Billing and Revenue Cycle Information Systems Manager

University of California; California; Remote; USD 116,000 - 255,000; Full time

Job summary

An established industry player is seeking a Billing and Revenue Cycle Information Systems Manager to lead critical processes and technologies within their organization. This role requires a blend of expert healthcare billing knowledge and strong leadership skills to guide cross-functional teams. You will oversee projects that enhance operational business systems, ensuring compliance with regulations while driving efficiency and effectiveness in revenue cycle services. The position offers the chance to make a significant impact in a dynamic environment that values innovation and collaboration. If you are passionate about healthcare and technology, this opportunity is perfect for you.

Benefits

Comprehensive health benefits

Flexible work schedule

Professional development opportunities

Retirement plan options

Employee wellness programs

Qualifications

• Bachelor's degree required; experience in healthcare billing and management.
• Expertise in hospital billing systems and reimbursement methodologies.

Responsibilities

• Lead and manage analyst teams for billing and revenue cycle processes.
• Monitor and implement changes for revenue integrity and cycle services.

Skills

Healthcare billing knowledge

Management skills

Analytical abilities

Interpersonal skills

Leadership skills

Problem-solving abilities

Communication skills

Organizational skills

Education

Bachelor's degree in a related field

Tools

Healthcare information technology

Clinical information systems

Job description

Billing and Revenue Cycle Information Systems Manager

This Billing and Revenue Cycle Information Systems Manager is a key leader in critical Billing Revenue Cycle processes and technologies. These core functions are mission critical to UC Davis enterprise wide. The incumbent manages and provides oversight of projects that cross multiple units and cross-functional teams comprised of high-level professionals who will need their guidance, leadership, and support. Provide guidance to analysts and business managers, and also meet with the decision makers, systems owners, and end users to define, develop, and implement operational business systems and technologies within and outside the Patient Revenue Department. The position will work with full independence and decision-making responsibility.

As a manager and leader, this position will continually monitor and evaluate the progress and design and implement changes as deemed necessary to revenue cycle and revenue integrity programs and services. This position will lead, manage, and guide the analyst teams on how to exercise initiative, originality, and independent judgment in applying established principles and practices to new and unusual issues and problems. Responsible for UC Davis Health revenue services, requests, regulatory requirements, 3rd party solutions, billing system, and integrated technologies.

This manager and leader will continually monitor and evaluate the progress and design and implement changes as deemed necessary for revenue integrity/cycle services. This position will lead, manage, and guide the analyst teams comprised of 17 FTEs to exercise initiative, originality, and independent judgment. Position will act as a leader, mentor, and oversight to other analysts and project leads within the department.

Manager responsible for the accurate electronic process and system management of charges and payments.

Department Overview

The Revenue Integrity & Health Information Management Enterprise Services (RIHIMES) Team strives to achieve the highest customer satisfaction level by providing a well-documented, accurate, timely medical care record for continuing patient care, research, teaching, reimbursement, and community service. Its primary purpose is to serve our patients by facilitating treatment, research, reimbursement, and education based on a well-documented medical record. Revenue Integrity (RI) program and services at UCD implement a methodology to efficiently manage revenue and align staff, projects, processes, and technology to accurately assure optimal reimbursement for clinical services rendered at the University of California, Davis Health.

Minimum Qualifications - For full consideration, applicants are encouraged to upload license and/or certification if required of the position

• Bachelor's degree in a related field and/or a combination of experience, education and/or training.
• Excellent ability to collaborate with senior management and executive-level staff, to develop and implement objectives, goals, budgets, strategic plans, policies, and priorities, and to measure and evaluate operations in conjunction with them.
• The position requires expert level healthcare billing knowledge, expert management skills, expert analytical abilities, and expert understanding of hospital and professional fee billing systems, operations, and reimbursement methodologies.
• Expert Healthcare billing knowledge includes but is not limited to all State and Federal program guidelines for hospital and professional programs of Medicare, Medi-Cal, CCS, Healthy Families, Campus, County Indigent programs. In addition, it includes a working knowledge and understanding of all managed care billing and reimbursement methodologies and the system requirements for each.
• Understanding of systems structures and best approach to design, integrate, use and support to reach maximum results with greatest efficiency. Ability to analyze and project billing impact of system changes.
• Ability to analyze and interpret standards including CMS, OHS, Title 22, UCDHS policies and procedures to ensure coding/charging is in compliance.
• Knowledge of business, management principles, and budget control.
• Ability to interpret statistical data and compile reports for management.
• Excellent interpersonal and communication skills. Ability to express ideas assertively, clearly, and concisely both orally and in writing. Ability to build strong working relationships across all levels of management, staff, faculty, and outside entities.
• Strong leadership and management skills to provide planning, coordination, and direction to departmental staff.
• Ability to develop and implement new proposals and programs. Ability to streamline processes in order to more effectively and efficiently oversee coding and charging activities in the Health System.
• Ability to be highly organized and delegate assignments to staff effectively.
• Knowledge of priority setting strategies, strong problem-solving abilities, and an adeptness at initiating actions for effective conflict resolution.
• Ability to exercise exemplary tact and diplomacy when dealing with high-level internal and external executives, faculty, and outside entities.
• Proven ability to transition between projects and multi-task while managing multiple short-term and long-range projects.
• Excellent presentation skills and prior experience in creating and presenting complex information to diverse audiences including clinicians, executives, and executive staff.
• Must be able to manage both confidential and routine matters with discretion.
• Must be knowledgeable of Institutional goals, principles, and practices of management. Must be able to function effectively and collaboratively within the dynamics of a complex academic medical center.
• Excellent communications skills to convey complex information clearly and concisely to all levels of staff and management, with the ability to motivate, influence, and persuade others, and cultivate a strong commitment to efficiency, functionality, and quality customer service.
• Thorough knowledge of healthcare information technology, medical terminology, and of all relevant clinical information systems, with a strong understanding of the application of computational tools to enhance and improve clinical practice.

