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Revenue Cycle Manager (Ar)

Company

Columbia University

Address , New York
Employment type FULL_TIME
Salary $100,000 - $119,000 a year
Expires 2023-10-20
Posted at 8 months ago
Job Description
  • Job Type: Officer of Administration
  • Salary Range: 100,000-119,000
  • Regular/Temporary: Regular
  • Standard Work Schedule: 9-5 M-F
  • Bargaining Unit:
  • Building: 400 Kelby St, Fort Lee, NJ 07024
  • Hours Per Week: 35
  • End Date if Temporary:
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, qualifications, experience, education, licenses, specialty, and training. The above hiring range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting.
  • Hours Per Week: 35
  • Building:
  • Regular/Temporary: Regular
  • Bargaining Unit:
  • End Date if Temporary:
  • Standard Work Schedule: 9-5 M-F
  • Salary Range: 100,000-119,000
  • Job Type: Officer of Administration
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, qualifications, experience, education, licenses, specialty, and training. The above hiring range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting.
  • Salary Range:
  • Bargaining Unit:
  • Hours Per Week: 35
  • Standard Work Schedule: 9-5 M-F
  • End Date if Temporary:
  • Job Type: Officer of Administration
  • Regular/Temporary: Regular
  • Building:
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, qualifications, experience, education, licenses, specialty, and training. The above hiring range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting.

Position Summary

The Revenue Cycle Manager (Accounts Receivable) is responsible for direct oversight of Accounts Receivable (AR) units that are responsible for working and collecting on unpaid professional medical claims (government and all third party payors). The Manager is accountable for unit performance, work quality, efficiency, and compliance with policies and regulations.

Responsibilities

Operations

  • Conduct routine scheduled meetings with staff to ensure consistency, ongoing education, and training.
  • Responsible for maintaining and developing workflows and assisting in backlog reduction.
  • Advises or escalates to senior management on pertinent matters impacting cash collections.
  • Directly manages revenue cycle units to ensure maximum efficiencies and productivity by prioritizing work activities.
  • Keeps apprised of industry rules and regulations affecting reimbursement. Stays current through appropriate journals and personal contacts of such developments in the industry as may increase the effectiveness of operations.
  • Generates and manages initiatives for cash acceleration through targeted projects, ensuring baseline is identified, projects are tracked and outcomes reported.
  • Participates in scheduled payer meetings to escalate the resolution of denials and outstanding appeals.
  • Assists in developing, maintaining, and implementing standard operating procedures (SOP) associated with AR follow-up, collection efforts, and operations.
  • Provides feedback and corrective measures to prevent claim denials, tracking to ensure timely turnaround and trending outcomes.
  • Responsible for weekly/ monthly/status reporting (development/preparation/maintenance of reports).

Strategic

  • Works collaboratively with clinical departments to establish effective communications to further the efficiency of the revenue cycle process.
  • Serves as an individual or team contributor towards achieving established organizational goals across all Revenue Cycle units. Develops new business cases for revenue optimization.
  • Monitors established key operating indicators (KOI), ensures that benchmarks are met. Deploy resources as required to address priorities and receivables inventory. Identifies trends and conducts root cause analysis. Makes recommendations to close identified gaps in process, people, or technology.
  • Collects and evaluates data to identify trends and gaps across Revenue Cycle processes. Uses analysis to make recommendations for improvements and optimization. Participates in improvement/optimization initiatives.
  • Provides analysis for modeling revenue projections and staffing needs.

People

  • Evaluates staff performance and takes corrective action in accordance with departmental HR guidelines.
  • Directs unit staff to ensure daily productivity benchmarks and quality measures are achieved.
  • Direct oversight of staff. Includes recruiting and human resource management.

Compliance & Other

  • The Manager may act as a backup to the CRO Revenue Cycle Director in their absence.
  • Represents the FPO on committees, task forces, and workgroups as assigned.
  • Conforms to all applicable HIPAA, Billing Compliance, and safety policies and guidelines.
  • As a member of the management team, performs other tasks, assumes additional management or supervisory responsibilities within the Revenue Cycle Department as assigned.

Minimum Qualifications

  • Ability to educate and train all levels of professional staff.
  • Requires bachelor’s degree or equivalent in education and experience.
  • Excellent verbal and written communication skills.
  • An equivalent combination of education and experience may be considered.
  • Ability to work collaboratively with a culturally diverse staff and patient/family population, strong customer service skills, demonstrating tact and sensitivity in stressful situations.
  • Must successfully complete systems training requirements.
  • Ability to work independently and follow through and handle multiple tasks simultaneously.
  • Demonstrated intermediate skills in A/R management, problem assessment, and resolution, and collaborative problem-solving in complex, interdisciplinary settings. Including proficiency in health insurance billing, collections, and eligibility for commercial and managed care, self-pay reimbursement concepts, and overall operational impact.
  • Minimum of 4 years supervisory/management experience in a physician billing or third-party payor environment emphasizing reporting systems.
  • Must be a motivated individual with a positive and exceptional work ethic.
  • Intermediate to advanced level proficiency in Microsoft Office (Word & Excel) or similar software is required and an ability and willingness to learn new systems and programs.

Preferred Qualifications

  • Managed care industry experience is preferred.
  • Knowledge of Epic and GE/IDX billing systems is preferred.
  • A certified Coder is preferred.
  • At least 2 years of direct supervisory experience is preferred.

Competencies

Patient Facing Competencies

Minimum Proficiency Level

Accountability & Self-Management

Level 3 - Intermediate

Adaptability to Change & Learning Agility

Level 3 - Intermediate

Communication

Level 3 - Intermediate

Customer Service & Patient-Centered

Level 3 - Intermediate

Emotional Intelligence

Level 3 - Intermediate

Problem Solving & Decision Making

Level 3 - Intermediate

Productivity & Time Management

Level 3 - Intermediate

Teamwork & Collaboration

Level 3 - Intermediate

Quality, Patient & Workplace Safety

Level 3 - Intermediate

Leadership Competencies

Minimum Proficiency Level

Business Acumen & Vision Driver

Level 1 - Introductory

Performance Management

Level 2 - Basic

Innovation & Organizational Development

Level 1 - Introductory

Equal Opportunity Employer / Disability / Veteran

Columbia University is committed to the hiring of qualified local residents.