Manager Revenue Cycle

Job Description

Strength Through Diversity

Ground breaking science. Advancing medicine. Healing made personal.

 
Roles & Responsibilities:
  • Responsible for directing and coordinating the overall functions of revenue cycle activity, ensuring maximization of cash flow while improving patient, physician and customer relations.  This includes accountability for front and back end functions, daily reconciliation, resolution of billing inquiries, and patient/caregiver education on the billing process. May function as liaison between patient and other Mount Sinai departments (Hospital or FPA) in management of patient billing inquiries.

     

    Essential Duties and Responsibilities                                                                                             

    1.            Plans and directs registration, patient insurance verification, billing/collections and data processing activities to ensure accurate claims billing and efficient account collection.

    2.            Reviews current status of patient accounts to identify and resolve billing and processing problems in a timely manner.

    3.            Functions as problem-solver for patients with billing challenges.   Audits problem accounts and takes appropriate action to represent both patient and the Health System to achieve amicable outcome.

    4.            May meet with new patients or caregivers in assigned department(s) to orient them to billing processes and expectations.

    5.            Maintains contact with internal and external departments to obtain and analyze additional patient information to document and support billing and processing of claims.

    6.            Develops and implements new procedures to improve the quality and quantity of work processed.   Ensures policies and SOPs are communicated and administered consistently.

    7.            Reviews distributed reports on all aspects of front end revenue cycle activity and efficiency and takes action to improve performance.  Works with front end staff (e.g., registrars, schedulers, etc.), dept. supervisors and managers, as well as physicians and other providers, on actions that contribute to positive performance.  Understands underlying detail of reports and can articulate explanation of department results.

    8.            Develops and oversees business systems and works with Information Technology to ensure timely and accurate implementation.

    9.            Monitors daily operating activity of assigned department(s) and makes suggestions necessary for improved work flow and efficiency.

    10.        Develops and prepares operational and financial reports and analyses, noting progress as well as adverse trends.  Makes appropriate recommendations or conclusions.

    11.        Disseminates actionable information and knowledge to site and dept leadership to support front end revenue cycle activities, resulting in improved efficiency in claims submission and payment for all services rendered.  Contributes to continued positive financial performance and growth of the service line.

    12.        Maintains knowledge and complies with established policies and procedures including government, insurance and third-party payor regulations.

    13.        Attends administrative meetings and participates on committees as requested.  Conducts special projects and studies, as directed.

    14.        Participates in professional development activities and maintains professional affiliations.

    15.        Maintains confidentiality as regards patient account status.

    16.        Acts as liaison with all levels of administration and faculty in coordination of operational activities to accomplish directives and to facilitate resolution of issues.

    17.        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.

    18.        Other relevant duties as assigned.

        

    Education Requirements                                                                                                                 

    Baccalaureate degree in business administration or related field. 

    Masters Degree in business or related field preferred.

     

    Experience Requirements                                                                                                                 

    2-5 years health care operations, including revenue cycle and insurance verification responsibility

     


    Licensing and Certification Requirements (if applicable)                                                           

    N/A

     

    Computer Skills                                                                                                                                

    MS Office Suite (please check one):  (basic)    (intermediate)   (advanced) 

    Other:

     

    General Skills and Competencies                                                                                                   


    1.            Skill in establishing and maintaining effective working relationships with other     employees, patients, organizations and the public.

    2.            Skill in developing, implementing and administering data analyses and regular reporting.

    3.            Ability to process patient and public inquiries and respond with poise and efficiency.

    4.            Ability to recognize, evaluate, and solve problems and correct errors.

    5.            Ability to conceptualize work flow, develop plans and implement appropriate actions.

    6.            Ability to maintain confidentiality of sensitive information.

     

    Level of Physical Activity Required:  Light    Moderate    Heavy

     

    Work Environment                                                                                                  

    General office environment

     

 
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! 

Who We Are

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. 

EOE Minorities/Women/Disabled/Veterans

 

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