Revenue Cycle Director
1 week ago
OFFICE IS LOCATED IN YORK, PENNSYLVANIA.
Position is a salaried position, work hours negotiable but will be required Monday- Friday.
No typical weekends or holidays.
JOB SUMMARY: The Director of Revenue Cycle will set the vision and strategy in support of critical revenue cycle initiatives and goals for all business lines including but not limited to Orthopaedics, Hospital, Pain Center, and Ambulatory Surgical Center. The incumbent will lead and manage complex revenue cycle projects - drive performance and provide overall direction and oversight of the functional areas that support the organization's financial and operational goals. Ensures compliance with CMS regulations, OSS policies and standards for third party payors. Fosters and promotes a culture of excellence in customer service to internal and external clients.
Education:
- Bachelor's Degree in Business/Healthcare Administration. Master's Degree preferred.
- Minimum of 10 years of experience in a healthcare setting with emphasis on revenue cycle operations
- Minimum of 5 years in a progressive management position with proven track record of managing a team to achieve results
- Professional certification through HFMA, AAHAM, or MGMA required.
- Comprehensive knowledge of claims management, HIPAA standards, CMS requirements, managed care, CPT, ICD-9 and 10, and HCPCS coding
- Knowledge in healthcare compliance, including privacy and security regulations, confidentiality laws, access and release of information
- Evidence of strong leadership skills with the ability to guide, direct, interact with direct reports and other management/staff
- Strong time management skills
- Demonstrated understanding of governmental quality programs and reimbursement impact
- Demonstrated experience in payer contract management, analysis and negotiation
- Collaborative skills to form strong working relationships with vendors, other departments, physicians and senior management
- Demonstrated experience in creating a balanced scorecard and effectively managing against it
- Strong change management capabilities
- Self-motivated, analytical individual who is a proven problem solver using quantified data and measurable results and sound conclusions
- Ability to successfully communicate and interact with all levels of individuals within the organization
- + Cerner, Millenium and Community Works experience preferred
- Provides focus and direction to the activities of the revenue cycle in providing analysis, monitoring operations and/or developing and maintain the systems utilized in patient accounting operations; develop policies, procedures and workflows related to revenue cycle functions
- Performs monthly review and analysis of Account Receivable
- Assesses revenue cycle performance in accordance with set goals and objectives and provides leadership to attain them.
- Interacts with the various departments that are impacted by the operations of revenue cycle management.
- Establishes standards and processes to ensure continuous improvement in the revenue cycle, develops and implements changes and enhancements
- Uses analytical approach to problem solving using quantified data and measurable results to reach sound conclusions
- Works collaboratively with all departments to ensure operational functions are aligned with strategic goals of the organization / builds trust and partnership amongst the team by enhancing engagement, addressing performance results and providing coaching and mentoring.
- Develop and deploy solutions necessary for achievement of key metric
- Stays informed of guidelines and regulations governing billing and collections practices, ensures compliant revenue cycle operations
- Communicates ideas, instructions and information so they are clearly understood by others
- Identifies trends and their root causes within assigned inventory
- Serves as a role model to the overall company image
- Performs administrative duties fundamental to successful project operations
- Supports the annual planning process to establish objectives and performance measures that gauge the effectiveness and efficiency of organizational strategies
- Ability to communicate effectively with staff, peers, physicians and the public. Ability to speak and understand English fluently.
- Directly supervises Patient Financial Services Manager, Accounts Receivable Manager and Revenue Integrity Specialist
- Functions as a coach & mentor to the staff for whom this position is responsible
- Develops and/or maintains on-going training programs/initiatives to enhance skills, knowledge and productivity of existing employees
- Participates in training sessions as required and/or deemed necessary
- Provides leadership and direction to the staff for whom responsible in order to maintain a work environment that promotes the creative development of ideas and allows employees to meet and/or exceed expectations and established standards of performance
- Monitors and measures performance of those staff reporting to this position. Addresses concerns or weaknesses and takes appropriate action to ensure issues are resolved. Ensures that staff are working as efficiently, as accurately and as productively as possible
- Ensures the compliance and/or oversees the compliance with all policies and procedures by staff. Recognizes exemplary compliance. Initiates appropriate corrective action in instances of noncompliance; secures required approvals before addressing with the staff
- Makes decisions and takes actions essential to the daily operation of the work area(s) for which responsible
- Researches major expenditures (including equipment, supplies and/or systems) and make recommendations to the appropriate member(s) of management for approval to purchase
Benefits:
-Employer-paid Short and Long Term Disability
-Employer-paid Life Insurance Policy
-401 K Profit Share plan
-160 hours PTO
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The above statements reflect the general duties considered necessary to describe the principle functions of the job as identified, and shall not be considered as a detailed description of all work requirements that may be inherent in the position.
