Revenue Cycle Quality Manager

3 days ago


Great Neck, New York, United States Northwell Health Full time
Job Summary

We are seeking a highly skilled Revenue Cycle Quality Manager to join our team at Northwell Health. The successful candidate will be responsible for managing the revenue cycle operations of the clinical department, providing expertise in front-end best practice operations, and serving as a liaison to the Clinical Practice Plan.

Key Responsibilities
  • Assess front-end operations and provide recommendations to improve revenue outcomes
  • Review, monitor, and assist in the explanation of monthly revenue performance against budget and benchmark criteria
  • Prepare revenue analysis to maximize reimbursement and assist in the development of the annual revenue budget
  • Communicate revenue performance to the department and help identify/implement improvement opportunities
  • Provide leadership to Revenue Cycle Quality & Performance Management team members and supervisors
  • Develop, communicate, and build consensus for goals in alignment with the health system
  • Analyze and improve the performance of front-end billing operations
  • Identify problems in the process flow or organizational structure that impedes financial outcomes
  • Propose solutions and collaborate with the department to implement corrective action
  • Train front-end staff on key revenue cycle functions and technology
  • Perform fee schedule analysis and propose fee structure revisions
  • Oversee managed care contracting and related activities for the division
  • Serve as a liaison to central FPP office and monitor the credentialing process
Requirements
  • Bachelor's Degree required, or equivalent combination of education and related experience
  • 6-8 years of relevant experience and 2-5 years of leadership/management experience required
Preferred Skills
  • Strong managerial experience in a fast-paced environment
Salary Range

The salary range for this position is $79,880-$136,340/year.

Northwell Health is an equal opportunity employer and welcomes applications from diverse candidates.


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