Assistant Director Revenue Cycle - Ambulatory Care Operations - Mount Sinai Hospital - FT Days M-F 9Am-5Pm

Description

Assistant Director Revenue Cycle

• Ambulatory Care Operations

• Mount Sinai Hospital

• FT Days M-F 9AM-5PM

The Assistant Director Revenue Cycle is responsible for directing and coordinating the overall functions of revenue cycle activity, ensuring maximization of cash flow while improving patient, physician and customer relations. Including analysis of revenue cycle data to assure carrier performance and recommend change and accountability for all billing functions. The Assistant Director participates in carrier credentialing and serves as a liaison to the CBO and IPA; report variances against the department budget; and work to establish a review for carrier performance. This individual may function as liaison between patient and other Mount Sinai departments (Hospital or FPA) in management of patient billing inquiries. This individual may supervise and train all staff including ongoing education and development to meet the changing needs of the carrier environment.

Responsibilities

1.Utilizes data and fact-based problem-solving techniques to improve processes and outcomes.

2.Participates in professional development activities and maintains professional affiliations; maintains professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks, benchmarking state-of-the-art practices, participating in professional societies. Maintains knowledge of and complies with established policies and procedures including government, insurance and third-party payer regulations.

3.Plans and directs registration, patient insurance, billing/collections and data processing to ensure accurate patient billing and efficient account collection.

4.May oversee provider credentialing process with payors; interfaces with IPA, medical staff and faculty, to ensure credentialing is completed in a timely manner.

5.Manages practice/department within the established budget, including annual planning, and develops monthly status reports.

6.Supervises and trains all revenue cycle billing staff

7.Serves as operational liaison between CBO team and third party vendors.

8.Establishes and implements a system for the collection of delinquent accounts, ensuring third-party payors are contacted.

9.Attends administrative meetings and participates in related committees.

10. Establishes and recommends credit and collection policies. Makes recommendations for improvement.

11. 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.

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

13. Reviews operative reports and pathology to recommend correct coding and submission

14. Develops and implements new procedures to improve the quality and quantity of work processed. Ensure policies are communicated and administered consistently.

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

16. 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.

17. Monitors daily operating activities of assigned department and makes suggestions necessary for improved workflow and efficiency.

18. Attends administrative meetings and participates in committees as requested. Conducts special projects and studies, as directed.

19. Acts as liaison with all levels of administration and faculty in the coordination of operational activities to achieve directives and facilitate problem resolution.

20. Maintains confidentiality as regards to patients accounts status.

21. 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.

Qualifications

Education Requirements

Baccalaureate degree in business administration or related field.

Masters Degree in business or related field preferred.

Experience Requirements

Certified Professional Coder credentials preferred.

7 + years Revenue Cycle experience preferred.

Non-Bargaining Unit, 404

• Ambulatory Care Operations

• MSH, Mount Sinai Hospital

Employer Description

Strength Through Diversity

The Mount Sinai Health System believes that diversity, equity, and inclusion are key drivers for excellence. We share a common devotion to delivering exceptional patient care. When you join us, you become a part of Mount Sinai's unrivaled record of achievement, education, and advancement as we revolutionize medicine together. We invite you to participate actively as a part of the Mount Sinai Health System team by:

• Using a lens of equity in all aspects of patient care delivery, education, and research to promote policies and practices to allow opportunities for all to thrive and reach their potential.

• Serving as a role model confronting racist, sexist, or other inappropriate actions by speaking up, challenging exclusionary organizational practices, and standing side-by-side in support of colleagues who experience discrimination.

• Inspiring and fostering an environment of anti-racist behaviors among and between departments and co-workers.

We work hard to acquire and retain the best people and to create an inclusive, welcoming and nurturing work environment where all feel they are valued, belong and are able to professional advance. We share the belief that all employees, regardless of job title or expertise contribute to the patient experience and quality of patient care.

Explore more about this opportunity and how you can help us write a new chapter in our history!

"About the Mount Sinai Health System:

Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 43,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment. The Health System includes approximately 7,400 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics and top 20 in Cardiology/Heart Surgery, Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report's "Best Children's Hospitals" ranks Mount Sinai Kravis Children's Hospital among the country's best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 14 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's Best Smart Hospitals" ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.

The Mount Sinai Health System is an equal opportunity employer. We comply with applicable Federal civil rights laws and does not discriminate, exclude, or treat people differently on the basis of race, color, national origin, age, religion, disability, sex, sexual orientation, gender identity, or gender expression. We are passionately committed to addressing racism and its effects on our faculty, staff, students, trainees, patients, visitors, and the communities we serve. Our goal is for Mount Sinai to become an anti-racist health care and learning institution that intentionally addresses structural racism."

EOE Minorities/Women/Disabled/Veterans