Director of Operations - CBO

Mount Sinai Health System; United States; On-site; USD 115,000 - 173,000; Full time

Job summary

Mount Sinai Health System seeks a Director of Operations for the Central Billing Office to lead day-to-day billing operations, align policies with organizational direction, mentor staff, and optimize revenue cycle performance. The role focuses on improving net collection rate, reducing days in A/R, and leveraging technology across departments.

The ideal candidate has 10+ years in healthcare reimbursement, strong management and communications skills, and experience shaping policies, procedures

Qualifications

• 10+ years of experience in health care reimbursement, billing, claims processing, and contract management.
• Strong skills in communications and management.
• Experience developing policies, procedures and metrics for revenue cycle operations.

Responsibilities

• Provide leadership over day-to-day billing operations and develop policies aligned with organizational goals.
• Develop strategies to improve cash collections and net collection rate.
• Ensure compliance with regulations and optimize use of technology.
• Mentor staff and foster communication with clinical and IT leadership.
• Oversee reporting on billing and collections and monitor performance.
• Lead implementation of GE/IDX system applications upgrades.
• Maintain revenue cycle efficiency and cost-to-collect.

Skills

Leadership

Management

Communications

Education

Bachelor's degree in finance or accounting

Medical School experience preferred

Job 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.

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.

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.

Compensation Statement

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 $115,494.00 - $173,241.00 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.

Non-Bargaining Unit, 098 - FPA Cbo - ISM, Icahn School of Medicine