Full-Time

Associate Director Revenue Cycle Pre Authorization Unit

University of Mississippi Medical Center

University of Mississippi Medical Center

Academic medical center

No salary listed

Clinton, MS, USA

In Person

Bachelor's, Associate's

Category
Operations & Logistics
Required Skills
Quality Assurance (QA)
Customer Service
Data Analysis
Requirements
  • An Associate's or Bachelor's degree.
  • Five years of revenue experience, including two years of supervisory experience.
  • In-depth knowledge of large-group physician billing and government and other payer billing rules and regulations.
  • Verbal and written communication skills.
  • Organizational and analytical skills.
  • Ability to design and implement measures to increase productivity, maximize collections, attain or exceed accounts receivable goals and industry benchmarks, and improve customer service.
  • Ability to train, motivate, and supervise staff.
Responsibilities
  • Provide operations oversight of revenue-cycle billing and collection activities, ensuring functions align with strategic goals and meet or exceed peer-group benchmarks.
  • Design and implement measures to increase productivity and maximize cash flow by attaining or exceeding industry standards for accounts receivable management, pre-service financial clearance, customer service, cost containment, automation, and resource utilization.
  • Assist in establishing and implementing short- and long-range billing and collections goals and objectives; provide feedback to staff and implement policy and procedure changes needed to accomplish goals.
  • Review daily, weekly, and monthly reports and dashboards to identify trends and support performance improvement; perform monthly analysis of charge and collection activity volume and sources; recommend and implement measures to improve benchmarks and mitigate negative trends.
  • Monitor and ensure compliance with applicable regulations, contractual agreements, and billing policies; maintain current knowledge of governmental, legal, and regulatory provisions related to medical billing, practice management, and collection activity.
  • Review payer guidelines and policies and communicate changes to staff.
  • Establish and monitor performance goals and objectives for the assigned team; manage and oversee employee performance through training, coaching, and performance-improvement plans.
  • Perform quality checks to minimize billing errors and insurance denials or rejections; report quality and productivity results to upper leadership with performance-improvement plans.
  • Ensure teams have the tools, resources, training, and mentoring needed to support a high-functioning revenue cycle.
  • Recommend and establish policies and procedures supporting revenue-cycle functions, improvement initiatives, and regulatory compliance.
  • Ensure timely and thorough responses to account inquiries from internal and external customers using effective communication and customer-service practices.
  • Collaborate across the enterprise as part of the revenue-cycle leadership team.
  • Promote and ensure UMMC standards of professionalism across the team.
Desired Qualifications
  • Previous experience in revenue-cycle operations and billing or authorization.
University of Mississippi Medical Center

University of Mississippi Medical Center

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University of Mississippi Medical Center is Mississippi’s public academic medical center and health-sciences university. The institution operates hospitals, clinics, professional schools, research programs, and statewide health initiatives. It serves patients, students, families, clinicians, researchers, and communities throughout Mississippi. Its operating model centers on clinical care integrated with education, research, public service, and centralized university operations. Teams work across nursing, physicians, allied health, research, education, technology, facilities, and administration. Work depends on coordination among clinical, operational, technical, and support teams across its care settings and communities.

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