Job Information
UPMC Non-Clinical Manager, Revenue Cycle CCM in Pittsburgh, Pennsylvania
Purpose:
UPMC is hiring a Full-Time Non-Clinical Manager, Revenue Cycle CCM to support the Pre-Arrival department. This role will work Monday through Friday during normal business hours. A few hours on an occasional weekend may be required when new systems go live. The position will be a fully remote opportunity after training.
The Non-Clinical Manager, Revenue Cycle CCM will be responsible for the direct oversight of the day-to-day operations of the non-clinical authorization function of UPMC Revenue Cycle. They ensure that department operations are functioning optimally and that work distribution and workflow processes are operating efficiently and in accordance with all regulatory guidelines. The Manager will also be responsible for staff development as well as team attainment of quality and productivity goals.
Do you have prior supervisor or management experience? If so, this could be the next step in your career. Submit your application today!
Responsibilities:
Assist in the implementation and modification/creation of software to support areas related to scope of responsibility.
Ensure that all policies, procedures, job descriptions, reports and other documentation are properly maintained and issues addressed as required.
Prioritize work assignments as needed and adjust staffing to accommodate work volumes; provide guidance and assistance to staff in the completion of difficult duties/responsibilities and resolution of complex issues.
Monitor and support daily staff functions by establishing, maintaining and modifying work standards and productivity/quality tools in all areas related to scope of the Manager's responsibility.
Complete or direct the completion of all necessary human resource documentation and adhere to all human resources expectations.
Aggressively manage edit resolution processes and make improvements to minimize or eliminate.
Analyze data for trends and causative factors that promote or impede progression toward expected outcomes. Communicate identified trends to appropriate leadership.
Function as a resource person for authorization processes.
Assess and respond to organizational and customer needs with innovative programs to ensure customer satisfaction.
Utilize the core values as the basis for management making them part of the recruitment, orientation and training for associates (dignity, respect, caring, listening, responsibility integrity, excellence and innovation, quality and safety.)
Develop a high-performing team by identifying opportunities to enhance their knowledge and skills, providing training and mentoring, and promoting a collaborative team-focused work environment.
Communicate regularly and effectively with subordinates and superiors regarding the status and condition of the business operation under control of the Manager.
Perform other duties as assigned.
Bachelor's degree in Business, Nursing or other Healthcare related field preferred.
Five (5) years' experience in revenue cycle/care management/program development required.
Previous supervisory or management experience strongly preferred.
Ability to build credible and effective relationships with physician leadership.
Strong analytical skills.
Proficient in Microsoft Office Applications and analytical/reporting tools.
Keen understanding of clinical and revenue cycle processes.
Excellent communication and interpersonal skills.
Demonstrated leadership capabilities.
Strong quality/process improvement expertise.
Managed care and third party payor experience (required).
Denial Management experience (required).
Understanding of clinical and authorization/utilization review processes (required).
Licensure, Certifications, and Clearances:
- Act 34
UPMC is an Equal Opportunity Employer/Disability/Veteran