Director Revenue Cycle Applications IT

Stony Brook University•Town of Brookhaven, NY

About The Position

At Stony Brook Medicine, the Director Revenue Cycle Applications IT is a strategic leader responsible for managing and enhancing technology that supports the organization’s revenue cycle operations. The role oversees applications and systems serving multi-hospital inpatient and outpatient services, physician practice registration and scheduling, health information management, and patient accounting. The director leads the lifecycle of revenue cycle applications, including requirements development, procurement, evaluation, selection, implementation, upgrades, performance monitoring, workflow assessment, enhancement, and ongoing support. The role coordinates integrations and data exchange across diverse systems, analyzes data to improve revenue capture and reduce denials or delays, and ensures compliance with healthcare regulations, payer requirements, security policies, and organizational standards. The position supervises system administrators, analysts, and other staff; manages vendor relationships, departmental resources, software portfolios, relevant equipment inventories, and capital and operational budgets; and collaborates with clinical, financial, administrative, Revenue Cycle, IT, and PMO teams. The director also contributes to SBMIT’s strategic and operational objectives, develops contingency procedures for critical applications, and participates in on-call rotations as required.

Requirements

  • Bachelor’s degree in Healthcare Administration, Finance, Business, Information Technology, or a related field.
  • At least 8 years of progressive healthcare revenue cycle experience within a health system encompassing hospitals, ambulatory services, and physician practices.
  • At least 3 years of experience managing and leading large or impactful revenue cycle teams.
  • Extensive healthcare revenue cycle operations experience, including systems, patient registration and throughput, health information management, claims processing and reimbursement, payer contracts, and applicable regulations.
  • Demonstrated leadership in system implementations and conversions, with advanced proficiency in revenue cycle management software.
  • Experience with health system Revenue Cycle Applications, including patient registration, scheduling, acute case management, health information management, medical coding, eligibility, batch document scanning, and patient accounting.
  • Experience integrating Electronic Health Record Systems and Revenue Cycle Applications.
  • In-depth knowledge of third-party system integrations, including insurance eligibility verification, claim scrubbing, electronic claims submission and remittance, encoder tools, financial analytics platforms, online appointment scheduling, and touchless check-in solutions.
  • Strong background in patient throughput and charge reconciliation processes.
  • Experience with Electronic Master Patient Index solutions (EMPI).
  • Experience leading or developing specifications for Request for Proposal (RFP) or similar committee-scored bid procurement processes for IT projects.
  • Proficient understanding of project management methodologies.
  • Exceptional interpersonal, communication, leadership, and change management abilities to foster collaborative and productive working relationships.
  • Advanced analytical and problem-solving capabilities.

Nice To Haves

  • Experience with Cerner Soarian and/or Oracle Health Patient Accounting Revenue Cycle Products.
  • Experience with Oracle Health Cerner Millenium Electronic Health Record.
  • Experience with Athena IDX Registration, Scheduling, and Billing.
  • Familiarity with New York State procurement processes.
  • Experience with Passagepoint Visitor Management, Electronic Clinical Consents, Televox, Teladoc, Experian, Phreesia, Instamed, FinThrive, Craneware, 3M Encoder, SMART Systems, UDS (SPARCS Submissions), UPHNLite, Report Automation System, Document Automation System, EMUE, sFTP processes, Server Upgrades, Formfast, Commure Patient Keeper, MicroFocus, eScription, and CertaScan.

Responsibilities

  • Oversee the operation and continuous improvement of revenue cycle systems and interfaces across multiple hospitals and physician practices, including patient financial services, charge capture and reconciliation, registration, scheduling, patient throughput, health information management, document and signature capture, visitor management, online payments, document imaging, diagnostic coding, deficiency management, and enterprise master patient index.
  • Lead initiatives to crosswalk data among diverse systems in support of Revenue Cycle operations.
  • Manage integration and support for a comprehensive suite of revenue cycle applications.
  • Direct evaluation, selection, implementation, and upgrading of technologies to automate tasks, centralize processes, and improve operational efficiency.
  • Analyze data to identify trends and develop strategies to optimize revenue capture and minimize payment denials or delays.
  • Ensure compliance with healthcare regulations, including HIPAA, and payer requirements; coordinate required data provision to regulatory bodies and partner agencies.
  • Serve as a liaison between Revenue Cycle and IT departments to facilitate integration and maintain data integrity.
  • Collaborate with clinical, financial, and administrative teams to streamline workflows, improve patient experience, and optimize financial operations.
  • Manage vendor and partner relationships, including reconciling invoices against completed deliverables.
  • Supervise system administrators and analysts who maintain revenue cycle technologies and support related initiatives.
  • Apply project management skills to assigned projects and collaborate with the Office of the PMO on enterprise initiatives.
  • Plan resource allocation in alignment with organizational priorities and projects.
  • Lead and supervise direct reports and staff, including staffing, professional growth, human resource management, resource allocation, training, and compliance with standards, policies, and best practices.
  • Maintain software portfolios and IT support within ancillary areas and manage relevant equipment inventories.
  • Promote continuous improvement, innovation, and collaboration.
  • Lead development of system requirements, procurement, functional specifications, implementation, performance monitoring, enhancements, workflow assessments, outcome reviews, and process redesign recommendations.
  • Partner with Revenue Cycle departments on requirements analysis, planning, selection, budgeting, design, implementation, and ongoing systems support aligned with organizational strategic objectives.
  • Coordinate Revenue Cycle system operations with other directors to prioritize initiatives and support end-user departments and core business processes.
  • Contribute to SBMIT strategic and operational objectives as a member of the SBMIT leadership team.
  • Lead departmental capital planning for application upgrades, innovation, and technical needs assessments.
  • Oversee departmental capital and operational budgets.
  • Adhere to organizational security policies and guidelines.
  • Develop contingency procedures for critical Revenue Cycle Applications.
  • Participate in on-call rotations as required.

Benefits

  • Comprehensive benefits package, including generous leave and health insurance.
  • Participation in the state pension system.
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