Director of Revenue Cycle jobs in United States
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Montefiore Einstein Technology · 1 day ago

Director of Revenue Cycle

Montefiore New Rochelle Hospital is seeking a Director of Revenue Cycle to oversee billing, collections, and denial management operations. The role involves ensuring timely and accurate payment for hospital services while collaborating with stakeholders to improve performance and workflows.

Information Technology & Services

Responsibilities

The Director of Revenue is responsible for planning, directing, coordinating, and controlling. The operation and activities involved for billing, collections and denial management for the Montefiore New Rochelle hospital
Additionally, this position is responsible for the financial control, management, and support of the collection and billing activities ensuring timely and accurate payment for hospital services
The Director, manages and oversees the output and quality of all payer accounts receivable under their scope and is expected to collaborate with their payer managers and hospital leadership to identify strategies for performance improvement on a weekly, monthly, and annual basis
Examples of tasks and/or oversight associated with this role include: Weekly Metrics Call
Vendor Management
Monthly Quality Performance
AR Review
Payer Escalation Protocol management
The Director is also responsible for maximizing cash flow, so collaboration with key stakeholders, both internal and external, is essential
In conjunction with other duties, the Director will contribute to the day-to-day operations on all issues related to billing, collections and follow-up functions, provide AR analysis, create written processes and procedures, and identify and implement required training for the Revenue Realization staff, which may or may not require interaction with individuals outside of Revenue Realization
The Director will work interdependently with other departments and their key stakeholders to create improved workflows and efficiencies across departments where there is an impact, directly or indirectly, on (cash) patient revenue
Examples of tasks and/or oversight associated with this role include: Coding/Billing/DNFB Edits
EPIC Training
EPIC Work Queue management
Annual/Bi-Annual Policy Review
Denials Huddle Collaboration
This individual sets clear and achievable goals and establishes the necessary metrics to track, monitor, and facilitate sustainable progress

Qualification

Healthcare business office experienceHIPAA complianceCPTICD-9/ICD-10 codingEpic system knowledgeCRCR certificationCRCP certificationWrittenVerbal skillsWorking knowledge of ExcelWorking knowledge of WordWorking knowledge of PowerPointCommunication skillsOrganization skillsProblem-solving skills

Required

BS Required
7-9 years 7 years experience Required
Experience with HIPAA compliance, coding, charging and billing
Excellent communication, organization, and problem-solving skills required. Candidate must be comfortable discussing billing, collections, and charging matters, as well as the ability to interact with patients in a professional manner
Excellent written and verbal skills
Ability to present information in a clear, concise manner is a must
Working knowledge of Excel, Word, and PowerPoint, is required

Preferred

MAS Preferred
Healthcare business office experience (in areas such as accounts receivable, collections, billing, financial counseling etc.) preferred
Working knowledge of CPT, ICD-9/ICD-10 coding, and Federal/managed care rules and regulations preferred
Epic system knowledge preferred
CRCR (Certified Revenue Cycle Representative), HFMA Preferred
CRCP (Certified Revenue Cycle Professional), AAHAM Preferred

Company

Montefiore Einstein Technology

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Montefiore Einstein Technology began a cultural transition from a provider of IT services and support to an integral component of Montefiore Medical Center/Systems and its affiliates located in the Bronx, Westchester, and Rockland Counties, with our focus on Customer Service and meeting Montefiore’s Health Systems Mission, Vision, and Values.

Funding

Current Stage
Late Stage
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