Mount Sinai Careers
DIRECTOR OF OPERATIONS CBO - FPA Administration
Strength Through Diversity
Ground breaking science. Advancing medicine. Healing made personal.
Roles & Responsibilities:
The Director of Operations for the CBO provides
overall leadership of day to day billing operations. Develops policies and
procedures that are aligned with the overall direction of the School. This
individual cultivates the expertise that exists within billing office by
providing strong leadership and mentoring skills. The Director is responsible
for ensuring that revenue management techniques and functions are aligned and
optimized to meet or exceed organizational goals, including optimal net
collection ratio, increasing overall collection rate while reducing days in
A/R, advancing the effective use of technology, optimizing staff productivity,
and minimizing the cost to collect. She/he will be expected to foster effective
communication and strong working relationships with the clinical
administrators, Chairs, physician leads, IT department, and billing staff.
Duties and Responsibilities:
- Develops strategies and tactics across organization to improve cash collections and the net collection rate
- Increases compliance with third party contract terms and recovers underpayments, reduces denials and ensures timely and accurate repayment of credit balances
- Develops and implements policies, procedures, job descriptions and work flow patterns that provide an overall successful revenue cycle operations that is sufficient and appropriate to promote effective, efficient, and compliant operations for all areas of responsibility. Develops both work output metrics and quality audits that will allow effective monitoring of performance
- Reviews and evaluates records as well as activities of department that impact the reimbursement process
- Demonstrates a consistent standard of excellence to which all areas are expected to perform. Provides routine and effective feedback to billing staff and practice staff and recognize improved and superior revenue related results
- Responsible for the development, implementation and management of accurate and timely reports related to billing and collections
- Involved in implementation of GE/IDX system applications (including custom enhancements) upgrades and conversions to ensure maximizing work and cash flow
- Monitors denial and guide practices in reducing denial rates, particularly the referral and authorization process
- Ensures that revenue cycle functions are effectively complying with all governmental, third party and other related regulations through overseeing the development and implementation of operational policies and procedures
- Other relevant duties as assigned
- Bachelors degree in finance or accounting or equivalent combination of relevant experience and education
- 10+ years effective experience in health care reimbursement, billing, claims processing, departmental operations and contract management, with evidence of strong skills in communications and management. A firm understanding of all financial and accounting standards and regulations. Medical School experience preferred, as is a strong background in administrative leadership
- e-Commerce – advanced level
- Requires a highly effective manager who possesses
excellent verbal and written communication skills and a comfort level in
communicating with all levels of the organization. Must have superior
organizational, administrative and technical competence. Must be resourceful,
disciplined and dedicated to doing what is necessary to accomplish the task, in
accordance with the goals of Mount Sinai Faculty Practice Plan.
Strength Through Diversity
The Mount Sinai Health System believes that diversity and inclusion is a driver for excellence. We share a common devotion to delivering exceptional patient care. Yet we’re as diverse as the city we call home- culturally, ethically, in outlook and lifestyle. When you join us, you become a part of Mount Sinai’s unrivaled record of achievement, education and advancement as we revolutionize healthcare delivery together.
We work hard to recruit and retain the best people, and to create a welcoming, nurturing work environment where you have the opportunity and support to develop professionally. We share the belief that all employees, regardless of job title or expertise, have an impact on quality patient care.
Explore more about this opportunity and how you can help us write a new chapter in our story!
Over 38,000 employees strong, the mission of the Mount Sinai Health System is to provide compassionate patient care with seamless coordination and to advance medicine through unrivaled education, research, and outreach in the many diverse communities we serve.
Formed in September 2013, The Mount Sinai Health System combines the excellence of the Icahn School of Medicine at Mount Sinai with seven premier hospitals, including Mount Sinai Beth Israel, Mount Sinai Brooklyn, The Mount Sinai Hospital, Mount Sinai Queens, Mount Sinai West (formerly Mount Sinai Roosevelt), Mount Sinai St. Luke’s, and New York Eye and Ear Infirmary of Mount Sinai.
The Mount Sinai Health System is an equal opportunity employer. We promote recognition and respect for individual and cultural differences, and we work to make our employees feel valued and appreciated, whatever their race, gender, background, or sexual orientation.