Revenue Cycle Manager-Msh-78319-003

Mount Sinai; United States; Presencial; USD 79.000 - 136.000; Jornada completa

Descripción de la vacante

Mount Sinai Health System seeks a Revenue Cycle Manager to oversee Elmhurst and Queens Faculty Practice Groups' revenue cycle operations, including charge capture, billing, AR follow-up, denials, and workflow optimization. You will partner with external vendors to maximize collections and ensure compliance with payor guidelines.

The role requires strong leadership in a multi-site setting, with a focus on process improvement, KPI tracking, and collaboration with physicians and staff to enhance

Formación

• Bachelor's degree required; master's preferred.
• 5+ years Revenue Cycle Supervisory experience.
• Certified Professional Coder (CPC) or other professional billing certifications preferred.

Responsabilidades

• Monitor external billing vendor performance using KPI's.
• Track Days in Accounts Receivable, Net Collection Rate, clean claim rates, and denial rates.
• Audit vendor submitted claims and payment postings.
• Work with the billing vendor to improve processes and maximize collections.
• Identify areas for improvement in Accounts Receivable management.
• Review claim rejections/denials to ensure timely payment.

Conocimientos

Excel

Communication

Attention to detail

Leadership

Educación

Bachelor's Degree

Master's preferred

Herramientas

EPIC PB Revenue Cycle

Microsoft Office

Descripción del empleo

Reporting to the Faculty Practice Administrative Director, the Revenue Cycle Manager is responsible for the Icahn Mount Sinai School of Medicine's Elmhurst and Queens, Faculty Practice Groups revenue cycle business needs and mission. The Revenue Cycle Manager will oversee the Article 28 multi-specialty physician group. Responsibilities include but are not limited to, establishing and maintaining procedures to maximize charge capture, billing, accounts receivable follow up, resolution of edits and claim denials all within the constraints of payor timely filling guidelines. Serves as liaison between external third-party business relationships to maintain the Faculty Practice Groups (FPG) best interest.

Responsibilities

• Monitor and evaluate external billing vendor performance using KPI's.


• Track Days in Accounts Receivable, Net Collection Rate, clean claim rates, and denial rates.


• Audit vendor submitted claims and payment postings.


• Offer denial management workflows to guarantee accuracy and minimize revenue loss.


• Work closely with the billing vendor to create and analyze all areas of the revenue cycle to help improve processes and maximize collections.


• Identify areas for improvement in Accounts Receivable management.


• Review any claim rejections and/or denials to ensure timely payment of claims.


• Meet with Directors of Service and their physicians, along with the billing vendor, to discuss all key performance indicators for their department.


• Work with managers and coding staff to ensure prioritizing daily workflow to ensure the timely submission of claims.


• Follow up with and billing vendor to identify the outliers and make sure they are processed for billing.


• Standardize customer service functions.


• Evaluate front end edits to provide feedback to facility administration such as registration and pre-authorization workflows.


• Manage and troubleshoot provider enrollment and credentialing workflows to prevent impact on claim submission and timeliness.


• Work with the vendor and management team for special claims projects, by creating reports for submission based on the payors required templets.


• Work with the FPG staff and billing vendor to quickly identify and correct any edits generated from the billing platform, coding staff, clearinghouse or Accounts Receivable team.


• Assist patients with any professional billing issues and resolve complaints as necessary.


• Keeps abreast of state and federal regulations governing reimbursement of all physician services.


• Maintains the privacy and confidentiality of patient information.


• Performs other related duties as necessary and required.

Qualifications

• Bachelor's Degree, Master's preferred


• Comprehensive knowledge of Government and Third-Party Payors


• 5 years Revenue Cycle Supervisory experience


• Certified Professional Coder (CPC) or any other Professional Billing Certifications, preferred


• EPIC PB Revenue Cycle, ERM and Reporting


• Strong Excel skills


• Microsoft Business


• Excellent written and oral communication skills


• Exceptional attention to detail and accuracy

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 this role is $78,884.00 - $135,665.12 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.