Requisition 10000511

Professional Career Opportunities

Telephone Job Line: (214) 648-5627

MANAGER-MSRDP

Posted Date Thu Oct 22, 2009

Closing Date Wed Oct 28, 2009 or until filled

Salary * Negotiable *

FLSA Status Exempt

Department Msrdp Billing Operations Administration

Job Category Professional

Hours 8AM - 5 PM

Requisition Number 10000511

Position Number 36830

Experience & Education Required (any one of the following):

1. Master's degree in Business Administration, Health Care Administration, Finance and five (5) years experience, including one (1) year progressive management in health care administration, physician group practice, claims processing or both; OR Bachelor's degree in Finance, Business Administration, Health Care
2. Care Administration and seven (7) years experience, including three (3) years progressive management as stated above; OR Associate's degree or two (2) years of college majoring in Finance, Business Administration, Health Care Administration and nine (9) years experience, including five (5) years progressive management, in
3. health care administration in physicians group practice, claims processing or both.

Skills And Abilities Customer Service
Effective Communications Skills

Security This position is security-sensitive and subject to Texas Education Code §51.215, which authorizes UT Southwestern to obtain criminal history record information.

Job Duties 1. Works with Senior Administrators and Managers to investigate and analyze health care regulations/information and make appropriate policy recommendations for all reimbursement and regulatory issues. Monitors, evaluates and prioritizes projects such that established deadlines are met.

2. Manages staff. Reviews workload of division and develops action plan to complete work; monitors and evaluates performance, monitors staffing levels and requests overtime, temporary help or additional new positions as needed.

3. Assures timely and full collection of physician fees billed to Medicaid, Medicare, Managed Care, Commercial Self-Pay and other third-part payers. Works with department representative personnel to effectively maximize collection of physician fees from third- part payers. Maintains effective communications with Clinical Chairs, Physicians and Administrators to ensure they are timely and thoroughly informed of transactions that prevent timely collections of accounts.

4. Works with faculty and senior administration to develop financial business plans for new program initiatives, satellite clinics, joint ventures, etc. Includes meetings with external parties to discuss and negotiate business ventures and contract terms. Monitors, evaluates and prioritizes projects such that established deadlines are met.

5. Works with potential clients to assess physician practice management needs through RFI process. Develops and coordinates physician practice management proposals and contracts. Includes meetings with external parties to discuss and negotiate business ventures and contract terms. Monitors, evaluates and prioritizes projects such that established deadlines are met.

6. Negotiates, coordinates and oversees management and maintenance of annual master physician services and medical direction agreements between University and its hospital partners. Develops, researches and manages product lines.

7. Compiles, analyzes and reports status, issues and recommendations for accounts receivables. Manages overall production of claims, statements, and collection letters according to departmental procedures in support of internal departments. Completes special projects as requested by Director.

8. Monitors development and implementation of service lines and acts as liaison between and among assigned facilities and ancillary providers. Assures that assigned facilities and ancillary providers are appropriately enrolled with all governmental agencies and payor groups for maximization of revenues, as well as assure coordination with manager of Contract Administration that there is compliance with contracts with payor groups.

9. Maintains current personnel policies, procedures and practices. Ensures compliance by department management, etc. Establishes and maintains appropriate working relationships with Human Resources and personnel. Manages complete corporate payroll function, purchasing process and administration of classification of personnel, employee performance rating and orientation programs.

10. Evaluates current billing and collection processes to ensure IDX system is utilized to its maximum capacity. Reports deficiencies and recommendations for needed changes to upper management.

11. Serves as Operational project leader for new software installation and process change initiatives. Works with affiliated facilities and hospitals to resolve major billing issues and to develop new programs to ensure maximum reimbursement from each account.

12. Performs other duties as assigned.

Comments

Return to Professional Career Opportunities

Posted Date	Thu Oct 22, 2009
Closing Date	Wed Oct 28, 2009 or until filled
Salary	* Negotiable *
FLSA Status	Exempt
Department	Msrdp Billing Operations Administration
Job Category	Professional
Hours	8AM - 5 PM
Requisition Number	10000511
Position Number	36830
Experience & Education Required (any one of the following):	1. Master's degree in Business Administration, Health Care Administration, Finance and five (5) years experience, including one (1) year progressive management in health care administration, physician group practice, claims processing or both; OR Bachelor's degree in Finance, Business Administration, Health Care 2. Care Administration and seven (7) years experience, including three (3) years progressive management as stated above; OR Associate's degree or two (2) years of college majoring in Finance, Business Administration, Health Care Administration and nine (9) years experience, including five (5) years progressive management, in 3. health care administration in physicians group practice, claims processing or both.
Skills And Abilities	Customer Service Effective Communications Skills
Security	This position is security-sensitive and subject to Texas Education Code §51.215, which authorizes UT Southwestern to obtain criminal history record information.
Job Duties	1. Works with Senior Administrators and Managers to investigate and analyze health care regulations/information and make appropriate policy recommendations for all reimbursement and regulatory issues. Monitors, evaluates and prioritizes projects such that established deadlines are met. 2. Manages staff. Reviews workload of division and develops action plan to complete work; monitors and evaluates performance, monitors staffing levels and requests overtime, temporary help or additional new positions as needed. 3. Assures timely and full collection of physician fees billed to Medicaid, Medicare, Managed Care, Commercial Self-Pay and other third-part payers. Works with department representative personnel to effectively maximize collection of physician fees from third- part payers. Maintains effective communications with Clinical Chairs, Physicians and Administrators to ensure they are timely and thoroughly informed of transactions that prevent timely collections of accounts. 4. Works with faculty and senior administration to develop financial business plans for new program initiatives, satellite clinics, joint ventures, etc. Includes meetings with external parties to discuss and negotiate business ventures and contract terms. Monitors, evaluates and prioritizes projects such that established deadlines are met. 5. Works with potential clients to assess physician practice management needs through RFI process. Develops and coordinates physician practice management proposals and contracts. Includes meetings with external parties to discuss and negotiate business ventures and contract terms. Monitors, evaluates and prioritizes projects such that established deadlines are met. 6. Negotiates, coordinates and oversees management and maintenance of annual master physician services and medical direction agreements between University and its hospital partners. Develops, researches and manages product lines. 7. Compiles, analyzes and reports status, issues and recommendations for accounts receivables. Manages overall production of claims, statements, and collection letters according to departmental procedures in support of internal departments. Completes special projects as requested by Director. 8. Monitors development and implementation of service lines and acts as liaison between and among assigned facilities and ancillary providers. Assures that assigned facilities and ancillary providers are appropriately enrolled with all governmental agencies and payor groups for maximization of revenues, as well as assure coordination with manager of Contract Administration that there is compliance with contracts with payor groups. 9. Maintains current personnel policies, procedures and practices. Ensures compliance by department management, etc. Establishes and maintains appropriate working relationships with Human Resources and personnel. Manages complete corporate payroll function, purchasing process and administration of classification of personnel, employee performance rating and orientation programs. 10. Evaluates current billing and collection processes to ensure IDX system is utilized to its maximum capacity. Reports deficiencies and recommendations for needed changes to upper management. 11. Serves as Operational project leader for new software installation and process change initiatives. Works with affiliated facilities and hospitals to resolve major billing issues and to develop new programs to ensure maximum reimbursement from each account. 12. Performs other duties as assigned.
Comments