Director, Revenue Cycle Management (Back End)

Northwell Health Westbury , NY 11590

Posted 2 months ago

Job Description:

As a Revenue Cycle Management Director you will direct, plan and organize the staff and accounts receivable activities of Health System departments administering inpatient, outpatient, physicians' billing, cashiering, credit and collection, cash application, private ambulatory, emergency and clinic registration services. You will collaborate with Information Services and Finance departments to ensure optimal system registration flows. You will ensure the integrity of data collected for registration and billing by collaborating with appropriate on-site departments. You will keep informed and disseminates pertinent regulatory and insurance related information in order to promote timely and efficient collection of inpatient and outpatient services. You will also direct activities of multiple directors and/or managers to meet short and long-term strategic goals. Additionally you will develop and establish policies and procedures to optimize operations.

Responsibilities Include:

  • Manages administrative direction of assigned accounts receivable department(s):

  • Assesses and makes recommendations to improve the efficiency of current systems/ processes for applicable registration and financial services.

  • Formulates and implements policies and procedures to facilitate the efficient functioning of related departments.

  • Develops and maintains current departmental manuals, where applicable.

  • Develops financial programs consistent with changing regulatory and fiscal environment in accordance with Health System's mission and vision.

  • Promotes optimal efficiency and productivity by integrating functions across service lines.

  • Ensures cash reconciliation and auditing functions are in compliance with policies and procedures.

  • Develops and monitors strategic operating goals, objectives and budget; and reports operational performance, justification and/or corrective action.

  • In conjunction with Information Services and Finance, ensures optimal registration flows as they relate to accounts receivables. Ensures the accuracy of patient data statistics as they relate to admissions, discharges and outpatient visits.

  • Ensures the accuracy of third-party allowances. Ensures changes due to third-party regulations are implemented correctly and within a proper time frame within the Shared Medical System (SMS).

  • Reviews aged trial balances. Ensures accounts on the Aged Trial Balance reports are handled in an efficient and accurate manner.

  • Troubleshoots various patient issues as it relates to collections;

  • Reviews and approves refunds as they relate to patients and third parties.

  • Verifies private duty nurses are correctly billed to patients.

  • Communicates patient-related information to appropriate departments, as necessary.

  • Ensures compliance with applicable laws and regulatory standards.

  • Keeps abreast of federal, state, and county rules and regulations pertaining to collection.

  • Develops, manages and evaluates direct reports; and oversees development, management and evaluation of indirect reports.

  • Manages the efficient use of department budget

Qualifications

  • Bachelor's Degree in Finance or Accounting, required. Master's Degree, preferred.

  • Minimum of seven (7) years experience in healthcare finance administration including three (3) years supervisory experience.

  • Advanced knowledge of related hardware/software and hospital registration/ billing systems, required.

  • Knowledge of Invision/SMS system, preferred.

  • Strong interpersonal and communication skills.

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Director, Revenue Cycle Management (Back End)

Northwell Health