Director, Revenue Cycle

Northwell•Melville, NY

2d•$105,400 - $183,000

About The Position

Directs, plans, and organizes revenue cycle information systems activities for the Health System. Collaborates with Information Services and Finance to ensure optimal system-wide best practices. Plans, organizes, and oversees service delivery initiatives involving networking, integration, systems, security, data center, and related vendors in support of Health System operations, projects, and initiatives. Maintains the integrity of related information systems and facilitates synchronization with other systems throughout the organization.

Requirements

Bachelor's degree or an equivalent combination of education and related experience.
8–12 years of relevant experience.
7 or more years of leadership or management experience.

Nice To Haves

5 or more years of direct experience leading a Denials Management, Appeals, or Underpayment Recovery team.
Strong knowledge of Medicare and Medicaid programs.
Strong Epic System proficiency.

Responsibilities

Lead a Revenue Cycle group by communicating with and developing staff members, and building consensus for programs and goals that support a business, function, or geographic area.
Develop and articulate a short-term strategic vision for areas of responsibility.
Ensure Revenue Cycle meets financial goals through efficient operations; review On-Site operations and Business Office productivity and production goals; visit operations to review efficiency; and meet with management to address successes, issues, recurring problems, and action plans.
Arrange periodic management team meetings to discuss hardware, facility space, and working conditions; review status reports and key performance indicators; monitor financial performance; and keep staff informed about federal, state, and third-party payer rules and regulations.
Develop and implement an annual business plan to maximize Revenue Cycle revenues, involve operations and management in its development, monitor progress, and collaborate on modifications to maximize revenues.
Schedule overtime when necessary to meet projected revenue goals; select, develop, manage, and evaluate direct reports; oversee these functions for indirect reports; identify opportunities to increase clinical practice volume; and assist physicians with program implementation to achieve volume and revenue goals.
Recognize program expansion opportunities.
Assist physicians with questions about their practices' financial components; monitor program implementations against volume and revenue goals; maintain cooperative quality relationships with physicians; and work with them to achieve Revenue Cycle goals and objectives.
Arrange for new physicians to learn Revenue Cycle billing and collections requirements; collaborate with management and physicians to resolve issues and prevent recurrence; prepare the annual budget and manage operations within it; and complete the budget on time.
Involve On-Site operations and Business Office management in annual budget development; hold quarterly budget meetings; notify organizational leadership of budget variances and plan to reduce or eliminate them; and represent Revenue Cycle in industry and professional associations.
Forward important payer newsletters and memoranda for management review and response; represent the organization positively to outside organizations; and maintain billing and collection practices consistent with payer guidelines and reimbursement rules.
Guide management in responding to changes in payer guidelines and reimbursement rules; contact third-party carriers when top-management involvement is needed; and work with staff and management to respond to provider-community changes and coordinate unified approaches to issues affecting Revenue Cycle.
Perform related duties as required.