Mount Sinai Careers
Revenue Cycle Manager - Ambulatory Care - Mount Sinai St. Luke's
Strength Through Diversity
Ground breaking science. Advancing medicine. Healing made personal.
- Plans and directs registration, patient insurance, billing/collections and data processing to ensure accurate patient billing and efficient account collection.
- Manages practice/department within the established budget, including annual planning, and develops monthly status reports.
- Supervises billing staff.
- Reviews current status of patient accounts to identify and resolve billing and processing problems in a timely manner.
- Establishes and implements a system for the collection of delinquent accounts, ensuring third-party payors are contacted.
- Establishes and recommends credit and collection policies. Makes recommendations for improvement.
- Solves difficult payment and associated Mount Sinai practices or network problems (whether Hospital or FPA based).
- Audits problem accounts and takes appropriate action to achieve amicable outcome between patient and the Medical Center.
- May meet with new patients and caregivers in assigned department(s) to orient them to billing processes and expectations.
- Maintains contact with Medical Records and other departments to obtain and analyze additional patient information to document and process billings.
- Reviews operative reports and pathology to recommend correct coding and submission.
- Develops and implements new procedures to improve the quality and quantity of work processed. Ensure policies are communicated and administered consistently.
- Develops and oversees business systems and works with Information Technology to ensure timely and accurate implementation.
- Initiates and answers pertinent correspondence. Prepares operational and financial reports and analysis, noting progress as well as adverse trends. Makes appropriate recommendations or conclusions. Maintains required records and files.
- Monitors daily operating activities of assigned department and makes suggestions necessary for improved workflow and efficiency.
- Maintains knowledge of and complies with established policies and procedures including government, insurance and third-party payor regulations.
- Attends administrative meetings and participates in committees as requested. Conducts special projects and studies, as directed.
- Acts as liaison with all levels of administration and faculty in the coordination of operational activities to achieve directives and facilitate problem resolution.
- Participates in professional development activities and maintains professional affiliations.
- Maintains confidentiality as regards to patients accounts status.
- Assists in the planning of short and long-range goals for the department, unit or division. Prepares and evaluates proposals to implement new programs and expand existing ones.
- Baccalaureate degree in business administration or related field. CPC certification; Master’s Degree in business or related field preferred.
- 5 years experience in Hospital billing.