CO Sr. Production Unit Manager

General Summary:
Provides analysis, consultation, and reports to the Department Administrator and the Senior Director of Revenue Operations Physicians Billing Service (PBS). Reviews provider income data with department administration, Clinical Practice Association (CPA) and PBS management. Manages professional fee billing staff to ensure timely and consistent reimbursement for services. Interacts with physicians and their divisional managers to answer related questions and to clarify various billing concerns. Researches and resolves compliance issues. Maintain strict confidentiality of staff and patient information. Will promote team work and identify areas of improvement and recommend coordinated actions to bring about changes.

Principal Duties and Responsibilities:

• Manages the Gynecology & Obstetrical Production Unit, working in coordination with the department administration and the Clinical Practice Association/Physicians Billing Service.

Procedural Knowledge:

• Working knowledge of Assistant, Associate and PUM roles and responsibilities.
• Develop and monitor department group incentive plan targets. Analyze and present data for exceptions, if needed.
• Provide assistance to the Department Administrator and the Senior Director of Revenue Operations Physicians Billing Service (PBS) in the form of analysis, consultation, planning day-to-day management of the financial and administrative billing operation of the department.
• Researches and resolves compliance issues and clarifies various billing concerns. Explains monthly service, income and rejection-analysis reports to department physicians, faculty, administration, Clinical Practice Association (CPA) and Physicians Billing Service (PBS) management.
• Interface with third-party professional relations representatives to include Commercial, HMO, Medicare, Blue Shield and Medicaid. Meets periodically with representatives to discuss payment problems, coding compliance issues, and claim receipts.
• Act as departmental liaison with payers to stay current with changes in insurance requirements for several hundred payers, assuring that office procedures meet specifications for prompt payment.
• Direct the development of billing policies and procedures for the departments’ professional fee billing offices consistent with, and complementary to, those already in place with the CPA.
• Perform yearly reviews of Epic preference lists and any encounter forms in use.
• Broad scope of responsibility which includes interactions with physicians, administrators and divisional directors regarding divisional performance.
• Department has large number of subspecialties requiring expanded knowledge of billing requirements of 3rd party payers.
• Manages professional fee billing staff through subordinate managers and supervisors to ensure timely and consistent reimbursement for services rendered by clinicians from insurance carriers, and/or state and federal agencies as appropriate.
• Develops and presents divisional monthly report packages to directors and provides in-depth financial analysis at divisional level.
• Manage large production unit with multiple subspecialties requiring broader scope of specialty knowledge and associated budgets.
• Oversee and Analyze subspecialty data and routinely interacts with physician divisional directors to review subspecialty billing information used in development of future business strategies.
• Participate and chair various committees on both a departmental, as well as a school wide level.
• Effectively delegates Production Unit responsibilities to Assistant/Associate PUM and Supervisor, fostering a culture of independence and accountability.
• Monitors essential monthly reports to insure productivity, unit, core services and CPA objectives are met for their areas of responsibility.

Technical Knowledge:

• Comprehensive knowledge and compliance of HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI).
• Utilize online resources including IDX, Compass and Cognos to facilitate efficient claims processing.
• Requires a thorough understanding of medical billing and the unique customer service requirements as related to patients, physicians and administrative staff in a high volume medical services environment.
• Excellent communication and customer service skills with the ability to work well under pressure.

Professional & Personal Development:

• Participate in on-going educational activities.
• Assist in the training of staff.
• Keep current of industry changes by reading assigned material on work related topics.
• Complete three days of training annually.

Department Specific Responsibilities:

• Knowledge of the departmental organization and sub-specialty divisions. Provides financial and productivity reports to the divisions monthly or as needed.
• Extensive knowledge of Gynecology and Obstetrical coding and billing.

Service Excellence:

• Must adhere to Service Excellence Standards.
  • Customer Relations
  • Self-Management
  • Teamwork
  • Communications
  • Ownership/Accountability
  • Continuous Performance Improvement

Supervision of Others:

• Provides direct or indirect supervision of staff.

REQUIREMENTS:
Education:

• Bachelor’s degree in health care administration, business, or related discipline required.
• CPC certification preferred.

Additional job related experience beyond minimum experience qualifications may substitute for formal education requirement to extent permitted by JHU equivalency formula.

Experience:

• Five years progressive management responsibilities related to medical billing in a physician’s group practice environment which includes three years supervisory experience required.
• Experience in an academic medical environment strongly preferred. 3 years supervisory experience required.
• Strong organizational and analytical skills.
• Excellent organizational skills.
• Aptitude for figures and attention to detail.
• Ability to interact effectively.
• Capable of meeting deadlines and working well under pressure.
• Knowledge of PCs and PC applications.
• Excellent interpersonal, communication and customer service skills required.
• Knowledge of JHM and JHU/ PBS billing applications.

Additional education beyond minimum qualifications may substitute for required experience to the extent permitted by the JHU equivalency formula. Additional experience beyond minimum qualifications may substitute for required education to the extent permitted by the JHU equivalency formula.

Minimum Skills & Abilities:
Able to operate basic office equipment, e.g. photo copier, fax machine, scanner, PC, telephone, etc.

Physical requirements for the job:

• Able to sit in a normal seated position for extended periods of time.
• Able to reach by extending hand(s) or arm(s) in any direction.
• Finger dexterity required, able to manipulate objects with fingers rather than entire hand(s) or arm(s), e.g., use of computer keyboard.
• Able to communicate using the spoken and written word.
• Able to see within normal parameters and to hear within normal range.
• Able to move about.
• Able to lift minimum weight, 10 lbs.

Classified Title:Sr. Production Unit Manager
Working Title: CO Sr. Production Unit Manager ​​​​​
Role/Level/Range: L/04/LD
Starting Salary Range:Commensurate with Experience
Employee group: Full Time
Schedule: Monday - Friday, 8:30 am - 5:00 pm
Exempt Status: Exempt
Location: 20-MD:JH at Franklin Square
Department name: 10002853-SOM OB GYN General Administration
Personnel area: School of Medicine

The successful candidate(s) for this position will be subject to a pre-employment background check.

If you are interested in applying for employment with The Johns Hopkins University and require special assistance or accommodation during any part of the pre-employment process, please contact the HR Business Services Office atjhurecruitment@jhu.edu. For TTY users, call via Maryland Relay or dial 711.

The following additional provisions may apply depending on which campus you will work. Your recruiter will advise accordingly.

During the Influenza ("the flu") season, as a condition of employment, The Johns Hopkins Institutions require all employees who provide ongoing services to patients or work in patient care or clinical care areas to have an annual influenza vaccination or possess an approved medical or religious exception. Failure to meet this requirement may result in termination of employment.

The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.

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