Revenue Cycle Manager

A Revenue Cycle Manager at UC Health is responsible for overseeing the Payer Performance team, which includes tasks such as managing underpayments, overseeing credits and refunds, and conducting contract modeling and audits. This role also involves setting performance goals and conducting regular meetings to ensure the department meets its objectives while adhering to UC Health's standards for quality and compliance.

To excel as a Revenue Cycle Manager at UC Health, candidates typically need a bachelor's degree in finance, healthcare administration, or a related field, along with significant experience in healthcare revenue cycle management. Strong analytical skills, excellent communication abilities, and a thorough understanding of healthcare regulations are crucial. Previous leadership experience is highly valued as well.

The work environment for a Revenue Cycle Manager at UC Health is collaborative and supportive, emphasizing teamwork and communication. The organization fosters an inclusive culture, encouraging diverse perspectives while maintaining a focus on quality patient care. As part of a leading academic health system, you'll engage with dedicated professionals who are passionate about healthcare innovation.

UC Health is committed to supporting the professional development of its Revenue Cycle Managers through ongoing training programs, mentorship opportunities, and career advancement pathways. The organization encourages participation in workshops and seminars to enhance leadership skills and stay updated on the latest industry trends, furthering your growth within the organization.

A Revenue Cycle Manager at UC Health plays a crucial role in ensuring that financial processes run smoothly, which directly affects the quality of patient care. By managing revenues effectively and addressing issues such as underpayments, the role contributes to the sustainability of the organization, thereby enhancing the overall patient experience and ensuring that healthcare services remain accessible.

When responding to this question, highlight your previous roles that focused on revenue cycle management. Discuss any specific software you used, how you led teams, and any measurable outcomes you achieved—such as improved collections rates or reduced denials. It’s vital to emphasize how your contributions directly supported patient care and operational efficiency.

To ensure compliance, I implement regular training sessions and stay updated on policy changes at both corporate and governmental levels. I also establish clear procedures and conduct audits to ensure everyone adheres to compliance standards. A proactive approach helps in building a culture of accountability, where team members understand the importance of compliance in achieving quality care.

Share a specific example where you encountered a significant challenge, such as dealing with a major underpayment issue. Describe how you analyzed the situation, the steps you took to resolve it, and the results that followed. Emphasizing your problem-solving skills and collaborative approach will show your potential employer your capability in facing difficulties.

Key performance indicators for a Revenue Cycle Manager might include metrics related to claims denial rates, days in accounts receivable, collection rates, and underpayment issues. When discussing these indicators, elaborate on why they’re important, how they reflect your team's performance, and how you use this data to drive improvements.

To keep my team motivated, I focus on open communication and recognition of their achievements. Setting clear, attainable goals and celebrating milestones fosters a positive atmosphere. Additionally, encouraging professional development through workshops or cross-training keeps morale high, ensuring that the team remains engaged and committed to achieving department objectives.

Discuss any specific experiences you have managing Payer Performance, including your strategies for analyzing payer contracts, resolving discrepancies, and negotiating improved terms. This demonstrates your familiarity with the complexities of payer relationships and how you've successfully navigated them in the past.

When conflicts arise, I believe in addressing them promptly and privately to understand the underlying issues. I facilitate discussions between the involved parties to ensure everyone has a voice and to collaboratively seek solutions. My goal is to maintain a cohesive team environment where conflicts lead to constructive conversations rather than lingering tensions.

Data analysis is critical in my management style. I rely on data to inform decisions, track progress, and identify trends that may affect revenue cycles. By using analytics effectively, I can pinpoint areas for improvement and craft targeted strategies that drive performance and enhance overall operations.

I stay updated on industry changes by subscribing to relevant healthcare publications, participating in webinars, and attending conferences. Networking with peers in the industry provides invaluable insights as well. This continuous pursuit of knowledge enables me to adapt our strategies to align with evolving regulations and best practices.

In your response, express your admiration for UC Health’s commitment to quality patient care and innovation. Highlight how your values align with the organization's mission and vision. Additionally, mention specific aspects of the role or the team that excite you, demonstrating your enthusiasm and interest in contributing to their success.