Director, CHS Reimbursement
2 weeks ago
Company Overview:
Cayuga Health is the region's leading healthcare system, and most trusted driver of integrated health services, together with valued partners. We empower our people and employ our capabilities to equitably improve the well-being of the communities we serve. At Cayuga Health System, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies, and research protocols. We have a commitment to its employees by providing competitive rates and compensation, a comprehensive employee benefits programs, attractive working conditions, and the chance to build and explore a career opportunity by offering professional development.
Nestled in the beautiful Finger Lakes region, Cayuga Health provides an outstanding place to work in a vibrant community. Come discover all that Ithaca, New York and Cayuga Health has to offer
Position Overview: Maximize overall CHS revenue through development and implementation of effective policies and processes. Identify strategies based on current and future reimbursement trends, policies and historical data. Directs activities related to Clinical Documentation Improvement and Patient Access and performance oversight of third party vendors. This position collaborates closely with billing, coding as well as business unit leaders to make changes that support revenue cycle, prompote process improvement, and maximize collections.
What you'll do:
- Communicate revenue management strategic vision to President/CFO and other members of leadership team.
- Provide oversight of third party vendor relations and contracts that affect Revenue Cycle.
- Collaborate with Compliance, Legal and other applicable departments across Cayuga Health System to monitor and implement changes (when needed) relating to Revenue Cycle to ensure we operate within State and Federal Rules and Regulation. Ensure all stakeholders (including front line staff) know and understand the changes.
- Responsible for facilitating CHS Revenue Cycle committee as a conduit to collaborate effectively with all departments to ensure appropriate and timely charge capture, ensure understanding and implementation of coding/billing updates streamline process to maximize efficiencies, and to resolve and prevent denials. Responsible for project management of action plans developed from findings of the committee.
- Develop, implement, monitor and maintain key performance indicators for Patient Access, including, but not limited to, eligibility and authorization. Collaborate with leadership to develop a system wide strategy, develop objectives and goals to ensure an optimal patient experience.
- Supports contract negotiation activities via data trending and reporting.Facilitates creation of memos, policies and procedures for Cayuga Health System.
- Work to identify new technology, tools and key initiatives that will reduce cost or improve workflow and the patient experience.
- Manage pricing strategy for the system.
- Other projects and duties as assigned.
Minimum Qualifications:
- Education: High School Diploma required; Bachelor's Degree in business preferred.
- Minimum 3 years of experience negotiating payer contracts.
- Experience: Minimum of five years management experience in hospital revenue cycle department, to include Patient Access and Patient Financial Services. Extensive knowledge of governmental and managed care reimbursement. Extensive knowledge of hospital billing requirements. PC skills in a Windows environment are required. Knowledge and utilization of desktop applications to include Microsoft Word and Excel is essential. Experience with Meditech version 6.1 and Relay Assurance preferred.
- Licensure: N/A
- Physical Requirements: Repetitive use of hands and fingers (e.g., typing, use of computer and keyboard) may require light lifting and carrying, including boxes, equipment, stooping and kneeling (e.g. to pick up items from the floor, to remove and replace items on lower shelves, and to file documents in lower file drawers); sitting for long periods of time.
At this time Cayuga Health System will not sponsor a new applicant for employment authorization for this position.
If you are interested in applying for this position and you require an accommodation, please contact Cayuga Health System at hr@cayugamed.org
Cayuga Health System Commitment to Diversity, Equity & Inclusion
Cayuga Health System commits to treating all people with dignity so that everyone who comes to us is safe, cared for, and respected. We will support the growth of our employees and the health of our community by embracing the rich diversity of social and cultural identities, needs, and life circumstances of all people. We strive to recognize and overcome personal biases and systemic policies that marginalize others and contribute to disparities in healthcare access, equitable care, and good health outcomes.
Cayuga Health is dedicated to our vision for diversity, equity, and inclusion. As we strive towards our vision, we welcome the opportunity to work alongside a diverse range of employees.
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