Accounts Recievable Vendor Manager

LE001 Richmond Medical Center; New York (NY); On-site; USD 80,000 - 90,000; Full time

Job summary

Richmond University Medical Center in New York, NY is seeking an Accounts Receivable Vendor Manager to oversee a multi-million dollar outsourced A/R portfolio. You will partner with senior leadership to drive strategic initiatives, measure vendor performance, and enforce contractual standards.

Responsibilities include maintaining vendor scorecards, conducting root-cause analyses, and supporting contract negotiations, while ensuring HIPAA compliance and accurate revenue cycle management.

Qualifications

• Minimum of 3 years in healthcare reimbursement or related field.
• Ability to read and understand contractual language.
• Knowledge of healthcare accounts receivable and revenue cycle processes.
• Experience with data analysis in healthcare.

Responsibilities

• Manage day-to-day multi-million insurance outsourced A/R portfolio.
• Collaborate with Director/AVP and senior leadership on strategic initiatives to mitigate vendor risks.
• Develop and implement process improvements; optimize vendor performance.
• Create and maintain vendor scorecards and remediation plans; monitor KPIs and SLAs.
• Identify and implement new controls; communicate issues to leadership.
• Assist with SLA and contractual negotiations; validate contract language.

Skills

Vendor management

Healthcare reimbursement

Data analysis

Contract language

HIPAA compliance

CPT ICD-10

Education

Bachelor's degree

High School diploma

Job description

It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Day Shift - 7.5 Hours (United States of America). Under the direction of the Director and/or AVP, the Accounts Receivable Vendor Manager facilitates and maintains relationships between RUMC and A/R extended business office vendors holding them accountable to contractual agreements and obligations; and supports the Director and/or AVP in negotiating contracts and creating vendor standards and guidelines.

Primary Responsibilities

• Responsible for the day-to-day management of multi-million insurance outsourced A/R portfolio
• Works closely with the Director, AVP and Senior Leadership to research, develop and implement various strategic initiatives to mitigate risks for external vendors.
• Recommends process improvement and optimization.
• Measures vendor performance benchmarks/ KPIs and SLA’s by creating and maintaining scorecards and co-develops remediation plans when performance deviates from contractual performance standards.
• Understands emerging risks; develops, tests and implements new controls when required.
• Maintains database of vendors and monitors their system and hospital-specific activities via quantitative and qualitative scorecard.
• Builds and maintains professional relationship with all assigned vendors.
• Understands and articulates to the Senior Leadership any issues related to vendor performance.
• Serves as a point of contact, as assigned, for third party vendor-related issues, including denials, adjustments, insurance issues, and other insurance related vendors.
• Performs root cause analysis to identify areas where the process may not be working effectively or efficiently and drives improvement in the overall revenue cycle process.
• Coordinates with vendors to communicate issues and goals, fostering cooperation necessary to achieve desired results.
• Adheres to all organizational policies and procedure.
• Assists with Service Level Agreement and Contractual negotiations
• Validates contract language and makes recommendations to the same
• Performs other duties as requested.

Requirements

• Education: High School diploma. Bachelor’s degree required.
• Experience: A minimum of three years' experience in healthcare reimbursement, healthcare customer service, or a related field.
• Demonstrable understanding of Vendor Management and ability to read and understand contractual language.
• Knowledge of healthcare accounts receivable and revenue cycle processes.
• Experience with data analysis in healthcare required.
• Licensure/Certification: Industry certification (AHIMA, HFMA, AAPC, etc.) preferred.

Skills

• Strong computer skills and some experience in data analysis, as well as ability to build fluency in multiple healthcare technology and accounts receivable systems.
• Strong knowledge of medical insurance and healthcare reimbursement, including knowledge of and adherence to HIPPA regulations, knowledge of third party operations, and knowledge of CPT, ICD 10 utilized in medical billing and medical billing terminology.
• Ability to set priorities and work independently, exercising good judgment, and multi-task in a fast-paced service environment with patients, insurance carriers, and leadership.
• Ability to comply with procedural guidelines and instructions and to solicit assistance when situations arise that deviate from the norm.
• Excellent verbal and written communications skills in order to interact with all levels of customers both internal and external.
• Excellent customer service skills to work effectively with insurance carriers, patients, leadership and colleagues.
• Analytical problem-solving skills and an attention to detail.
• Understanding of legal/ vendor contracts.
• Knowledge of escalation procedures when vendor is not performing according to contract/service level agreements.
• Create/maintain vendor scorecards for executive management.

Salary Range: $80,000 - $90,000

If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!

Our Mission

We the staff of Human Resources are proud to share a long-standing tradition of excellence at Richmond University Medical Center. We uphold the mission by providing premier quality patient care through a full spectrum of emergent, acute, primary, behavioral health and educational services, and value the pride and integrity that motivate us to always be more, and always be better. We are committed to our mission and values because WE CARE!

WE CARE Values

• We are Welcoming, Energized, Compassionate, Advocates, Respectful and Excellent in our interaction with our patients, families, visitors and co-workers.
• W We are welcoming and gracious toward each other, and toward all who come to receive our services.
• E Personnel are energized for quality, creativity, commitment and teamwork.
• C Compassion is the way we share deep concern and care toward each person.
• A Advocacy is our activity that promotes the rights and responsibilities of patients, families, and staff, in the hospital setting and in the community.
• R We show respect by recognizing the basic dignity of every person in all our interactions and in the formulation of policies and procedures.
• E Excellence is our way of demonstrating that we can always be more and always be better.