Program Manager - Revenue Integrity

Universal Health Services; Tredyffrin Township (Chester County); On-site; USD 110,000 - 140,000; Full time

Benefits offered by this job

Competitive Compensation

Excellent Medical, Dental, Vision and药

Job summary

Universal Health Services, Inc. seeks a Revenue Cycle Program Manager to optimize net revenue realization, cash collections, and denials management across facilities.

You will lead audits, collaborate with registration, billing, coding, and denials teams, and drive process improvements while ensuring regulatory compliance and charge integrity.

Qualifications

• 8–10 years of relevant Revenue Cycle experience.
• Degree in business, finance, healthcare administration, health information management, or similar.
• Healthcare compliance, health information, inpatient medical billing and coding experience preferred.

Responsibilities

• Monitor and interpret regulatory and payer requirements; create communications, trainings, and policies.
• Perform and coordinate revenue integrity audits; develop action plans and remediation.
• Support implementation and maintenance of revenue cycle software and tools.
• Communicate CDM maintenance to clinical departments and IT staff; implement changes.
• Respond to internal and external audit requests promptly.
• Provide guidance and mentorship to junior team members.
• Generate reports on revenue cycle metrics and analyze trends.
• Perform other duties as assigned.

Skills

Revenue Cycle expertise

Stakeholder coordination

Regulatory compliance knowledge

Microsoft Office proficiency

Education

Bachelor's degree in business/finance/healthcare administration/Health Information Management

Tools

Microsoft Office Suite

Patient accounting system

Job description

Responsibilities

Headquartered in King of Prussia, PA, Universal Health Services, Inc. (NYSE: UHS) is one of the nation’s largest and most respected providers of hospital and healthcare services. Since our founding in 1979, UHS has grown steadily into a premier Fortune 500® corporation perennially recognized by multiple esteemed national rating entities. Through its subsidiaries, UHS operates inpatient acute care facilities, inpatient behavioral health facilities, outpatient and other facilities, nationwide virtual behavioral health services, an insurance offering, a physician network and various related services with physical locations in the U.S., Puerto Rico, Ireland and United Kingdom. www.uhs.com.

The Corporate Revenue Cycle Department is seeking a dynamic and talented Program Manager - Revenue Cycle - Revenue Integrity.

As a Revenue Cycle Program Manager, you’ll be responsible for assessing current revenue cycle processes and workflows; identifying areas for efficiency and effectiveness enhancements, collaborating with teams (e.g., registration, billing, charging, coding, collections, and denials management) to streamline processes, reduce and recover denials, and optimize cash flow; and analyzing and monitoring revenue cycle metrics to identify trends, variances, and opportunities for improvement.

Revenue Cycle Program Managers are experts in the subject matter and possess a comprehensive understanding of Revenue Cycle operations. Program Managers operate independently to analyzes accounts receivable and ensure maximization of net revenue realization, stable cash collections, avoidance of denials and measured reduction to bad debt. Program Managers act as liaisons between central billing offices, facilities, and other stakeholders.

The Revenue Integrity Program Manager serves as a leader and subject matter expert for revenue integrity operations by optimizing revenue, supporting clinical and other colleagues in optimizing accurate charge capture, interpreting government regulations and payer requirements, and maintaining the chargemaster. The Revenue Integrity Program Manager oversees projects, implements best practices, educates users on processes and vendor products, and recommends actionable improvements. Revenue Integrity Program Managers also serve as a liaison to the Central Business Offices and facilities to support continuous process improvement and compliant revenue maximization.

Key responsibilities include:

• Monitors, reads, interprets, and disseminates regulatory and payer requirements to identified parties timely through the creation of communications, trainings, and policies
• Performs and/or coordinates revenue integrity audits to verify adherence to policy, regulatory guidance and industry standards, analyzes audit findings to create action plans, and coordinates efforts for remediation as needed
• Supports the implementation and maintenance of revenue cycle management software and tools based on end user requests and regulatory guidance
• Communicates CDM maintenance activities to clinical departments and information systems staff to implement necessary changes that affect charge identification, capture, reconciliation, and claim processing
• Responds to internal and external audit requests in a timely manner
• Provide guidance, coaching, and mentorship to junior team members
• Generates reports related to revenue cycle metrics, such as CDM accuracy, charge capture, claim denials, write-offs, and payment delays, and assist in analyzing trends
• Performs all other duties as assigned/required

Qualifications

Experience & Knowledge: A Revenue Cycle Program Manager should have a minimum of 8-10 years of relevant experience and a college degree in business, finance, healthcare administration, health information management, or similar. A Program Manager should have demonstrated experience working in a patient accounting system, coordinating diverse stakeholders, improving Revenue Cycle operations, and utilizing pattern analytics and industry best practices to enhance systems and operations.

A highly qualified candidate should have experience with healthcare compliance, health information, inpatient medical billing and coding, and healthcare regulatory operations. Medical coding certification (e.g., CPC, CCS) is strongly preferred.

Significant Revenue Cycle experience (i.e., 5+ years in addition to the minimum) might be accepted in lieu of certain college education requirements.

A qualified candidate should have strong professional written and verbal communication skills, proficiencies in Microsoft Office tools (e.g., Word, Excel, etc.), and the ability to meet deadlines and multitask.

Travel Requirements:

Up to 15% domestic travel dependent on business need

This opportunity provides the following:

• Challenging and rewarding work environment
• Growth and development opportunities within UHS and its subsidiaries
• Competitive Compensation
• Excellent Medical, Dental, Vision and Prescription Drug Plan
• 401k plan with company match
• Generous Paid Time Off

*UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owned subsidiary of Universal Health Services, Inc. Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its management company, UHS of Delaware, Inc. All healthcare and management operations are conducted by subsidiaries of Universal Health Services, Inc. To the extent any reference to "UHS or UHS facilities" on this website including any statements, articles or other publications contained herein relates to our healthcare or management operations it is referring to Universal Health Services' subsidiaries including UHS of Delaware. Further, the terms "we," "us," "our" or "the company" in such context similarly refer to the operations of Universal Health Services' subsidiaries including UHS of Delaware. Any employment referenced in this website is not with Universal Health Services, Inc. but solely with one of its subsidiaries including but not limited to UHS of Delaware, Inc.

UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHS via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

Avoid and Report Recruitment Scams

We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.