YAI · 1 day ago
Director - Revenue Management
Manhattan, NY
Full-time
Hybrid
Director/Executive
$185K/yr - $215K/yr
10+ years expYAI is seeking a Director of Revenue Management to lead all program and medical billing within the organization. This role involves overseeing the revenue cycle operations, ensuring adherence to quality standards, and improving operational efficiency and cash flow.
AssociationCommunitiesHealth CareNon Profit
Hiring Manager
Sunny Porras
Responsibilities
Responsible for overseeing all revenue from residential, day and clinical programs for YAI in New York, New Jersey and California
Oversees the day-to-day operations of the revenue cycle, ensuring adherence to policies and procedures
Ensures the operating effectiveness of the revenue cycle from the point of service capture through cash collections
Ability to analyze, review and ensure automation of billing and collections processes in the billing systems (e.g. Digital Agency [DA] and NextGen)
Ensures claims are submitted within required deadlines and that payments are received and posted appropriately
Directs and supervises billing and eligibility staff, providing guidance and monitoring staff productivity and performance using established metrics
Monitors accounts receivable activity to ensure metrics are within benchmarks and initiates appropriate corrective measures, as needed
Oversees and provides input to ensure all billing systems are functional in categories such as dictionary files, data elements, interface and mapping, payor specificity, claims file transmission and electronic remittance posting
Oversees payment posting and reconciliation to bank statements with accounting
Responsible for management of monthly claims adjustments and bad debt assignments
Stays abreast of relevant Federal and State regulations and government and commercial payor regulations for I/DD program billing across all states of operation, as well as medical services provided in clinics
Ensures handling of protected health information in a manner consistent with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and maintains knowledge of related requirements
Performs all other duties, as assigned
Qualification
Required
Bachelor's degree in Business, Accounting, Healthcare Administration or related field
Five (5) years of experience managing the revenue cycle of a healthcare organization similar in size
Ten (10) years of progressively responsible industry experience
Satisfactory equivalent combination of education, experience and/or training
Knowledge of receivables software, billing platforms and Electronic Health Record (EHR) systems
Strong written and oral communication skills, with the ability to influence at all levels across the organization
Detail oriented and highly organized with strong critical thinking and analytical skills
Advanced skills with Microsoft Office applications including Word, Excel and Outlook
Ability to report on-site to our Manhattan office at least three (3) days per week in accordance with the Agency's Return to Office Policy
Preferred
Experience with Evero Digital Agency (DA) or similar electronic medical record system
Company
YAI
Founded in 1957 as the Young Adult Institute, YAI remains at the forefront of an extraordinary movement aimed at empowering people with intellectual and developmental disabilities and their families.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Kevin Carey
Chief Executive Officer
Amy Sigona, CFRE
Associate Director Corporate Partnerships
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