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UCSF Health · 8 hours ago

Revenue Cycle Coordinator

Emeryville, CA

Full-time

Onsite

Mid, Senior Level

$91K/yr - $194K/yr

5+ years exp

UCSF Health is a leading healthcare provider focused on innovative patient care and advanced technology. The Revenue Cycle Coordinator will provide analytical and operational support, acting as a liaison between UCSF Health and external partners to streamline revenue cycle processes and enhance operational integration.

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Responsibilities

Act as the primary point of coordination between UCSF Health and external billing/collections partners

Ensure alignment of revenue cycle practices across the UCSF Health Community Hospital Division, with emphasis on billing, A/R follow-up, and cash management processes

Provide guidance to UCSF leadership on optimization opportunities and best practices

Produce and interpret A/R performance reports using Siemens MedSeries4, Epic, and other relevant systems

Identify trends, bottlenecks, and accounts requiring further investigation or escalation

Regularly present findings and performance metrics to UCSF leadership, with recommendations for improvement

Support cash posting, reconciliation, and electronic data interchange (EDI) activities for the Community Hospital Division

Collaborate frequently with external banking partners (Wells Fargo, Bank of America, Union Bank, PNC), UCSF Hospital Accounting, Joint Venture Finance, and third-party payers

Support vendor oversight to ensure accurate payment processing and data exchange

Serve as a subject matter expert on revenue cycle operations for the Community Hospital Division

Provide insight on system optimization, operational efficiencies, and overall revenue cycle strategy for the Community Hospital Division

Support and maintain Epic Contract Management functionality, including validation of contract terms, fee schedules, reimbursement logic, and payor configuration

Apply working knowledge of managed care contract language (e.g., fee-for-service, case rates, DRG methodologies, carve-outs, stop-loss provisions) to ensure correct expected reimbursement and escalation of variances

Coordinate with specialized vendors and business partners unique to the Community Hospital Division, including legacy system operators, contracted billing vendors, joint venture partners, and state/government reimbursement programs

Review, implement, and monitor revenue cycle requirements associated with California Attorney General stipulations governing UCSF’s acquisition of the Community Hospitals

Ensure that all applicable reporting, community benefit billing requirements, pricing guidelines, and patient access provisions are reflected in operational processes, revenue cycle workflows, and vendor performance metrics

Communicate compliance updates and risks to UCSF leadership, recommending corrective actions and process improvements to maintain adherence to AG stipulations and regulatory expectations

Qualification

Revenue Cycle OperationsEpic CertificationFinancial AnalysisSpreadsheet SoftwareDatabase SoftwareHospital Billing WorkflowsAnalytical SkillsInterpersonal SkillsProject ManagementLeadership Skills

Required

Five years of relevant progressive experience

Bachelor's degree in a related area OR four years of equivalent experience/training

Advanced knowledge of financial or accounting concepts, policies and procedures, as well as related accounting and regulatory compliance requirements

Advanced skills in the use of spreadsheet and database software

May require analytical skills sufficient to develop and implement financial data management and reporting systems

Strong interpersonal skills and ability to work effectively across the organization at all levels

Advanced knowledge and understanding of internal control practices and their impact on protecting University resources

Skills include service orientation, ability to multitask effectively in a varied, high-volume environment; uses sound judgment and decision making, critical thinking, creative problem solving, and effective verbal and written communication skills

Knowledge of hospital billing workflows, including but not limited to: hospital contracts, insurance billing requirements, ICD/CPT4/HCPC/DRG codes