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Asst Mgr, Revenue Operations
Job Number: 2018-31310
Category: Management
Location: Charlestown, MA
Shift: Day
Exempt/Non-Exempt: Exempt
Business Unit: UMass Chan Medical School
Department: Commonwealth Medicine - CHCF - EOHHS TPL - W407620
Job Type: Full-Time
Salary Grade: 44
Num. Openings: 1
Post Date: Aug. 6, 2018

GENERAL SUMMARY OF POSITION:

Under the general direction of the Revenue Operations Manager, the Revenue Operations Assistant Manager assists the Revenue Operations Manager in achieving revenue and collections objectives and goals for the unit. 

 

 

MAJOR RESPONSIBILITIES:

  • Oversee and monitor activities of assigned unit
  • Work on revenue management projects
  • Perform supervisory functions of hiring staff , corrective action and performance evaluation 
  • Provide on the job training and orientation for employees
  • Responsible for overseeing and assisting program staff to ensure that revenue projects are completed as directed
  • Develop and implement procedures and guidelines to accomplish project objectives and goals
  • Evaluate unit policies and procedures and make suggestions for improvement to the Revenue Operations Manager
  • Review and analyze data concerning assigned projects in order to determine progress and effectiveness and make recommendations for changes in procedures
  • Respond to inquiries from EOHHS staff and others concerning assigned projects
  • Perform related duties such as maintaining records, preparing reports and presenting reports
  • Interact on a professional level with EOHHS and other government agencies
  • Work individually as well as being a team member
  • Work internally and externally to resolve discrepancies for projects
  • Other duties as assigned

 

REQUIRED QUALIFICATIONS:

  • Bachelor’s degree in Finance, Public Administration, Business or related field, or equivalent
  • 5 years experience in fiscal management, finance or public administration
  • Proven skills in financial management or operational management
  • Thorough knowledge of funding and revenue sources for health and human service programs
  • Thorough knowledge of the federal and Massachusetts state regulations associated with the federal entitlement and block grant programs
  • Experience with contract development and management
  • Strong management and leadership skills

PREFERRED QUALIFICATIONS:

  • 5 years of claims experience
  • Medicaid claims billing or payor experience
  • Strong knowledge and applied business experience with health insurance regulations and billing guidelines, third party liability, Medicaid and Medicare eligibility and benefits and CMS regulations
  • Knowledge of HIPAA transactions, EDI transactions, and XML
  • Demonstrated experience with system test cycles (UAT and Model Office)
  • Demonstrated experience/skills with Data Warehouse concepts and Cognos or other reporting tools
  • Working knowledge of claims processing systems, and standardized code sets: HCPCS, CPT-4 and ICD-9 / ICD10
  • Highly proficient in Microsoft Office suite (Access, Excel, PowerPoint, Word)
  • Outstanding interpersonal communication and team building skills are required
  • Ability to apply critical thinking to complex problems
  • Ability to manage multiple projects simultaneously
  • Proven experience with business process improvement
  • Highly motivated individual with proven experience in producing high quality results in a dynamic operations setting

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UMass Chan Medical School was among 23 companies that stood out as 2023 “DEI champions,” according to The Boston Globe.   


Named a U.S. News & World Report
“2023 BEST MEDICAL GRAD SCHOOL”
for Primary Care and Research