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Job description
Responsibilities
Direct daily operations of the teams under their control, and continually work towards reducing days in Accounts Receivable, increasing cash collections, reducing bad debt decreasing denials and eliminating write offs due to process issues.
Ensures workflows align with revenue cycle best practices to reduce claim denials, improve cash collections and enhance clean claim rates.
Develop and implement policies and procedures that promote efficiency, data integrity, and regulatory compliance (e.g. NYS, CMS).
Monitor key performance indicators (KPI) such as initial and final denials, payer performance, staff productivity and quality touches, aged AR trends and billing lags.
Collaborate with department such as coding, IT, clinical service areas and appeals to ensure seamless end-to-end revenue cycle performance.
Lead, coach and mentor a team of managers, supervisors, and account representatives; oversee training, performance evaluations, and staff development.
Maintain strong internal controls and audit readiness for all PFS processes.
Supports organizational goals around cash collections and aged Accounts Receivable
Utilize revenue cycle and EHR systems.
Organizes routine meetings with health system business leaders and managed care to review payer issues and denials.
Builds effective, collaborative relationships with key stakeholders across departments (e.g., DTP, Human Resources, Managed Care, Finance, and clinical departments)
Collaborates with finance, managed care and DTP contributors to develop and operationalize optimal performance.
Provides leadership and supports governance processes to result in effective, efficient, standardized, and compliant practices across the MSHS.
Investigates and resolves denials and coordinates efforts to assist senior revenue cycle leaders with development of innovative strategies and solutions.
Establishes and maintains strong working relationships with Revenue Cycle leaders, key stakeholders, hospital and department leaders and fosters a strong working relationship with key strategic partners.
Maintains strong understanding of revenue performance metrics and payer mix and leads team in building plans to support operational departments to achieve best practice performance through strong analytical capabilities, process improvement identification, and technology enhancements.
Maintains strong customer relationships with key strategic partners.
Ensures appropriate functional strategic partners are engaged throughout the process.
Monitors and provides regular reporting to senior management on key performance metrics (e.g., actual versus expected results for financial targets)
Brings developing issues and recommended actions to the attention of senior leadership and governance committees.
Develops, maintains, and ensures compliance with standardized policies, processes, and programs throughout the MSHS.
Develops a high-performing team as measured through the achievement of benchmark process outcomes, audit and compliance results, financial goals, and employee satisfaction.
Stays current with government regulations regarding patient access and insurance.
Establish goals, objectives, and budgets for assigned areas, and monitors/manages to ensure achievement once approved.
Ensures all HIPAA privacy and security standards are adhered to.
Conforms to the established policies/ procedures/ processes/ Standards of Behavior and ensures assigned staff do so as well.
Performs other duties as assigned.
Qualifications
Education
Bachelor's degree in finance or Business-related field; Masters preferred
Experience
10 years of progressively responsible experience in patient accounts that includes experiences in third party billing rules, follow-up techniques, denial management and team building
Extensive demonstrated success in a finance department in a large not-for-profit/academic health system facility or corporate environment.
Excellent interpersonal skills, experience with making presentations to, and dealing with senior management and other C-suite leaders.
Financial management skills, including the ability to analyze financial data for operations, budgeting, auditing, forecasting, accounting, AR and reserve analysis, market analysis, staffing, and financial reporting.
Strong leadership skills to motivate cross-departmental teams? performance towards excellence using team concepts and consensus-building management styles.
Advanced/ effective interpersonal, written/ verbal communication, and presentation skills, along with the ability to communicate complex finance concepts to others without a finance background.
Demonstrated ability to engage in positive, powerful persuasion with individuals or groups with diverse opinions and/ or agendas, leading to outcomes that meet identified goals.
Ability to analyze and resolve complex problems necessary to develop and administer multifaceted revenue processes, regardless of whether issues originate in an area under direct or indirect control.
Ability to enlist cooperation and build teams committed to carrying out initiatives in environments that may be resistant to change and not under the incumbent's direct authority.
Ability to translate key performance indicator levels into a finance-based business case, then design, implement, and manage more effective/ efficient processes.
The ability to maintain a high level of positive energy/ creativity during periods of elevated work demands.
Ability to prioritize multiple objectives in a rapidly changing environment and deliver quality outcomes.
Ability to develop and maintain effective relationships at all levels throughout the organization.
Strong Leadership skills.
Working Conditions
Corporate office environment in an academic health system.
,518 - PFS 633 Third Avenue - MSH, Mount Sinai Hospital
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Worksite address
new york, NY, 10261, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.