Job SummaryProvides revenue cycle analysis and support for cash reconciliation processes for UCSF Health Community Affiliate Network. Serves as a liaison between Optum 360 & Dignity Health/Common Spirit Health to support functions outlined in the Transitional Services Agreement. Acts as a specialist supporting the cash reconciliation processes for UCSF Health and other partner practices (Epic integrated and non-Epic integrated). This process entails balancing all payments that have been posted to the community network facilities against the daily deposits to the UCSF bank account. Process journal entries for general ledger transfers.
Provides Accounts Receivable (AR) reporting and analysis as needed. Periodically provides A/R analysis and support as needed to determine accounts that require further review and escalation. Produce reports and in-depth analysis for patient accounting in UCSF's Health Affiliates network using Siemens Med Series 4 revenue cycle management system. Report to UCSF leadership on key performance trends in accounts receivable, billing, follow-up, and cash recognition for the UCSF Health Community Affiliate Network.
Provides analysis and support to cash reconciliation processes and EDI operations. Requires frequent contact with various banking vendors [Wells Fargo, B of A, Union, and PNC], various billing vendors for UCSF's Affiliate Network, UCSF's Hospital Accounting office, Joint Venture Finance, EDI operations and outside third-party insurances and government sponsors. Serve as subject matter expert on the Network Affiliates Revenue Cycle, guide UCSF on revenue cycle practices in system conversion preparation. /
To see the salary range for this position (we recommend that you make a note of the job code and use that to look up): TCS Non-Academic Titles Search (ucop.edu) Please note: The compensation ranges listed online for roles not covered by a bargaining unit agreement are very wide, however a job offer will typically fall in the range of 80% - 120% of the established mid-point. An offer will take into consideration the experience of the final candidate AND the current salary level of individuals working at UCSF in a similar role. For roles covered by a bargaining unit agreement, there will be specific rules about where a new hire would be placed on the range. To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html
Required Qualifications- Bachelor's degree in a related area or four years of equivalent experience.
- Five or more years of relevant progressive experience.
- In-depth knowledge of the practices, procedures, and concepts of the healthcare revenue cycle and its component operations, including billing, collections, charge capture, contractual adjustments, third-party reimbursements, and cash management.
- In-depth understanding of the issues, processes, reporting instruments, metrics, dashboard design, and other tools and techniques involved with measuring and analyzing the revenue cycle.
- Advanced organizational and project management skills, and ability to lead a team, prioritize tasks, and see projects through from inception to completion on schedule.
- Advanced skills in report development, dashboard design, and various software tools specific to healthcare revenue cycle management. Skills in common database, spreadsheet and presentation software.
- Advanced communications skills, with the ability to interpret and convey complex clinical finance information in a clear, concise manner. Ability to prepare compelling and informative reports and presentations to all levels of staff and management.
- Advanced analytical and problem-solving skills, with the ability to evaluate the effectiveness of workflows and systems in revenue cycle program areas, to identify weaknesses and develop innovative solutions and process improvements.
- Advanced interpersonal skills, with the ability to collaborate effectively on highly complex projects in a team environment with a wide variety of business and clinical areas.
- Strong ability to advise management, serving as a technical expert, providing proposals for improvement and guidance on regulatory changes and industry trends and developments in revenue cycle management.
- The ability to work in Emeryville when needed.
Preferred Qualifications- Epic: Hospital Billing, Professional Billing, Claims, Charge Router, or Clarity
- HFMA: CHFP, CRCR, CSAF, CSPR and CSBI
Equal Employment OpportunityThe University of California San Francisco is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Department DescriptionPatient Financial Services Systems Operations provides billing, cash management, and EDI services for UCSF Health and its affiliate practices. The team oversees daily revenue cycle operations, claims, remits, cash posting, cash allocation, and a variety of specialized business process systems that enable UCSF's revenue cycle performance.
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Pride ValuesUCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence - also known as our PRIDE values.
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