REVENUE CYCLE HC MGR 1

Department Overview

The Chancellor of the University of California, San Francisco (UCSF) through the Dean of the School of Medicine at UCSF (UCSFSOM) established the SFGH Clinical Practice Group (CPG) and delegated to the CPG the authority to negotiate and manage managed care and third party contracts for clinical services at SFGH. The Clinical Practice Group (CPG) Business Office is responsible for all aspects of the UC physician's professional fee billing and 

managed care activities at San Francisco General Hospital. This includes all 24 SFGH departments and one off­site clinic. The Business Office processes a total number of 678,000 line charges per year consisting of $240M in billed charges.

Job Function Summary

Involves revenue cycle functions for the healthcare enterprise, including system billing, reporting and support. Ensures account information contains accurate and comprehensive data to provide timely billing and optimal reimbursement for services. Impacts processes to include charge capture, coding, insurance identification, data entry, billing, payment posting, refund processing and collections. May also be responsible for / integrated with business office operations.

Generic Scope

Spends the majority of time (50% or more) achieving organizational objectives through the coordinated achievements of subordinate staff. Establishes departmental goals and objectives, functions with autonomy. Manages the accountability and stewardship of human, financial, and often physical resources in compliance with departmental and organizational goals and objectives. Ensures subordinate supervisors and professionals adhere to defined internal controls. Manages systems and procedures to protect departmental assets.

Custom Scope

Coordinates and implements revenue cycle management functions. (Does not include oversight of business office functions.) Monitors effectiveness and recommends improvements to workflows, procedures and technology. Erroneous decisions or failure to adhere to objectives results in additional costs and serious delays in overall schedules.

 

Knowledge, Skills and Abilities Req / Pref Strong knowledge of healthcare revenue cycle operations, concepts, and policies and their impact throughout the organization, with an in-depth understanding of related functions and issues, including coding, registration, billing, reimbursements, aging accounts, contractual adjustments, and charge capture Req Strong project management skills with the ability to organize, manage multiple priorities, meet deadlines, and delegate assignments efficiently Req Demonstrated leadership and managerial skills, with the ability to create and maintain a goal-oriented climate of teamwork and cooperation across departments for effective problem solving, conflict resolution, support for organizational values, and consistent achievement of targets and objectives Strong critical-thinking, project-management, and problem-solving skills, with the ability to troubleshoot, analyze, and interpret complex data and systems, to quickly identify problems and implement solutions Req Ability to work effectively with leadership on establishing operational goals and providing for technological upgrades, tools and systems to maximize revenues Req Strong written, verbal, and interpersonal communications skills to prepare and present reports and convey complex information and instructions in a clear, concise, and specific manner Req Ability to cultivate a strong commitment to quality, teamwork, collaborative problem-solving, and achievement of objectives Req Strong knowledge of metrics, analytics, and data synthesis in healthcare revenue cycle management and their use to identify trends, produce reliable forecasts and projections, and create reports, dashboards, and presentations Req Strong knowledge of all relevant of all relevant information technology, including systems, tools, applications, processes, and methodologies Req