-
Director, Revenue Cycle
3 days ago
New York, United States Columbia University Full timeJob Type: Officer of Administration - Bargaining Unit: - Regular/Temporary: Regular - End Date if Temporary: - Hours Per Week: 35 - Standard Work Schedule: - Building: - Salary Range: 150,000-180,000 - The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets,...
-
Revenue Cycle/Operations Specialist
2 months ago
New York, United States NYC Health Hospitals Full timeSince 1875, South Brooklyn Health has established its reputation for clinical excellence and culturally competent care. It has designations as a Certified Percutaneous Coronary Intervention (PCI) Center, an Advanced Primary Stroke Center, an accredited Baby-Friendly Hospital, a U.S. News & World Report high performing hospital. The hospital's staff is as...
-
Revenue Cycle/Operations Specialist
1 week ago
New York, United States NYC Health Hospitals Full timeSince 1875, South Brooklyn Health has established its reputation for clinical excellence and culturally competent care. It has designations as a Certified Percutaneous Coronary Intervention (PCI) Center, an Advanced Primary Stroke Center, an accredited Baby-Friendly Hospital, a U.S. News & World Report high performing hospital. The hospital's staff is as...
-
Revenue Cycle/Operations Specialist
1 month ago
New York, United States NYC Health Hospitals Full timeSince 1875, South Brooklyn Health has established its reputation for clinical excellence and culturally competent care. It has designations as a Certified Percutaneous Coronary Intervention (PCI) Center, an Advanced Primary Stroke Center, an accredited Baby-Friendly Hospital, a U.S. News & World Report high performing hospital. The hospital's staff is as...
-
Revenue Cycle/Operations Specialist
2 weeks ago
New York, United States NYC Health Hospitals Full timeSince 1875, South Brooklyn Health has established its reputation for clinical excellence and culturally competent care. It has designations as a Certified Percutaneous Coronary Intervention (PCI) Center, an Advanced Primary Stroke Center, an accredited Baby-Friendly Hospital, a U.S. News & World Report high performing hospital. The hospital's staff is as...
-
Revenue Cycle Analyst
1 week ago
New York, United States Tandym Group Full timeA health services agency in Queens is currently seeking a Revenue Cycle Analyst (Medical Biller) to join their Revenue Cycle Management Team in Queens on a Full Time basis. About the OpportunityStart Date: ASAP Setting: Office Schedule / Hours: Monday - Friday (9am to 5pm) Responsibilities: The Revenue Cycle Analyst will: Report directly to the Director of...
-
Revenue Cycle Analyst
1 week ago
New York, United States Tandym Group Full timeA health services agency in Queens is currently seeking a Revenue Cycle Analyst (Medical Biller) to join their Revenue Cycle Management Team in Queens on a Full Time basis. About the OpportunityStart Date: ASAP Setting: Office Schedule / Hours: Monday - Friday (9am to 5pm) Responsibilities: The Revenue Cycle Analyst will: Report directly to the Director of...
-
Revenue Cycle Analyst
7 days ago
New York, United States Tandym Group Full timeA health services agency in Queens is currently seeking a Revenue Cycle Analyst (Medical Biller) to join their Revenue Cycle Management Team in Queens on a Full Time basis. About the Opportunity Start Date: ASAP Setting: Office Schedule / Hours: Monday - Friday (9am to 5pm) Responsibilities: The Revenue Cycle Analyst will: Report directly to the...
-
Revenue Cycle Manager
4 weeks ago
New York, United States Walnut Full timeCompany Description Walnut is building the future of healthcare payments. We are building financial infrastructure for healthcare to make healthcare payments instant, accurate, and transparent. We make moving money through the healthcare system as easy and programmable as moving data. Walnut is building new rails for healthcare payment data transmission a...
