Director, CHS Reimbursement
5 days ago
Cayuga Health and its affiliates are the region's leading healthcare system and most trusted providers of integrated health services, empowering our people in our mission to equitably improve the well-being of the communities we serve. Our commitment to providing extraordinary healthcare begins with our team of extraordinary professionals who are continuously discovering clinical innovations and enhancing access to the most up-to-date facilities, equipment, technologies, and research protocols. Cayuga Health's commitment to our employees includes competitive compensation, comprehensive employee benefits programs, and the opportunity to explore and build a career in healthcare through our many professional development programs.
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, promote process improvement, and maximize collections.
Roles and Responsibilities:
- 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.
Required Skills and Experience:
- 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.
Physical Requirements:
- 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.
Location and Travel Requirements:
- Onsite - 101 Dates Drive Ithaca NY 14850
Pay Range Disclosure:
- $125,000 to $150,000 per year
Cayuga Health System and its affiliates are committed to treating all patients, providers, staff and volunteers equitably and with dignity, ensuring the highest levels of safety, care and respect, and striving to recognize and overcome biases and policies that contribute to disparities in healthcare access, equitable care and positive health outcomes for all.
We are proud to be an Equal Employment Opportunity employer, supporting the growth and health of our employees and community by embracing the rich diversity, needs and circumstances of all peoples and prioritizing opportunities to build a diverse and inclusive workplace. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable protected characteristics.
If you require reasonable accommodation to complete a job application, pre-employment testing, a job interview or to otherwise participate in the hiring process, please contact the Cayuga Health Talent Acquisition team at talentacquisition@cayugahealth.org.
I certify that the information contained in this application is correct and complete to the best of my knowledge. I understand that any falsification or omission of information may disqualify me from further consideration for employment or, if hired, may result in termination. In consideration for my employment, I agree to abide by the rules and regulations of the company, which rules may be changed, withdrawn, added, or interpreted at any time, at the company's sole option and without prior notice to me.
I understand that any hiring decision is contingent upon my successful completion of all of the Company's lawful pre-employment/post-offer checks, which may include a background check, drug screen, employment references, and licensing review. If I am made a conditional offer of employment, I agree to execute any consent forms necessary for the Company to conduct its lawful pre-employment/post-offer checks. Such checks will not be conducted until allowed under applicable federal, state, and local law. I understand if I have a criminal background, it will not automatically disqualify me from employment unless otherwise required by law. I agree to execute any consent forms necessary for the Company to conduct its lawful pre-employment checks.
I also understand that the Company is a drug and alcohol-free workplace and has a drug and alcohol testing program consistent with applicable federal, state, and local law. I understand that after a conditional offer of employment, I must submit to and pass a pre-employment drug test as a condition of employment.
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