Description

This position will direct the day-to-day operations of their functional areas. The individual must be results-oriented and effectively manage the staff and the systems to access, identify, report, and resolve the system business issues/needs. Additionally, the candidate must be able to function in a high-pressure environment and effectively lead the staff through issues/problems. In this role, the candidate must be extremely dependable, professional, have strong interpersonal skills, be an excellent communicator, maintain the ability to prioritize the workload, and constantly develop the staff.

Responsibilities:

• Ensure all staff members perform in accordance with system-wide competencies, behaviors, and maintain departmental productivity levels and compliance with quality standards.
• Compliance: Assist in providing training to staff on compliance-related responsibilities. Review and update policies and procedures for the prompt and accurate billing and follow-up of accounts. Continuously audit staff performance for quality/compliance.
• Manage the assigned book of business and ensure that goals are achieved. Plan and organize resources (e.g., people, equipment, and supplies) to meet unit goals.
• Assist in providing training to staff and identify opportunities to enhance their knowledge. Assist in recruitment of new personnel and evaluate employees under own supervision.
• Maintain open, ongoing communication with other departments, payers, vendors, etc., to promote a positive customer service environment.
• Management Efficiency: Demonstrate effective leadership skills. Ensure adequate staffing coverage of different functions within department and that tasks are completed within a timely fashion. Demonstrate effective time management skills and ability to prioritize duties and effectively manage workforce.
• Analytical Capabilities: Use root-cause analysis of processes resulting in failure to achieve departmental and individual goals. Identify problems, define alternatives, and recommend practical, efficient solutions.
• Keep abreast of all healthcare changes and third-party payer regulations. Develop and implement controls in assigned functional areas. Develop a consistent process for review of their functional areas and establish aggressive but realistic standards and expectations.
• Completion of performance appraisals and development and implementation of action plans for employees as needed
  
• Previous management experience strongly preferred.
  

Qualifications

• Bachelor's Degree in healthcare administration, finance, or related field and 1 year of healthcare billing, registration, or patient business services OR High School Diploma/Equivalent and 3 years of healthcare billing, registration, or patient business services, OR equivalent combination of education and experience required
• Experience with third-party payer guidelines, billing practices, and reimbursement practices are preferred. 
• This position requires organization and time management skills.  
• The incumbent must develop and manage relationships with colleagues in a professional, independent manner.  
• The position requires the ability to maintain confidentiality with regard to all assignments. 
• Must possess analytical problem solving skills as well as the ability to coordinate the work of others and communicate effectively with all levels of management. 
• Proficient in utilization of Microsoft software products.  
• Must have excellent verbal and written communication skills.  
• Must display leadership skills.

Total Rewards

More than just competitive pay and benefits, UPMC’s Total Rewards package cares for you in all areas of life &emdash; because we believe that you’re at your best when receiving the support you need: professional, personal, financial, and more.

Our Values

At UPMC, we’re driven by shared values that guide our work and keep us accountable to one another. Our Values of Quality & Safety, Dignity & Respect, Caring & Listening, Responsibility & Integrity, Excellence & Innovation play a vital role in creating a cohesive, positive experience for our employees, patients, health plan members, and community. Ready to join us? Apply today.