Charge Capture Representative Jobs (NOW HIRING)

The primary purpose of the Director of Finance Services, Radiation Oncology is to provide oversight of the financial and business activities of the Division of Radiation Oncology, including but not limited to clinical (professional) activities and research finances. The director will interact with all levels of institutional, divisional, and departmental leadership (including faculty) and non-faculty personnel in the areas of administration, business, and finance, as appropriate and necessary. The Director will also interface with external vendors or entities, as needed and appropriate. The individual must have strong planning, systems, financial, business, leadership, and interpersonal skills, as well as possess a knowledge base to include techniques for budgeting and forecasting, policy review, financial analysis, organizational effectiveness, database management, and project management. The Director will provide leadership and serve in an advisory capacity to the Division Administrator and Division Head with respect to all areas of administration and financial activities for departments within the division.
KEY FUNCTIONS
Financial Oversight
• Supports the Division Administrator in administrative and financial functions including new program and operational development, analysis, budget and cost reduction efforts, clinical business services, procurement, asset management and special projects which focus on operational improvement. These activities include the development of reporting tools, business plans, complex written reports, letters, and proposals. The incumbent in this position will conduct extensive qualitative and quantitative analysis, including financial analysis, cost/benefit analysis, and organizational analysis. A high level of analytical, financial, quantitative, and interpersonal skills is required.
• Monitors and projects future revenues for the Division of Radiation Oncology including development and formalization of business plans; Assists in the development of long-term financial, operational and business plans for the department and division
• Assists with the design and implementation of financial performance reports, including accounting and productivity data for use in fiscal and operational management
• Directs implementation of patient care charge capture, pricing structure, business and compliance practices for relevant areas in the Division of Radiation Oncology; Ensures that charges are accurately posted to appropriate systems by monitoring daily/monthly and directs reconciliation and management to ensure the division is performing within its defined financial margins; Recommends methods of improvement to the charge capture process; Coordinates with counterparts in Procedures & Therapeutics Division on workflows that affect business metrics related to the Division of Radiation Oncology
• Responsible for an effective patient charge capture and reconciliation system which requires working with the Office of Patient Business Services to ensure that charges are competitive, reasonable, cost-related, and processed in a timely fashion; Responsible for business services as it relates to MD Cancer Network activities related to Radiation Oncology providers, including accurate reports for expenses and charge reconciliation which will be used to help determine physician compensation and operational costs for the division
• Remains current on issues and changes in the payor market, radiation oncology billing and reimbursement and related matters, including freestanding billing issues as it relates to the Proton Therapy Center
• Periodically and systematically challenges the accuracy and completeness of radiation oncology service charges, including case rates
• Proactively identifies and remains current on new technologies and services being introduced into clinical operations, and establishes and coordinates, with input from subject matter experts, the appropriate charge structure for all new clinical services
• Coordinates, with appropriate division and institutional representatives, the comparison of service charges to the cost structure; Verifies and reports the adequacy of service charges to cover service costs
• Directs professional charge capture and reconciliation (daily, monthly) procedures in the Division of Radiation Oncology
• Ensures professional billing information electronically transfers daily on an accurate and timely basis
• Oversees charge description masters for professional fees and ensures coordination with technical billing teams
• Works closely with institutional (eg, Managed Care, etc.) and divisional (eg, P&T Division, etc.) counterparts to review and revise insurance and authorization verification policies and procedures in accordance with institutional initiatives in order to maximize managed care and other third- party reimbursements
• Documents and periodically updates all billing/charge capture procedures with the input from appropriate stakeholders
• Provides direct oversight and management of teams responsible for billing documentation that supports all professional charges
• Conducts and coordinates the presentation of fiscal educational sessions in Radiation Oncology
• Develops and conducts in-services so that staff are knowledgeable and current on financial processes
• Responsible for systematically performing frequent financial audits
• Assists Division Head and Division Administrator in new business development including participation in managed care analyses and contract pricing models
• Provides frequent oversight and analyses of new treatment start, provider activities, and benchmarking; Develops/Implements management, tracking, and reporting system to accurately, timely, and clearly inform Division Head and Division Administrator of key performance metrics for data-driven decision making
Financial Administration & Personnel Oversight
• Responsible for developing business and financial services staffing plans to accommodate growth for the division, in alignment with institutional and divisional strategies
• Responsible for the performance evaluations of team members; Coordinates and communicates division-wide merit pool with department and division administrative leaders
• Encourages employees to participate in continuing education programs or programs that will enhance their professional and leadership skills
• Performs periodic reviews to ensure that job standards are maintained
• Responsible for design and preparation of financial and operational management reports for financial and personnel key performance indicators and all funds, research and operating activities within the Division of Radiation Oncology, including Outreach and Proton Therapy Center
• Contributes agenda items related to financial reporting at all meetings
• Collaborates with faculty and administrative leaders and regularly articulates division financial performance and mitigation strategies, as needed
Project & Inventory Oversight
• Initiates and completes special projects and studies as directed by Division Administrator
• Develops financial analysis for proposed new programs, including preparation and/or review of underlying statistical and financial assumptions; Reviews the overall reasonableness of the assumptions as compared to similar programs within or outside of the organization, and make recommendations to senior leadership
• Consistently reviews existing programs for financial performance, reviews current state of operations in terms of strengths and weaknesses from both administrative and financial perspectives, and make recommendations to senior leadership on potential performance improvement
• Oversees the procurement functions of the division and ensures coordination across departmental boundaries in order to promote and maintain efficient operations in the area of ordering, researching problems and timely communication information to all stakeholders
• Assists and collaborates in the development and implementation of a system to effectively manage all assets in Division of Radiation Oncology and be able to account for 100% of all assets
• Responsible for the division's submission of a complete report for all divisional department codes and allocated inventory
• Works with divisional leadership to proactively work with the Institutional Property Controller to coordinate annual inventory process and education sessions
Education
Required: Bachelor's degree in Business, Finance, or Healthcare Administration, or related field
Preferred: Master's degree in Business, Healthcare Administration, or related field
Experience
Required: At least 7 years of relevant experience in business/management in a healthcare setting, including 5 years of management experience.
Preferred: At least 10 years of experience in management, budgeting, and finance in a healthcare setting. Demonstrated leadership role(s) in healthcare.
Demonstrated expertise in both clinical and research finance.
The University of Texas MD Anderson Cancer Center offers excellent benefits, including medical, dental, paid time off, retirement, tuition benefits, educational opportunities, and individual and team recognition.
This position may be responsible for maintaining the security and integrity of critical infrastructure, as defined in Section 113.001(2) of the Texas Business and Commerce Code and therefore may require routine reviews and screening. The ability to satisfy and maintain all requirements necessary to ensure the continued security and integrity of such infrastructure is a condition of hire and continued employment.
It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state, or local laws unless such distinction is required by law.http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html
Additional Information

• Requisition ID: 180780
• Employment Status: Full-Time
• Employee Status: Regular
• Work Week: Days
• Minimum Salary: US Dollar (USD) 189,000
• Midpoint Salary: US Dollar (USD) 206,000
• Maximum Salary : US Dollar (USD) 223,000
• FLSA: exempt and not eligible for overtime pay
• Fund Type: Hard
• Work Location: Hybrid Onsite/Remote
• Relocation Assistance Available?: Yes

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