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Revenue Cycle Director - Ann Arbor, MI

Quick Facts
Company Name:The University of Michigan
Location:Ann Arbor, MI
Employment Type:Full Time
Category:Other
Pay:$85100 - $106300 per year
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Description

How to Apply


A cover letter is required for consideration for this position and should be attached as the first page of your resume. The cover letter should address your specific interest in the position and outline skills and experience that directly relate to this position.

Summary


Department Summary

The University of Michigan (U-M) University Health Service (UHS), a unit of Student Life (SL), and AAAHC-accredited outpatient multispecialty health clinic that serves a large and diverse student body of more than 50,000 students, as well as U-M faculty and staff. UHS provides clinical services throughout its primary care and specialty clinics, and contributes to public health, epidemiologic surveillance, health education, and health promotion on campus. UHS reports administratively to the AVP of Student Life for Health and Wellness, uses the same instance of Epic (MiChart) as Michigan Medicine, and closely collaborates with Michigan Medicine and public health agencies. UHS is located on the U-M central campus near downtown Ann Arbor and minutes from Michigan Medicine. Annually UHS completes >90,000 clinician visits, >4,900 radiologic studies, >35,000 laboratory tests, and fills >25,000 prescriptions.

Job Summary

The UHS Revenue Cycle Director is an integral member of the UHS leadership team and is responsible for end-to-end revenue cycle integrity, from pre-service registration and scheduling, to mid-service coding and charge integrity, to post-service accounts receivable, analytics, compliance, and resolution of complex insurance issues. UHS has a hybrid funding model: approximately 80% of the budget is funded through a student health service fee (HSF), and fee-for-service revenue accounts for the remaining 20% (approximately $5.3 million).

Responsibilities*


Operations Leadership: 80%

  • Participates in management decisions that support the UHS mission, operational decisions, and financial stewardship
  • Serve as a member of the UHS Administrative Committee (AdCom) and Medicare Billing Compliance Committee
  • Maintain revenue cycle integrity across the UHS clinical enterprise, engaging all staff whose roles impact billing and compliance
  • Cultivate vital connections across U-M departments (e.g., Michigan Medicine Revenue Cycle Team, SL Business & Finance)
  • Accountable for annual patient fee schedule rate setting and charge descriptions, including the UHS Prepaid Fee
  • Monitor billable activities, financial reporting and trends in partnership with the SL Budget & Finance team, Clinical Business Analyst, and Healthcare Analysts to establish annual budgets and revenue/expense expectations
  • Partner with UHS Managed Care/Student Insurance Office on revisions and considerations related to the Student Health Insurance Plan (SHIP)
  • Maintain staffing levels, including for time of surge and new patient influx at the start of a new semester
  • Develop and revise policies, procedures, and guidelines relevant for accreditation (AAAHC)

Pre-service

  • Ensure accuracy and completeness of patient registrations, including patient type, guarantor, and insurance details
  • Optimize the patient experience and ensure regulatory compliance in the UHS Call Center (e.g., HIPAA) and UHS Health Information Management (HIM) departments (e.g., Cures Act)

Mid-service

  • Assessment of coding data for outpatient visits including detail related to provider documentation in accordance with established coding guidelines
  • Collaborate with staff to improve billing accuracy, reduce denials and optimize department processes
  • Collaborate with the MiChart billing core team when adding appropriate CPT codes for UHS providers

Post-service

  • Ensure efficiency and accuracy of professional accounts receivable balances
  • Supervise staff and payer representatives to resolve claims denials and non-payment issues
  • Monitor and manage accounts receivable across multiple specialties and ensure compliance with third-party payer requirements
  • Prepare, analyze, evaluate, monitor, and report to the internal committees on pertinent issues regarding billing, reimbursement, financial summaries, and activity statistics
  • Monitor imprest cash funds and security of cash and deposits in coordination with cashier supervisor; provide direction for handling sensitive controls such as the security measures for currency
  • Responsible for daily/monthly and annual electronic remittance
  • Develop and manage all charge integrity activities, including optimization
  • Initiate corrective actions required for cross-departmental billing and collections
  • Resolve patient concerns related to the revenue cycle

Regulatory & Audit

  • Ensure compliance with payer specific requirements and regulations related to billing for multiple clinical specialties
  • Provide supplementary workflow, evaluation and management (E&M), and procedure training to existing coding staff using University Standard Practice Guidelines (SPGs), CMS (Medicare) rules, and payer regulations
  • Ensure compliance with institutional, third-party, and federal regulations
  • Support UHS with guidance and information in handling both internal (U-M) and external audits (e.g., Medicare, BCN)

