Current jobs related to Revenue Cycle Operations Manager - New York, New York - NYC Health + Hospitals
-
Director of Revenue Cycle Operations
4 weeks ago
New York, New York, United States Piper Companies Full timePiper Companies is seeking a seasoned professional to lead revenue cycle operations in the NJ/NY/CT/PA area. As a key member of our team, you will be responsible for managing revenue cycle needs for assigned groups, collaborating with central billing office partners, and driving metric accountability.Key Responsibilities:• Develop and implement revenue...
-
Director of Revenue Cycle Operations
2 weeks ago
New York, New York, United States Piper Companies Full timePiper Companies is seeking a seasoned professional to lead our revenue cycle operations in the NJ/NY/CT/PA area. As a key member of our team, you will be responsible for managing revenue cycle needs, analyzing key performance indicators, and providing strategic guidance to drive business growth.Key Responsibilities:• Act as a revenue cycle leader,...
-
Revenue Cycle Operations Specialist
3 days ago
New York, New York, United States NYC Health Hospitals Full timeJob SummaryWe are seeking a highly skilled Revenue Cycle Operations Specialist to join our team at NYC Health + Hospitals. This role will be responsible for monitoring the performance of revenue cycle results, identifying trends and gaps, and providing analytic support to improve revenue cycle processes.Key ResponsibilitiesMonitor key operating indicators...
-
Senior Revenue Cycle Manager
2 weeks ago
New York, New York, United States Piper Companies Full timePiper Companies is seeking a seasoned professional to lead revenue cycle operations in the NJ/NY/CT/PA area. As a Senior Revenue Cycle Manager, you will be responsible for managing revenue cycle needs for assigned groups, utilizing current team and central billing office partners, and driving metric accountability and revenue cycle training.Key...
-
Director of Revenue Cycle Operations
4 weeks ago
New York, New York, United States Rendr Full timeJob Title: Director of Revenue Cycle ManagementRendr is a leading primary care focused, multi-specialty medical group dedicated to serving the Asian community in New York City. We strive to provide world-class, value-based health care with kindness at more than 100 clinical offices throughout Brooklyn, Manhattan, Queens, Staten Island, and Nassau County.Job...
-
Certified Medical Coding Specialist
3 days ago
New York, New York, United States Revenue Cycle Coding Strategies, LLC Full timeJob SummaryRevenue Cycle Coding Strategies, LLC is seeking a skilled Certified Medical Coding Specialist to join our team. As a key member of our coding team, you will be responsible for abstracting E/M, CPT, HCPCS, ICD-10-CM, modifier, and units from medical records. Your expertise will ensure accurate coding, compliance with federal and state laws, and...
-
Revenue Cycle Operations Manager
2 weeks ago
New York, New York, United States HHA eXchange Full timeJob Title: Revenue Cycle ManagerHHAeXchange is a leading technology platform for home and community-based care. Our mission is to transform the healthcare space by building a comprehensive end-to-end homecare solution. We are seeking an experienced Revenue Cycle Manager to oversee our billing operations and ensure timely and accurate claims billing for...
-
Director of Revenue Cycle Management
3 days ago
New York, New York, United States Rendr Full timeDiscover a Rewarding Career with RendrAbout RendrRendr is a leading primary care-focused, multi-specialty medical group dedicated to serving the Asian community in New York City. Our mission is to provide world-class, value-based healthcare with kindness at over 100 clinical offices throughout Brooklyn, Manhattan, Queens, Staten Island, and Nassau County.Why...
-
Revenue Cycle Director
4 weeks ago
New York, New York, United States Mai Placement Full timeJob Title: Revenue Cycle ManagerWe are seeking a highly skilled Revenue Cycle Manager to lead and manage our billing and accounts receivable functions. As a key member of our team, you will be responsible for overseeing all aspects of revenue cycle operations, with a focus on ABA and home care billing.Key Responsibilities:Manage billing and AR processes to...
