Manager, Revenue Cycle Analytics

BENEFITS

• UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:
• PPO medical plan, available day one at no cost for full-time employee-only coverage
• 100% coverage for preventive healthcare-no copay
• Paid Time Off, available day one
• Retirement Programs through the Teacher Retirement System of Texas (TRS)
• Paid Parental Leave Benefit
• Wellness programs
• Tuition Reimbursement
• Public Service Loan Forgiveness (PSLF) Qualified Employer
• Learn more about these and other UTSW employee benefits!
• EXPERIENCE AND EDUCATION Required
• Education Bachelor's Degree With an emphasis in finance, data analytics or accounting.
• Additional experience may be considered in lieu of education.
• Experience 5 years of healthcare financial management experience with revenue cycle operations and Must have progressive supervisory/management experience with extensive knowledge of Patient Financial systems and processes In depth knowledge of healthcare revenue cycle, payer contracts and applicable rules and regulations affecting reimbursement for healthcare services, strong understanding of scheduling, registration, charging, billing and collections.

Preferred

JOB DUTIES

• Demonstrate continuous performance improvement in targeted areas of responsibility in alignment with the overall annual Hospital performance improvement targets.
• Meets or exceeds financial goals and objectives of the department.
• Maintains an assortment of daily, weekly, monthly, quarterly and annual reports used to monitor Revenue Cycle performance.
• Supports review and analysis of daily/weekly/monthly reporting revenue cycle reporting reports to identify positive and negative trends affecting revenue cycle outcomes and operations.
• Assists in creating and monitoring models that link strategies to measures of performance (financial and non-financial).
• Oversee development and analysis of denial management reports to identify operational areas for improvement. Evaluates denied claim trends. Alerts management of changes in the number and type of denied claims received.
• Develops new reports to assist in Revenue Cycle strategic decisions and improve efficiency.
• Works with the contracting group and IR to QA build and implementation of all managed care contracts and fee schedules in Epic.
• Oversee analysis of routine reports to evaluate managed care contracts and conducts audits on products to monitor reimbursement and repricing changes.
• Partner with business directors and managers to review targeted areas and identify root cause in problem areas including but not limited to WQ volume, charge trending, RVU trending, charge lag and charge reconciliation.
• Collaborate with business directors and managers to review productivity and work queue volumes.
• Coordinate and schedule routine meetings with department managers to review key revenue cycle reports specific to their areas.
• Partner with MSRDP Finance Department, HB decision support and IR to develop new reports as needed for operations.
• Utilize third party tools to trend UTSW performance against industry standards and identify target areas for improvement.
• Serve as a resource to managers and directors regarding data needs.
• Oversee utilization and management of HB and PB dashboards in partnership with IR.
• Provide training as needed to managers and directors on reporting capabilities in Epic, third parties and other internal reporting resources.
• Maintains a high degree of confidentiality at all times due to access to sensitive information.
• Performs other duties as assigned.
• SECURITY AND EEO STATEMENT Security This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information. EEO UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.