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Responsible for supervising both the operations and finances of the Gamma Knife Center to ensure efficient planning, allocation and accounting of resources and funds. Coordinate essential fiscal activities through budget development, billing and coding services, analyzing financial reports and data, developing accounting systems, approving expenditures and purchasing, and preparing financial statements. Business operations activities include coordinating personnel needs, allocating resources, overseeing facilities maintenance and service contracts, and conducting assessments of equipment and space utilization and needs. Apply specialized knowledge to review medical documentation to assure proper coding for highly technical Gamma Knife procedures. Develop, implement, and maintain systems, procedures, and policies, and supervise and train staff, to ensure accurate billing and medical record. Duties and responsibilities include: Management & Leadership
Provide effective management and leadership of Gamma Knife operations in order to operate within budget and achieve annual operational and patient service goals, and to ensure the highest quality care and service afforded before, during and after every patient's stay. Oversee business operations of unit with $8M+ in annual revenues and 15+ employees, including clinical and research faculty, physicists, nurse practitioners, nurses, residents, fellows, and clinic, laboratory, and administrative staff. Apply specialized knowledge about the process of care for Gamma Knife treatment, understanding patient flow and associated process of care (from evaluation & management by Neurosurgeon and Radiation Oncologist, clinical treatment planning, imaging & simulation, contouring & dosimetry, verification of position & treatment, to management of the patient) to support operational, billing and finance needs. Apply knowledge of administrative and business processes, programmatic and operation controls, strategic planning, personnel management, and budgetary controls. Act as liaison and engage in effective communication with diverse constituencies including doctors (internal and referring), patients, vendors, insurance companies, management and employees (UVA School of Medicine, UVA Physicians Group, UVA Medical Center) and other stakeholders on matters relating to operations.
Operations and Performance management
Responsible for staff hiring to include scheduling, compensation, training, and development. Communicate well and set clear expectations, related to goals and objectives, providing constructive feedback to staff. Ensure staff have necessary resources, knowledge, skills and abilities to accomplish goals.
Procure and manage space, IT, equipment (including significant machine upgrades), supplies and other resources in clinical offices. Manages the work and activities of vendors and contractors. Work with our clinical providers, consultants and insurance companies to participate in Quality Initiatives to improve patient safety, patient satisfaction, and scorecard metrics. Participate in cross-institutional programs to define improvements in operations, find cost savings and revenue enhancement, and develop collaborative work environment.
Business Development
Develop and execute comprehensive, coordinated communications and marketing strategies for Gamma Knife, including direct mailings and our highly-effective web site. Establish and maintain the highest positive level of public relations with Gamma Knife patients. Maintain strong relationships with referring physician practices to enhance experience of referring patients and receiving timely feedback critical for coordinated care. Ensure that pre-admissions and pre-certification data is compiled to include complete financial, insurance and demographic information and ensure that it is entered into the appropriate systems. Create single payor contracts for foreign national and uninsured patients. Respond to inquiries made by patients, UVA, hospital, UPG and third parties. Plan and execute educational conferences, including advertising, registration, course material, speakers, meals and accommodations.
Policies and Procedures Adherence
Assure compliance and execution of policies and procedures, with adherence to federal & state guidelines. Formulate, develop and apply policies for existing and new issues. Implement and continuously update the policies and procedures necessary to achieve timely and accurate billing and collections of accounts receivable. Coordinate internal and external audits of accounting and billing practices; review and discuss findings with management, physicians and coding staff. Develop expertise in ever-changing third-party billing regulations and requirements. Keep medical director and faculty informed regarding concerns, procedural rules and exceptions, and issues and changes in regulatory environment. Support use of EMR system and retention of medical documentation.
Finance, including billing, accounting and reporting
Oversee fiscal operations, including budgeting, accounting, and analysis on $8M+ in revenue, as well as procurement, and billing and collection for complex services. Coordinate preparation of management reports such as quarterly Gamma Knife Partners reports, monthly income statements, hospital settlements and accounts receivable. Oversee review of medical record documentation to: identify all services provided by physicians and assign the appropriate CPT codes within 5 working days of receipt for surgery and 15 days for E/M encounters/service; assign appropriate ICD-9 diagnosis codes; notify appropriate party of errors or omissions in documentation; ensure the coding remains accurate and timely for the department Participate in formal appeals to third party payers and government agencies. Make decisions and/or recommendations regarding denials, requests for write-offs, and write offs. Conduct monthly reviews and reconciliations of financial reports, including reconciliation of Hospital Revenue and other accounts. Develop the annual budget with Medical Director. Analyze variances between budget and actual, reporting on unusual trends and variances and operational efficiencies. Educates new and existing billing staff on coding, system changes & enhancements, and reimbursement issues. Meet with physicians on a regular basis to review coding and billing performance and offer support to resolve any coding and billing question they may have. Coordinate accounts payable, material purchasing, and other procurement; ensure the appropriate transaction approvals and internal controls are in place at all times. Apply specialized knowledge, such as statistical sampling methodologies and quality assurance analysis, needed to conduct and perform audits critical to compliant physician practices. Conduct complex financial analysis and provide quantitative information essential to influence reimbursement decisions and convince payors about the value of GK surgery for the patient and for healthcare cost containment. Consult with vendors and revenue cycle consultants.
Minimum requirements
Preferred Qualifications:
Five years of experience with finance or accounting Excellent communication skills, with the ability to convey complex financial information to non-financial stakeholders.
Physical Demands This is primarily a sedentary job involving extensive use of desktop computers. The job does occasionally require traveling some distance to attend meetings, and programs. his position will remain open until filled. This position will sponsor applicants for work visas. This is a restricted position; continuation is dependent on funding and satisfactory performance. This position is located in Charlottesville, Virginia.This is a full-time benefited position. For more information on the benefits at UVA, visit www.hr.virginia.edu/benefits. The anticipated hiring range is commensurate with education and experience. The University will perform background checks on all new hires prior to employment. A completed pre-employment health screen is required for this position prior to employment. To Apply:
Please apply through the UVA Job Board and search R00XXXXX. Internal applicants must apply through their UVA Workday profile by searching 'Find Jobs'. Complete an application online with the following documents:
* CV/Resume
* Cover letter
* Three Letters of Reference Upload all materials into the resume submission field, multiple documents can be submitted into this one field. Alternatively, merge all documents into one PDF for submission. Applications that do not contain all required documents will not receive full consideration. The University will perform background checks on all new hires prior to employment. A completed pre-employment health screen is required for this position prior to employment. For questions about the application process, please contact Jon Freeman, Recruiting Specialist, at jf2sw@virginia.edu. For more information about UVA and the Charlottesville community, please see http://www.virginia.edu/life/charlottesville and https://embarkcva.com/. The University of Virginia, including the UVA Health System which represents the UVA Medical Center, Schools of Medicine and Nursing, UVA Physician's Group and the Claude Moore Health Sciences Library, are fundamentally committed to the diversity of our faculty and staff. We believe diversity is excellence expressing itself through every person's perspectives and lived experiences. We are equal opportunity and affirmative action employers. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex, pregnancy, sexual orientation, veteran or military status, and family medical or genetic information.
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The Rector & Visitors of the University of Virginia
$8M+ in annual revenues and 15+ employees, including clinical and research faculty, physicists, nurse practitioners, nurses, residents, fellows, and clinic, laboratory, and administrative staff.
Nov 16, 2024