-
Revenue Cycle Management Director
1 week ago
New York, New York, United States Verse Medical Full timeAbout Verse MedicalWe're building the software infrastructure that enables hospital-quality care at home. As healthcare costs have increased, the patient's home has become a crucial site of care. Yet, patients recovering at home are highly underserved. To address this challenge, we're developing modern, robust software that streamlines the in-home care...
-
Senior Revenue Cycle Consultant
3 days ago
New York, New York, United States Alvarez & Marsal Europe Full timeJob DescriptionJob Title: Senior Revenue Cycle ConsultantCompany: Alvarez & Marsal EuropeJob Type: Full-timeLocation: RemoteAbout Us: Alvarez & Marsal Europe is a leading professional services firm that provides expertise in revenue cycle improvement, healthcare operations, and financial performance improvement.Job Summary: We are seeking a Senior Revenue...
-
Director of Revenue Cycle Management
3 days ago
New York, New York, United States Rendr Full timeDirector of Revenue Cycle ManagementRendr is a leading primary care focused, multi-specialty medical group dedicated to serving the Asian community in New York City. We strive to provide world-class, value-based health care with kindness at over 100 clinical offices throughout Brooklyn, Manhattan, Queens, Staten Island, and Nassau County.Key...
-
Revenue Cycle Manager for Home Infusion
4 weeks ago
New York, New York, United States Management Business Solutions Full timeRevenue Cycle Manager Home Infusion Job DescriptionWe are seeking a highly skilled Revenue Cycle Manager to join our team at Management Business Solutions. The successful candidate will be responsible for managing the revenue cycle for our Home Infusion and Specialty Pharmacy services.Key Responsibilities:Manage the revenue cycle for Home Infusion and...
-
Revenue Cycle Operations Specialist
2 weeks ago
New York, New York, United States Columbia University Full timeJob SummaryColumbia University is seeking a highly skilled Revenue Cycle Analyst to join our team. As a key member of our Central Business Office, you will be responsible for providing analytical support and operational expertise to drive revenue cycle improvement initiatives.Key ResponsibilitiesReview and analyze Explanation of Benefits (EOBs) and payer...
-
Senior Anesthesia Revenue Cycle Manager
1 month ago
New York, New York, United States TAL Healthcare Full timeJob SummaryThe Senior Revenue Cycle Manager of Anesthesia is responsible for directing and coordinating the overall A/R follow up and denials management with a specialty specific focus on Anesthesia. This includes ensuring maximization of cash flow while improving patient, physician and customer relations. Ensures all KPIs related to net collections, gross...
-
Revenue Cycle Manager
3 weeks ago
New York, New York, United States Mount Sinai Health System Full timeJob SummaryWe are seeking a highly skilled Revenue Cycle Manager to join our team at Mount Sinai Health System. The successful candidate will be responsible for directing and coordinating overall functions of revenue cycle activity, ensuring maximization of cash flow while improving patient, physician, and customer relations.Key ResponsibilitiesPlan and...
-
Revenue Cycle Registration Specialist
3 weeks ago
New York, New York, United States Mount Sinai Health System Full timeJob Title: Revenue Cycle Registration SpecialistWe are seeking a skilled and detail-oriented Registration Revenue Cycle Specialist with expertise in EPIC registration, insurance verification, and benefit coordination.Position Overview:This role is crucial in ensuring the accuracy and efficiency of our registration revenue cycle operations. The ideal...
-
Revenue Cycle Operations Specialist
3 days ago
New York, New York, United States Columbia University Full timeJob SummaryWe are seeking a highly skilled Revenue Cycle Analyst to join our team at Columbia University. The successful candidate will be responsible for providing analytical assessments, reporting, and operational support on multiple aspects of revenue cycle operations in a central business office.Key ResponsibilitiesReviews and analyzes "Explanation of...
-
Revenue Cycle Liaison II
3 weeks ago
New York, New York, United States RWJBarnabas Health Full timeJob Title: Revenue Cycle Liaison IIWe are seeking a highly skilled Revenue Cycle Liaison II to join our team at RWJBarnabas Health. As a key member of our Revenue Cycle team, you will play a critical role in ensuring the success of our revenue cycle operations.Key Responsibilities:Identify and analyze trends in revenue cycle data to inform business...