Administration and Management 20%

  • Supervise direct reports, including Cashiering Supervisor, Billing Clerks, Compliance Auditor, HIM Supervisor and Call Center Supervisor; hire, orient, train, schedule, coach, and discipline employees; communicate clear job expectations; manage salary and compensation in partnership with Student Life Human Resources; review and approve time off requests while ensuring needs of the units are met
  • Optimize ambulatory workflows, interfaces, and work queues that impact revenue capture
  • Prepare projections, presentations, analysis and plans for operational improvement
  • Communicate revenue cycle activities to staff and leadership on a regular basis
  • Engage staff in team building and provide meaningful feedback and professional development opportunities
  • Train and coach staff to meet or exceed patient expectations with high standards in service excellence
  • Partner with SL Human Resources to address employee concerns, complaints, and grievances

Other duties as assigned

Required Qualifications*


  • Bachelor's degree, or 5+ years of revenue cycle and billing experience
  • Minimum 5 years work experience in ambulatory or hospital healthcare setting
  • Minimum 5 years medical professional billing and/or revenue cycle experience, including Medicare billing and compliance
  • Minimum of 2 years of professional supervisory experience
  • Knowledge of clinical operations, medical information systems, and healthcare billing.

Desired Qualifications*


  • Bachelor's degree, or 5+ years of revenue cycle and billing experience
  • Minimum 5 years work experience in ambulatory or hospital healthcare setting
  • Minimum 5 years medical professional billing and/or revenue cycle experience, including Medicare billing and compliance
  • Minimum of 2 years of professional supervisory experience
  • Knowledge of clinical operations, medical information systems, and healthcare billing.

Additional Information


Position Criteria (Candidate Characteristics):

  • Proficiency using current procedural technology (CPT) in accordance with organizational needs, insurance requirements and ability to perform coding audits
  • Experience with health insurance standard requirements and settlement of reimbursement requests
  • Experience with Epic ambulatory billing modules (e.g., Revenue Cycle, Billing, Charge Integrity, Professional Billing)
  • Comprehensive knowledge with Ambulatory/EpicCare workflows to optimize financial reconciliation and clinician support
  • Experience with billing work queues review, analysis, and utilization of charge capture efficacy
  • Proficiency with data visualization (e.g., Excel, Tableau) and presentation tools (e.g., PowerPoint)
  • Excellent written and interpersonal communication
  • Data-driven
  • Commitment to continuous improvement and lean principles
  • Demonstrated ability to handle confidential and sensitive information
  • Experience in handling multiple and sometimes competing priorities
  • Professional communication with patients, families, colleagues, and external stakeholders

Financial/Budgetary Responsibility

The UHS Revenue Cycle Director provides essential input during the annual budget review process and is responsible for an annual budget of $2.5 million including salaries, benefits, and usual office expenses.

Work schedule

This is a full-time, 40 hours/week position, generally coinciding with the hours UHS is open. Generally, UHS hours are Monday through Friday 8am - 5pm.

Work Location

University Health Service

207 Fletcher St.

Ann Arbor, MI 48109-1050

Supervision Received

Supervision is received from the UHS Associate Executive Director

Direct reports List by job title any positions to be supervised by the incumbent:

1 - Cashier Intermediate Supervisor

4 - Senior Billing Clerks (includes 1 professional coder)

1 - Intermediate Billing Clerk

0.25 FTE - Compliance Auditor

1 - Health Information Management Supervisor

1 - Call Center Manager


This role may have reporting obligations under Title IX and Clery.

Authorization to work in the U.S. is a precondition of employment and applicants for this position will not be sponsored for work visas.

Salary may vary depending on qualifications, experience, and education of the selected candidate.

#studentlife

Background Screening


The University of Michigan conducts background checks on all job candidates upon acceptance of a contingent offer and may use a third party administrator to conduct background checks. Background checks are performed in compliance with the Fair Credit Reporting Act.

Application Deadline


Job openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.

U-M EEO/AA Statement


The University of Michigan is an equal opportunity/affirmative action employer.


U-M COVID-19 Vaccination Policy

COVID-19 vaccinations, including one booster when eligible, are required for all University of Michigan students, faculty and staff across all campuses, including Michigan Medicine. This includes those working remotely and temporary workers. More information on this new policy is available on the U-M Health Response website or the UM-Dearborn and UM-Flint websites.