YM Workers Comp Revenue Cycle Manager

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Overview

Under the direction and supervision of the Associate Director of Special Programs/Cash posting, or his/her designee, the ideal candidate will be a subject matter expert in revenue cycle management with specialized expertise in Workers’ Compensation and lead a team of staff and will be responsible for developing, implementing and monitoring policies and procedures to optimize the physician reimbursement and ensure compliance of the Program for Yale Medicine. This individual will communicate with all clinical departments within the Central Business Office, including Billing and Coding, as well as third party payors, contracting staff, compliance department, and attorney offices. The candidate will lead ongoing analysis of Workers’ Compensation billing and collections, drive strategic growth of Yale Medicine’s Workers’ Compensation program, and proactively identify and resolve coding, billing, and payer/contracting issues that affect revenue cycle performance.

Required Skills and Abilities

1. Ability to analyze and interpret detailed reports, develop clear conclusions, and summarize findings; ability to perform quality assurance on individual accounts, monitor and analyze clinical department and payors key performance indicators and metrics for revenue cycle.

2. Ability to work effectively as a team member; demonstrated team-building skills and ability to develop good working relationships with co-workers and Yale Medicine clinical departments.

3. Ability to work, plan, research, and conduct projects independently with minimal supervision.

4. Ability to organize and prioritize workload to manage multiple tasks and meet deadlines, excellent attendance, and reliability.

5. Excellent written and oral communication skills with demonstrated interpersonal ability to facilitate a team-based approach.

Preferred Skills and Abilities

1. Comprehensive knowledge of ICD-10, CPT-4 and HCPCS coding, medical terminology, and third-party reimbursement policies.

2.  Proficiency with MS Word, Excel, and PowerPoint.

3.  Proficiency with Epic Practice Management System and EMR.

4.  CPC certification, work related experience in a private or academic setting.

Principal Responsibilities

Required Education and Experience

Bachelor’s Degree in related field and 5 years of experience or an equivalent combination of education and related experience.

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Background Check Requirements

All candidates for employment will be subject to pre-employment background screening for this position, which may include motor vehicle, DOT certification, drug testing and credit checks based on the position description and job requirements. All offers are contingent upon the successful completion of the background check. For additional information on the background check requirements and process visit "Learn about background checks" under the Applicant Support Resources section of Careers on the It's Your Yale website.

Health Requirements

Certain positions have associated health requirements based on specific job responsibilities. These may include vaccinations, tests, or examinations, as required by law, regulation, or university policy.

Posting Disclaimer

Salary offers are determined by a candidate’s qualifications, experience, skills, and education in relation to the position requirements, along with the role’s grade profile and current internal and external market conditions.

The intent of this job description is to provide a representative summary of the essential functions that will be required of the position and should not be construed as a declaration of specific duties and responsibilities of the position. Employees will be assigned specific job-related duties through  their hiring department.

The University is committed to basing judgments concerning the admission, education, and employment of individuals upon their qualifications and abilities and seeks to attract to its faculty, staff, and student body qualified persons from a broad range of backgrounds and perspectives. In accordance with this policy and as delineated by federal and Connecticut law, Yale does not discriminate in admissions, educational programs, or employment against any individual on account of that individual’s sex, sexual orientation, gender identity or expression, race, color, national or ethnic origin, religion, age, disability, status as a special disabled veteran, veteran of the Vietnam era or other covered veteran.

Inquiries concerning Yale's Policy Against Discrimination and Harassment may be referred to the Office of Institutional Equity and Accessibility (OIEA).

Note

Yale University is a tobacco-free campus.