Revenue Cycle Manager, Utah State Hospital

United Trading Group; Orem (UT); In loco; USD 37.000 - 42.000; Tempo pieno

Vantaggi offerti da questo lavoro

Full benefits package

On-site work

Public sector pension

Descrizione del lavoro

Utah Department of Health and Human Services seeks a Revenue Cycle Manager to lead end-to-end revenue operations at the Utah State Hospital. You will optimize eligibility, benefits, coding, and claims processes to improve financial performance and support patient care.

The role requires certification in medical billing/coding and CMS knowledge, with strong analytical and communication skills for cross-functional collaboration in a public-sector setting.

Competenze

• Certification in medical billing/coding with CPT/HCPCS/ ICD-10-CM knowledge.
• Experience applying CMS manuals and instructions for billing.
• Strong familiarity with CMS-1500 and UB-04 claim forms.

Mansioni

• Oversee end-to-end revenue cycle operations and eligibility processes.
• Monitor claims activity, analyze payment trends and resolve issues.
• Coordinate provider enrollment with Medicare/Medicaid/commercial insurers.
• Prepare reports to support financial activities and ensure compliance.

Conoscenze

CMS billing knowledge

CMS guidelines interpretation

CMS-1500 & UB-04 proficiency

MS Office proficiency

Analytical & communication skills

Prioritization & multi-tasking

Formazione

AAPC/CPC/RHIA/RHIT/CCS certification

Strumenti

CMS forms

EHR systems

Descrizione del lavoro

Revenue Cycle Manager, Utah State Hospital

FT / PT Status – Full-Time

Benefits Eligibility – This position is eligible for a full benefits package.

Salary – $26.65 - $30.75 Hourly Wage

Remote Work / In-Office – In-Office / On-Site

Application Deadline – 10/13/2026*

*This job posting may close at any time after the minimum advertising period of three (3) business days has passed, should a sufficient applicant pool be received. Applicants are encouraged to apply as early as possible.

Are you a skilled medical billing professional passionate about making a meaningful impact in public health? The Utah State Hospital invites dynamic and detail-oriented financial leaders to apply for the Revenue Cycle Manager, Financial Analyst III, position. In this key role, you will lead end-to-end revenue operations, shape financial efficiency, and support exceptional care for our community. If you are ready to bring your expertise to a dedicated team, explore the details below.

Key Responsibilities

Day-to-day responsibilities of this position:

As the Revenue Cycle Manager at the Utah State Hospital, you will be responsible for:

• Managing end-to-end revenue cycle operations, including payer identification and verification, eligibility and benefits, authorization requirements, charge capture, diagnosis coding, claim submission, payer follow-up, payment posting, denial and appeals management, account reconciliation, and collections.
• Monitoring all claims activity, including analyzing payment trends, researching payer-specific discrepancies, underpayments, and other reimbursement issues, and implementing appropriate corrective actions.
• Coordinating and maintaining all provider enrollments with Medicare, Medicaid, and commercial insurance companies.
• Analyzing health and reimbursement data and preparing reports to support internal and external financial activities.
• Ensuring revenue cycle activities comply with applicable federal and state laws, regulations, agency rules, payer requirements, organizational policies, standards and guidelines, etc.
• Protecting patients' rights by maintaining confidentiality and security of medical, personal, and financial information.
• Exercising sound judgement and accountability for actions and decisions in daily work.

Qualifications

Minimum or day-one qualifications:

The ideal candidate hired for this position will have:

• Professional billing, coding, or health information management certification through AAPC or AHIMA, such as CPB, CPC, RHIA, RHIT, CCS, or equivalent, with demonstrated knowledge of CPT, HCPCS, and ICD-10-CM coding.
• Experience researching, interpreting, and applying Centers of Medicare and Medicaid Services (CMS) manuals, transmittals, change requests, and other guidelines for billing and coding.
• Strong working knowledge of CMS-1500 and CMS-1450/UB-04 claim forms.
• Familiarity with the National Correct Coding Initiative (NCCI), Local Coverage Determinations (LCDs), and National Coverage Determinations (NCDs).
• Strong computer skills, including Microsoft Office Suite.
• Excellent verbal, written communication, analytical, organizational, and problem-solving skills.
• Ability to learn quickly, build and maintain long-term professional relationships and work with minimal supervision.
• A strong ability to independently manage competing priorities and complex revenue cycle functions.

Preferred or trainable/on-the-job qualifications

• Revenue forecasting and projections
• Strategic planning for Medicaid, Medicare, and private insurance maximization

Supplemental Information

• Effective July 1, 2021, State of Utah Employees must either reside in Utah or be in the process of relocating to within 30 days of their start date.
• Please note, a position's eligibility for remote and/or hybrid work is established by agency management and is subject to change at their discretion, at any time and for any reason.
• Risks found in the typical office setting, which is adequately lighted, heated and ventilated, e.g., safe use of office equipment, avoiding trips and falls, observing fire regulations, etc.
• Typically, the employee may sit comfortably to perform the work; however, there may be some walking; standing; bending; carrying light items; driving an automobile, etc. Special physical demands are not required to perform the work.
• DHRM rules apply for promotions and transfers.

About the Role

Location – 1300 East Center Street
Provo, Utah, 84606
United States

Background Check Required – You must successfully pass a criminal history check.

Drug Test Required – No

Schedule Code – B - Competitive Career Service

Why You Should Join Our Team

In Utah, we believe hard work is important, but balance is essential. Finding work/life balance is a vital element to our culture.

• Job Stability: Enjoy the security and reliability of employment within a well-established organization.
• Career Growth: Develop valuable skills and gain opportunities for leadership within a large organization.
• Meaningful Work: Contribute to an important service that benefits the community and supports organizational goals.
• Supportive Work Environment: Be part of a team that values cooperation, strong work ethics, and mutual support.

The Agency

Become an integral part of the Utah Department of Health and Human Services (DHHS) and contribute to the vision of advocating for, supporting, and serving all individuals and communities in Utah; and ensuring all Utahns have fair and equitable opportunities to live safe and healthy lives. Help us achieve this through effective policy and a seamless system of services and programs.

EEO Statement

The State of Utah is committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. For accommodations, please contact [phone].