FOR INTERNAL HR USE ONLY - DO NOT APPLY - REVENUE CYCLE HC MANAGER 4 - EXECUTIVE DIRECTOR, REVENUE SERVICES

This position provides leadership oversight and management of patient access, financial clearance, authorization, billing and collections, medical coding, clinical documentation integrity, training, health information management, charge master management and revenue integrity services for UC Davis Health System, including hospitals, ambulatory services, professional clinical services of the Community Physicians Group, School of Medicine, and School of Nursing clinical faculty practice group.

Minimum Qualifications

• Masters degree in Business Administration, Health Administration or equivalent required.
• Experience working in a large academic medical center, ideally with a focus on both hospital and physician stakeholders.
• Experience in hospital and physician group revenue cycle operations, regulations and technology integration.
• Experience developing, implementing, and successfully achieving stated goals and objections of large-scale standardization and performance improvement initiatives.
• Experience in creating and leading teams in all aspects of leadership and department management to ensure set and meet near and long-term objectives.
• Ability to prioritize and delegate effectively to achieve high standards of productivity and quality.
• Excellent written and oral communication skills to convey oral and written information succinctly.
• Ability to think strategically and creatively to provide continued process improvement and enhancements to improve workflow and outcomes.
• Personnel and team building skills to recruit, retain and develop excellent staff.
• Organizational skills to determine workload priorities across multiple departments.
• Analytical and problem-solving skills to work to resolution on large scale initiatives across the health system.
• Understanding of Federal/State and Private Health Insurer regulations.
• Expert knowledge of healthcare revenue cycle operations, concepts, and policies with an in-depth understanding of related functions and issues, including coding, registration, billing, reimbursements, aging accounts, contractual adjustments, and charge capture.
• Exhibits advanced skills in developing and implementing strategic plans, facilitating workflow improvements, and organizing multi departmental operations. Highly developed skill in fiscal and resource management.
• Demonstrates expert leadership and managerial skills, with the ability to create and maintain a goal- oriented climate of teamwork and collaboration to ensure consistent achievement of targets and objectives.
• Exhibits expert analytical and critical-thinking skills to synthesize data and analyze complex problems then develop and apply innovative solutions.

Preferred Qualifications

• Certificates from Healthcare Financial Management Association or equivalent preferred as follows:
• Certified Health Financial Professional (CHFP)
• Certified Revenue Cycle Representative (CRCR)
• Certified Specialist Payment & Reimbursement (CSPR)
• Certified Specialist Physician Practice Management (CSPPM)
• Fellow of HFMA (FHFMA)
• LEAN Six Sigma

Key Responsibilities

• 40% - Leadership and Innovation
• 40% - Management and Performance Improvement
• 20% - Professional Development and Networking

Department Overview

The purpose of the department is to ensure that all clinical services rendered at UCDH patient are areas properly documented in the electronic medical record, billed and collected in compliance with all contractual terms with health plans and in compliance with all federal and state regulations.

Department Specific Job Scope

Position for the combined billing office management was created in 1996 with first incumbent in 1997. The Centralized billing offices continued until July 2018.

In July 2018, the original chance in scope was to include reference influence managing the revenue cycle. This included a major project to reform the Clinical Case Management and Utilization departments. The incumbent was also responsible for creating a process to facilitate change in the OR billing process to rectify a significant backlog in surgery charging.

The physical scope of work changed significantly in March 2019 with the move of HIM, Physician Coding, and Hospital Coding. Revenue Integrity teams were reorganized and strengthened in 2021. CCS authorization management duties were assumed in February 2020. Integration is underway to develop a system-wide front-end authorization group that will be part of the new Patient Contact Center.

POSITION INFORMATION

• Salary or Pay Range: $175700 - $429300
• Salary Frequency: Monthly
• Salary Grade: Grade 31
• UC Job Title: REVENUE CYCLE HC MGR 4
• Number of Positions: 1
• Appointment Type: Staff: Career
• Percentage of Time: 100
• Shift Hours: 8:00am to 5:00pm M-F
• Location: UCDHAS Building (HSP165)
• Union Representation: 99 - Non-Represented (PPSM)
• Benefits Eligible: Full benefits
• Hybrid/Remote/Onsite: This position is hybrid (mix of on-site and remote work)

Benefits

• 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. Learn more about the benefits below and eligibility rules by visiting either our handy Benefits Summary for UC Davis Health Employees or Benefits Summary for UC Davis Employees and our Benefits Page.
  
  If you are represented by a union, benefits are negotiated between the University of California (UC) and your union and finalized in a contract. Read your bargaining unit's employment contract, stay abreast of current negotiations and learn about collective bargaining at UC: https://ucnet.universityofcalifornia.edu/labor/bargaining-units/index.html
  
  High quality and low-cost medical plans to choose from to fit your family's needs
  UC pays for Dental and Vision insurance premiums for you and your family
  Extensive leave benefits including Pregnancy and Parental Leave, Family & Medical Leave
  Paid Holidays annually as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
  Paid Time Off/Vacation/Sick Time as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
  Continuing Education (CE) allowance and Education Reimbursement Program as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
  Access to free professional development courses and learning opportunities for personal and professional growth
  WorkLife and Wellness programs and resources
  On-site Employee Assistance Program including access to free mental health services
  Supplemental insurance offered including additional life, short/long term disability, pet insurance and legal coverage
  Public Service Loan Forgiveness (PSFL) Qualified Employer & Student Loan Repayment Assistance Program for qualified roles
  Retirement benefit options for eligible roles including Pension and other Retirement Saving Plans. More information on our retirement benefits can be found here
  UC Davis cares about building a community, which is why we provide resources to enhance diversity, equity and inclusion as well as Employee Resource Groups (ERGs) to support our staff

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
• Pushing/Pulling 0-25 Lbs - Occasional Up to 3 Hours
• Bending/Stooping - Occasional Up to 3 Hours
• Squatting/Kneeling - Occasional Up to 3 Hours
• Twisting - Occasional Up to 3 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

Special Requirements

This is a critical position, as defined by UC policy and local procedures, and as such, employment is contingent upon successful completion of background check(s), including but not limited to criminal record history background check(s).

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

Diversity, Equity, Inclusion and Belonging

At UC Davis, we're solving life's most urgent challenges to bring a fuller, healthier, and more resilient world within reach. We grow from every challenge we take on and we don't just maintain - we improve. We recognize that creating an inclusive and intellectually vibrant organization means understanding and valuing both our individual differences and our common ground. The most comprehensive solutions come from the most diverse minds and you belong here. As you consider joining UC Davis, please explore our Principles of Community, our Clinical Strategic Plan and strategic vision for research and education, and our latest efforts to outgrow the expected. The University of California, Davis is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status.

For the University of California's Affirmative Action Policy, please visit: https://policy.ucop.edu/doc/4010393/PPSM-20

For the University of California's Anti-Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination

Because we want you to be seen, our recruiting process at UC Davis fosters authenticity, diversity, and inclusion. Studies have shown that some people may not apply to jobs unless they meet every single qualification. Each unique role at UC Davis has a set of requirements and you could be perfect for this role, or you could be perfect for the next role! Don't meet all the requirements? We still encourage you to apply! #YouBelongHere