Manager, Patient Accounts - Cash Ops Team

Shift:Monday through Friday day shift
Department: Hospital Patient Accounts - Cash Ops Team

Work Location: Hybrid - split between onsite and work from home

Compensation:

* Base Pay Range: $68,265.60 - $111,425 per year, based on experience

ABOUT THE JOB

MU Health Care is looking for a strategic leader with a sharp eye for detail and a passion for driving financial performance. The ideal candidate thrives in complex environments, brings deep expertise in revenue cycle operations, and knows how to turn challenges into opportunities for improvement. We want someone who is proactive, analytical, and confident in building strong partnerships with payors while leading teams toward measurable results. If you excel at problem-solving, influencing change, and creating streamlined processes that boost efficiency and revenue, this is your chance to make a real impact. Join us and help shape a best-in-class revenue cycle that powers exceptional patient care.

ABOUT MU HEALTH CARE

MU Health Care is proud to be named one of Forbes' Best-in-State Employers seven years in a row, and that's largely a result of the incredible culture and team we've built. At MU Health Care, we have an inspired, hard-working and collaborative environment driven by our mission to save and improve lives. Here, we believe anything is possible and rally around solutions. We celebrate innovation and offer opportunities to be a part of something bigger - to have a voice and role in the work that is serving our community and changing the field of medicine.

Our academic health system - the only in mid-Missouri - is home to seven hospitals, including the region's only Level 1 Trauma Center and region's only Children's Hospital, as well as over 90 specialty clinics. Here you can define your career among our many clinical and nonclinical positions - with growth, opportunity and support every step of the way.

Learn more about MU Health Care.

Learn more about living in mid-Missouri.

EMPLOYEE BENEFITS

* Health, vision and dental insurance coverage starting day one

* Generous paid leave and paid time off, including nine holidays

* Multiple retirement options, including 100% matching up to 8%and full vesting in three years

* Tuition assistance for employees (75%) and immediate family members (50%)

* Discounts on cell phone plans, rental cars, gyms, hotels and more

* See a comprehensive list of benefitshere.

DETAILED JOB DESCRIPTION

Leverage knowledge of revenue cycle functions to identify trends in claims payments and denials adversely impacting overall financial performance. Pursue reimbursement from payor via various avenues. Escalate accounts to appropriate individuals at the payor and to MU Health Care management as needed, including accounts with a lack of timely payor response. Provide Management to teams responsible for resolution of unpaid claims from various payor products including HMO, PPO, Medicaid, Medicare, and Workers' Compensation and gains commitment for payment. Escalate the payor's lack of response and/or lack of payment within the payor organization as appropriate. Serve as a subject matter expert in insurance billing and follow-up, self-pay billing and collections, accounts receivable management, and cash posting activities. Identify trends in unpaid claims, denials, accounts receivable reduction opportunities, and revenue leakage.

Work towards resolution and improvement of the revenue cycle process. Maintain knowledge of industry trends, payor policies and protocols, and revenue cycle operations to establish compliant patient accounting processes and procedures. Prepare routine reports and ad-hoc analyses as directed, and accurately reflect payor performance trends. Establish and maintain a best-in-class workflow for the timely follow-up, escalation, and resolution of unpaid claims-related issues. Develop and maintain a dispute resolution notification and escalation process to engage the appropriate MU Health Care leaders, including Payor Contracting and Legal. This includes oversight of the functional area within hospital patient accounting, including management of workflows.

Establish and maintain meaningful partnerships with insurance companies, medical groups, and other third-party payors to aid in the timely recovery of reimbursement for hospital-based services per executed third-party payor contracts and/or other applicable governing regulations or contracts. Manage department staffing, fiscal, and operating resources by developing and monitoring the department budget. Manage daily operational activities of the designated functional area within Hospital Patient Accounting. Establish processes and base information technology infrastructure to streamline operations and perform as a strategic business partner to influence change and recommend new processes up/downstream of the Revenue Cycle process to reduce waste in line with Lean Six Sigma/root cause methodology and increased revenue.

Partner with other Revenue Cycle leadership to lead the development and implementation of policies, procedures, and workflows which impact net revenue cash flow or performance efficiency across the Revenue Cycle function that align with the strategic direction and standardization. Develop and ensure that the activities of the patient accounting department are performed per state and federal regulations, mandated collection practices, and all regulatory agencies including DNV, and are HIPAA compliant. Manage the development, coordination, and maintenance of daily staffing schedules to ensure the appropriate level of coverage and continuity of care. Monitor and oversee time and attendance in alignment with MU Health Care policies and practices, ensuring accuracy of records and timely approval for payroll purposes. May complete unit/department specific duties and expectations as outlined in department documents.

REQUIRED QUALIFICATIONS

Bachelor's degree in accounting, finance, public policy, computer science with a concentration in accounting or related studies, or a related degree with strong accounting and computer science components. Two (2) years of experience in a responsible accounting-related position may be substituted for the college requirement.

Total of 5 years of experience required - Four (4) years of related work experience. One (1) year of supervisory experience.

PREFERRED QUALIFICATIONS

Additional license/certification requirements as determined by the hiring department.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met with or without reasonable accommodation. The performance of these physical demands is an essential function of the job. The employee may be required ambulate, remain in a stationary position and position self to reach and/or move objects above the shoulders and below the knees. The employee may be required to move objects up to 10 lbs. #LI-DNI

The University of Missouri is an Equal Opportunity Employer.