Key Responsibilities

• 45% - Billing, Revenue Cycle and Revenue Integrity Data Quality Enterprise Services Manager
• 40% - Billing, Revenue Cycle & Revenue Integrity Info Systems Enterprise Services Manager
• 15% - Revenue Integrity & BSS Staff Development, Education and Mentorship Manager

POSITION INFORMATION

• Salary or Pay Range: $116300.00 - $254700.00
• Salary Frequency: Monthly
• Salary Grade: Grade 27
• UC Job Title: BUS SYS ANL MGR 2
• UC Job Code: 000655
• Number of Positions: 1
• Percentage of Time: 100
• Shift (Work Schedule): day
• Union Representation: 99 - Non-Represented (PPSM)
• Benefits Eligible: Yes
• This position is 100% remote

Outstanding benefits and perks are among the many rewards of working for the University of California. UC Davis offers a full range of benefits, resources, and programs to help you bring your best self to work, as well as to help you and your family achieve your health, wellness, financial, and career goals.

Physical Demands

• Standing - Occasional Up to 3 Hours
• Walking - Occasional Up to 3 Hours
• Sitting - Frequent 3 to 6 Hours
• Lifting/Carrying 0-25 Lbs - Occasional Up to 3 Hours
• Lifting/Carrying 26-50 lbs - Never 0 Hours
• Lifting/Carrying over 50 lbs - Never 0 Hours
• Pushing/Pulling 0-25 Lbs - Occasional Up to 3 Hours
• Pushing/Pulling 26-50 lbs - Never 0 Hours
• Pushing/Pulling over 50 lbs - Never 0 Hours
• Bending/Stooping - Occasional Up to 3 Hours
• Squatting/Kneeling - Occasional Up to 3 Hours
• Twisting - Occasional Up to 3 Hours
• Climbing (e.g., stairs or ladders) - Never 0 Hours
• Reaching overhead - Occasional Up to 3 Hours
• Keyboard use/repetitive motion - Frequent 3 to 6 Hours

Mental Demands

• Sustained attention and concentration - Frequent 3 to 6 Hours
• Complex problem solving/reasoning - Occasional Up to 3 Hours
• Ability to organize & prioritize - Frequent 3 to 6 Hours
• Communication skills - Frequent 3 to 6 Hours
• Numerical skills - Occasional Up to 3 Hours
• Constant Interaction - Frequent 3 to 6 Hours
• Customer/Patient Contact - Frequent 3 to 6 Hours
• Multiple Concurrent Tasks - Frequent 3 to 6 Hours

UC Davis is a smoke and tobacco free campus effective January 1, 2014. Smoking, the use of smokeless tobacco products, and the use of unregulated nicotine products (e-cigarettes) will be strictly prohibited on any UC Davis owned or leased property, indoors and outdoors, including parking lots and residential space.

Special Requirements

• This is a critical position, as defined by UC Policy and local procedures, and as such, employment is contingent upon clearing a criminal background check(s) and may include drug screening, medical evaluation clearance and functional capacity assessment.
• This position is designated as a mandated reporter under CANRA and UC policy, and employment is contingent on compliance with applicable policies, procedures, and training requirements.

Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.

A Culture of Opportunity and Belonging

At UC Davis, we’re committed to solving life’s most urgent challenges and building a healthier, more resilient world. We believe in growing through every challenge, continually striving to improve, and welcoming new perspectives that strengthen our community. We recognize that a vibrant and innovative organization values both individual strengths and shared purpose. The best ideas often emerge when people with different experiences come together.

The University of California, Davis, is an Equal Opportunity Employer. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, or protected veteran status.