-
Revenue Cycle Specialist
2 weeks ago
New York, New York, United States Memorial Sloan Full timeRevenue Cycle SpecialistWe are seeking a skilled Revenue Cycle Specialist to join our team at Memorial Sloan Kettering Cancer Center. As a key member of our Physician Billing Insurance and Hospital Billing Insurance teams, you will play a critical role in ensuring timely and accurate reimbursement for our patients.Key Responsibilities:Review and analyze...
Revenue Cycle Operations Manager
2 months ago
About NYC Health + Hospitals:
Empowering Every New Yorker — Without Exception — to Achieve Optimal Health
NYC Health + Hospitals stands as the largest public healthcare system in the United States, delivering crucial outpatient, inpatient, and home-based services to over one million New Yorkers annually across the five boroughs. Our extensive health system encompasses ambulatory centers, acute care facilities, post-acute care/long-term care, rehabilitation programs, Home Care, and Correctional Health Services. Our diverse workforce is dedicated to empowering New Yorkers, without exception, to lead the healthiest lives possible.
At NYC Health + Hospitals, our mission is to provide high-quality healthcare services, without exception. Every team member adopts a patient-centered approach that embodies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathetic communication and collaboration among all individuals.
Position Overview:
Within the Centralized Billing and Follow-up Unit, oversee the Outlier Billing and Follow-up team within the Revenue Cycle Services department. The Manager for the Outlier Billing and Follow-Up is accountable for the daily operational performance of the unit's functions; reviewing accounts, rectifying claim edits, preparing and finalizing claims for submission to payers, and updating patient accounting systems.
Under the guidance of the Director of Centralized Billing, ensure the performance of the Outlier Unit. Assign work queues, direct activities, investigate and respond to claim escalations, and guide the unit on daily productivity.
Key Responsibilities:
- Provide comprehensive supervision to the Outlier Unit staff.
- Guarantee the unit's quality and promptness of responses to requests for itemized bills, medical records, and other documentation from IPRO and managed care plans to secure additional reimbursement.
- Identify denial trends from payors and their vendors to proactively address issues.
- Document and monitor the progress of appeals, providing detailed updates on case statuses.
- Stay informed about guidelines specific to Outlier workflow from CMS and eMedNY.
- Lead unit meetings, workgroups, and provide feedback and insights on operational processes.
- Prepare and review reports on unit productivity.
- Lead billing and follow-up special projects aimed at revenue enhancement.
- Ensure timely follow-up with payers on unresolved matters.
- Utilize work queue monitoring and dashboard tools to ensure efficient processing of unit claims, prioritizing high-value claims for necessary attention.
- Interpret H+H, city, state, and federal regulations and apply them appropriately to claims.
- Identify patterns and processes affecting outlier claims and reimbursement, escalating as necessary.
- Handle customer service and billing inquiries for patients facing account or billing issues.
- Provide overall supervision to the unit; approve leave requests; ensure adequate staffing, and manage unit vacancies.
- Conduct annual and periodic performance evaluations of subordinate personnel, establishing team standards and priorities.
- Perform additional duties as assigned by the Patient Account Director.
Minimum Qualifications:
- A Bachelor's degree from an accredited institution in accounting, finance, business administration, or a related field; and,
- Four (4) years of experience in accounting, finance, or business administration, with at least two (2) years in a responsible managerial role in areas typically associated with a hospital, medical center, or healthcare facility; and,
- Two (2) years of experience in the management of patients' accounts or credits; or,
- A satisfactory equivalent combination of experience, education, and training.
NYC Health and Hospitals provides a competitive benefits package that includes:
- Comprehensive Health Benefits for employees working 20+ hours per week.
- Retirement Savings and Pension Plans.
- Loan Forgiveness Programs for eligible employees.
- Paid Holidays and Vacation in accordance with collectively bargained contracts.
- College tuition discounts and professional development opportunities.
- Various employee discount programs.
