The Manager of Clinical Revenue Operations Cycle is a full-time, 12-month position that is responsible for overseeing the comprehensive revenue cycle management process for clinical programs within the university. This role ensures optimal financial performance through strategic planning, operational excellence, and regulatory compliance while supporting the university's academic mission and development goals.
The position reports to the VP of Financial Affairs and University Development, and oversees the revenue cycle operations, payor credentialing, and patient accounts team. This role will also work closely with the leadership of HPU Health, including the HPU Health Managers.
QUALIFICATIONS
Education
- Bachelor's degree in Business Administration, Finance, Healthcare Administration, or related field
- Preferred- either a Master's Degree in Health Sciences / related field or Master's Degree in Business / Healthcare administration
Experience and Training
5-7 years of progressive experience in healthcare revenue cycle management across multiple clinical disciplines3+ years of supervisory or management experienceExperience in dental revenue cycle operations, payor credentialing, and patient accounts in multi-group settingsKnowledge of academic medical center operations preferredStrong knowledge in contract negotiations, healthcare finance and accountingKnowledge, Skills, Ability :
Proficiency in EPIC revenue cycle management software and electronic health records systemsAdvanced knowledge of Microsoft Office Suite, particularly Excel for financial analysisUnderstanding of dental practice management systemsExperience with data analysis tools and reporting platformsRobust verbal and written communication skillsComprehensive understanding of clinical coding and billing proceduresKnowledge of insurance regulations, Medicare, Medicaid, and commercial payer requirements across clinical disciplinesFamiliarity with HIPAA and other healthcare compliance regulationsUnderstanding of fee schedule development and management for various clinical servicesKnowledge of collection laws and patient financial assistance programsESSENTIAL FUNCTIONS
The candidate will be expected to perform the following duties, including but not limited to :
Strategic Revenue Management
Develops and implements revenue cycle strategies, processes, and improvement initiatives across all clinical programs to maximize billings and collections to ensure institutional sustainabilityAnalyzes revenue cycle data to identify trends, discrepancies, and opportunities for financial improvement across multiple clinical disciplinesDesigns and maintains fee schedules to optimize revenue and reduce claim denialsEstablishes and monitors key performance indicators including Days in Accounts Receivable (DAR), claim denial rates, and collection rates across all clinical servicesCreates comprehensive financial reports and present findings to senior leadershipOperational Oversight
Directs daily operational activities for end-to-end revenue cycle performance across all clinical servicesEnsures billing practices align with healthcare regulations and standards, including accurate coding, documentation, and charge capture for each clinical disciplineDevelops efficient process workflows and production team assignments to maximize operational effectiveness across multiple clinical areasManages patient billing cycles for all clinical servicesOversees insurance verification, pre-authorization processes, and claims submission procedures for various clinical specialtiesResponsible for collecting, evaluating, and presenting operational data and performance analytics to the Chief Dental Officer and Executive Leadership Team.Compliance and Regulatory Management
Ensures adherence to all federal, state, and local healthcare regulations, including HIPAA complianceMonitors and responds to legislative and regulatory billing changes affecting dental revenue operationsMaintains expertise in coding standards across clinical disciplines (CDT for dental, CPT for optometry, etc.) and respective insurance regulationsConducts regular audits to ensure compliance with payer rules and internal policies across all clinical programsTeam Leadership and Development
Supervises and manages revenue cycle staff, including billing specialists, collections personnel, and administrative supportProvides ongoing education and training to staff on coding documentation rules, regulations, and best practices across multiple clinical disciplinesBuilds and designs high-performance management infrastructure to support organizational growthConducts performance evaluations and implement professional development plansFosters a collaborative team environment focused on continuous improvementStakeholder Collaboration
Works closely with clinical operations, compliance, and academic departments to ensures seamless revenue processesServes as primary liaison with third-party billing partners and insurance companiesCollaborates with university development office on financial planning and reportingPartners with academic leadership to support educational and research missionsCommunicates revenue cycle performance and issues to senior managementFinancial Analysis and Reporting
Maintains data integrity in all revenue cycle reporting systemsPrepares monthly, quarterly, and annual financial performance reportsIdentifies and resolves billing discrepancies and collection issuesMonitors cash flow patterns and implement strategies to accelerate collectionsProvides financial analysis to support strategic decision-makingACCOUNTABILITY
VP of Financial Affairs and University DevelopmentEvaluation : Ongoing performance reviews are conducted along with an annual assessment by the HPU Health Managers and includes input from clinical and academic operations.For more information about this position, please contact Brian Shollenberger, Assistant Vice President for Accounting.
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