highly collaborative team environment where proven leadership skills are essential. The ideal candidate will assist team members in reaching their highest potential while utilizing their leadership, billing, and system knowledge to achieve unit key indicators. Continuous process improvement is a core value, and we are looking for someone who thrives in a team that gets things done.

Responsibilities

• Provide leadership to the unit while maintaining responsibility for the unit workload, establishing priorities and redistributing work among team members as necessary.
• Understand and provide expertise in facility accounts receivable.
• Respond to complex inquiries regarding insurance billing and follow-up from staff and other customers of the unit.
• Identify, resolve, and communicate problems and barriers to the Director.
• Lead staff in Lean Thinking process for daily work initiatives.
• Engage staff/team members in identifying and creating solutions to problems.
• Select, train, educate/develop, evaluate, and discipline staff.
• Develop and implement strategies for improved staff performance, engagement, and overall unit outcomes.
• Act as a representative in departmental and institutional committees with authority to make decisions for the unit.
• Model, support and reinforce a culture of service excellence to patients and families, internal colleagues, and external customers.
• Work with billing unit staff and payer representatives to facilitate resolution of reimbursement issues.
• Coach and mentor supervisors and staff to achieve compliance with both productivity benchmarks and quality standards.
• Assure compliance with institutional goals, objectives, policies, standards, and guidelines.
• Demonstrate personal integrity, enthusiasm, and empathy to internal and external customers.
• Commit to team development, communication, and quality improvement throughout the Hospital Billing process.
• Demonstrate knowledge of UMHS and Michigan Medicine HIPAA privacy standards and ensure compliance with system PHI privacy practices by self and staff.

Requirements

• Bachelor's degree in Health Administration, Business Administration, or an equivalent combination of education and experience.
• Three or more years of progressively responsible administrative supervisory experience in a hospital or physician billing management setting necessary.
• Demonstrated expertise in cross-departmental and hospital billing policies, third-party payer processes, and regulatory and accreditation requirements.
• Knowledge of EPIC Billing system.
• Familiarity with Lean practices, quality improvement initiatives, and work planning procedures.
• Able to effectively manage a team composed of direct and indirect reporting relationships.
• Able to communicate effectively with team members and management.
• Detail-oriented, good organizational skills, analytical, strong problem solving/investigative skills, and ability to be self-directed.
• Ability and willingness to exhibit behaviors consistent with standards of performance improvement and organizational values.

Nice-to-haves

• 5 years of progressively responsible administrative supervisory experience in a hospital or physician billing management.
• Knowledge of insurance contracts.
• Experience with payer reimbursement methodologies (Medicaid, Medicare, and Commercial) preferred.
• Knowledge of Assurant, Availity, and Waystar clearinghouses.
• Knowledge of University policies and procedures.
• Coding or other certification such as CPC, RHIT, or RHIA.

Benefits

• Health insurance
• Dental insurance
• Vision insurance
• Flexible schedule
• Generous Paid Time Off (PTO) and paid holidays
• Remote, On-site, Hybrid work options / Flexible work hours