Director of Operations - CBO

Mount Sinai Medical Center; New York (NY); On-site; USD 115,000 - 173,000; Full time

Job summary

The Mount Sinai Health System in New York is seeking a Director of Operations for the Central Billing Office to lead day-to-day billing operations and optimize revenue management aligned with organizational goals. You will mentor staff, implement policies, and drive improvements to net collection ratio and overall collection rate.

The role focuses on leveraging technology, improving staff productivity, and fostering strong collaboration with clinical administrators, IT, and billing staff to

Qualifications

• Bachelor’s degree in finance or accounting or equivalent combination of relevant experience and education.
• 10+ years effective experience in health care reimbursement, billing, claims processing, departmental operations and contract management, with evidence of strong skills in communications and management.

Responsibilities

• Develops strategies to improve cash collections and net collection rate.
• Ensures compliance with third party terms, recovers underpayments and reduces denials.
• Develops policies and workflows to promote efficient, compliant revenue cycle operations.
• Reviews records and department activities impacting the reimbursement process.
• Provides feedback to billing staff and practice staff to improve revenue results.
• Develops and manages reports related to billing and collections.
• Involves in GE/IDX system applications upgrades to maximize cash flow.
• Monitors denials and guides practices to reduce denial rates.

Education

Bachelor’s degree in finance or accounting

Job description

Description

The Director of Operations for the CBO provides overall leadership of day to day billing operations. Develops policies and procedures that are aligned with the overall direction of the School. This individual cultivates the expertise that exists within billing office by providing strong leadership and mentoring skills. The Director is responsible for ensuring that revenue management techniques and functions are aligned and optimized to meet or exceed organizational goals, including optimal net collection ratio, increasing overall collection rate while reducing days in A/R, advancing the effective use of technology, optimizing staff productivity, and minimizing the cost to collect. This individual is expected to foster effective communication and strong working relationships with the clinical administrators, Chairs, physician leads, IT department, and billing staff.

Responsibilities

• Develops strategies and tactics across organization to improve cash collections and the net collection rate.
• Increases compliance with third party contract terms and recovers underpayments, reduces denials and ensures timely and accurate repayment of credit balances.
• Develops and implements policies, procedures, job descriptions and work flow patterns that provide an overall successful revenue cycle operations that is sufficient and appropriate to promote effective, efficient, and compliant operations for all areas of responsibility. Develops both work output metrics and quality audits that will allow effective monitoring of performance.
• Reviews and evaluates records as well as activities of department that impact the reimbursement process.
• Demonstrates a consistent standard of excellence to which all areas are expected to perform. Provides routine and effective feedback to billing staff and practice staff and recognize improved and superior revenue related results.
• Responsible for the development, implementation and management of accurate and timely reports related to billing and collections.
• Involved in implementation of GE/IDX system applications (including custom enhancements) upgrades and conversions to ensure maximizing work and cash flow.
• Monitors denial and guide practices in reducing denial rates, particularly the referral and authorization process.
• Ensures that revenue cycle functions are effectively complying with all governmental, third party and other related regulations through overseeing the development and implementation of operational policies and procedures.
• Other relevant duties as assigned.

Qualifications

• Bachelor’s degree in finance or accounting or equivalent combination of relevant experience and education.
• 10+ years effective experience in health care reimbursement, billing, claims processing, departmental operations and contract management, with evidence of strong skills in communications and management. A firm understanding of all financial and accounting standards and regulations. Medical School experience preferred, as is a strong background in administrative leadership.

Employer Description

Strength through Unity and Inclusion

The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai's unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.

At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history.

About the Mount Sinai Health System:

Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report's "Best Children's Hospitals" ranks Mount Sinai Kravis Children's Hospital among the country's best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's Best Smart Hospitals" ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.

Equal Opportunity Employer

The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.

Compensation

The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $115494 - $173241 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.