-
Revenue Cycle Manager
4 weeks ago
New York, United States Walnut Full timeCompany DescriptionWalnut is building the future of healthcare payments. We are building financial infrastructure for healthcare to make healthcare payments instant, accurate, and transparent. We make moving money through the healthcare system as easy and programmable as moving data. Walnut is building new rails for healthcare payment data transmission – a...
-
Revenue Cycle Engagement Manager
4 weeks ago
New York, United States Memorial Sloan Kettering Cancer Center Full timePay Range: $98,500.00-$157,600.00 Company Overview: The people of Memorial Sloan Kettering Cancer Center (MSK) are united by a singular mission: ending cancer for life. Our specialized care teams provide personalized, compassionate, expert care to patients of all ages. Informed by basic research done at our Sloan Kettering Institute, scientists across MSK...
-
Revenue Cycle Specialist
4 weeks ago
New York, United States Jayestech LLC Full time**locations: Manhattan & Queens** **Duties**: - A member of the revenue cycle process, billers are responsible for reviewing accounts, correcting claim edits, preparing and completing claims for submission to payers, posting all types of payments, and updating patient accounting systems. - They will perform related functions in support of the Patient...
-
Revenue Cycle Specialist
5 hours ago
New York, United States Jayestech LLC Full time**locations: Manhattan & Queens** **Duties**: - A member of the revenue cycle process, billers are responsible for reviewing accounts, correcting claim edits, preparing and completing claims for submission to payers, posting all types of payments, and updating patient accounting systems. - They will perform related functions in support of the Patient...
-
Engagement Manager, Revenue Cycle Management
4 weeks ago
New York, New York, United States CureMD Full timeAbout Us:CureMD excels in providing advanced tools and technologies that empower healthcare professionals to make informed decisions about patient care. Our state-of-the-art solutions harness the power of data analytics, artificial intelligence, and machine learning to analyze patient information, decipher patterns, and render actionable insights. These...
-
Engagement Manager, Revenue Cycle Management
3 weeks ago
New York, New York, United States CureMD Full timeAbout Us:CureMD excels in providing advanced tools and technologies that empower healthcare professionals to make informed decisions about patient care. Our state-of-the-art solutions harness the power of data analytics, artificial intelligence, and machine learning to analyze patient information, decipher patterns, and render actionable insights. These...
-
Senior Revenue Cycle Consultant
7 days ago
New York, New York, United States Alvarez & Marsal Full timeHigh energy individuals with a passion for healthcare and solving complex issues. A minimum of five (5) years of prior work experience in healthcare, consulting or healthcare industry such as revenue cycle, hospital, accounting, audit, private equity Revenue, Cycle, Consultant, Healthcare, Senior, Operations, Business Services, Technology
-
Account Administrator-revenue Cycle
2 weeks ago
New York, United States Weill Cornell Medicine Full time**Title**:Account Administrator-Revenue Cycle**: Title: Account Administrator-Revenue Cycle Location: Upper East Side Org Unit: Revenue Cycle Work Days: Monday-Friday Exemption Status: Non-Exempt Salary Range: $25.34 - $27.75 - As required under NYC Human Rights Law Int 1208-2018 - Salary range for this role when Hired for NYC Offices **Position...
-
Revenue Cycle Specialist
2 months ago
New York, United States Unizon taskforce Technology Full time**Duties**: - member of the revenue cycle process, billers are responsible for reviewing accounts, correcting claim edits, preparing and completing claims for submission to payers, posting all types of payments, and updating patient accounting systems. - They will perform related functions in support of the Patient Financial Services operations and other...
-
Revenue Cycle Specialist
2 months ago
New York, United States Jayestech LLC Full time**Duties**: - member of the revenue cycle process, billers are responsible for reviewing accounts, correcting claim edits, preparing and completing claims for submission to payers, posting all types of payments, and updating patient accounting systems. - They will perform related functions in support of the Patient Financial Services operations and other...
-
Revenue Cycle Specialist
1 week ago
New York, United States Jayestech LLC Full time**Duties**: - member of the revenue cycle process, billers are responsible for reviewing accounts, correcting claim edits, preparing and completing claims for submission to payers, posting all types of payments, and updating patient accounting systems. - They will perform related functions in support of the Patient Financial Services operations and other...
