Director of Revenue Cycle

City/State:

New Rochelle, New York

Grant Funded:

No

Department:

MNR Administration

Work Shift:

Day

Work Days:

MON-FRI

Scheduled Hours:

8:30 AM-5 PM

Scheduled Daily Hours:

7.5 HOURS

Pay Range:

$140,000.00-$175,000.00

Job Summary

The Director of Revenue is responsible for planning, directing, coordinating, and controlling. The operation and activities involved for billing, collections and denial management for the Montefiore New Rochelle hospital. Additionally, this position is responsible for the financial control, management, and support of the collection and billing activities ensuring timely and accurate payment for hospital services. The Director, manages and oversees the output and quality of all payer accounts receivable under their scope and is expected to collaborate with their payer managers and hospital leadership to identify strategies for performance improvement on a weekly, monthly, and annual basis.
Examples of tasks and/or oversight associated with this role include:
► Weekly Metrics Call
► Vendor Management
► Monthly Quality Performance
► AR Review
► Payer Escalation Protocol management
The Director is also responsible for maximizing cash flow, so collaboration with key stakeholders, both internal and external, is essential. In conjunction with other duties, the Director will contribute to the day-to-day operations on all issues related to billing, collections and follow-up functions, provide AR analysis, create written processes and procedures, and identify and implement required training for the Revenue Realization staff, which may or may not require interaction with individuals outside of Revenue Realization. The Director will work interdependently with other departments and their key stakeholders to create improved workflows and efficiencies across departments where there is an impact, directly or indirectly, on (cash) patient revenue.
Examples of tasks and/or oversight associated with this role include:
► Coding/Billing/DNFB Edits
► EPIC Training
► EPIC Work Queue management
► Annual/Bi-Annual Policy Review
► Denials Huddle Collaboration
This individual sets clear and achievable goals and establishes the necessary metrics to track, monitor, and facilitate
sustainable progress.


Qualifications

• MAS Preferred
• BS Required
• 7-9 years 7 years experience Required
• Healthcare business office experience (in areas such as accounts receivable, collections, billing, financial counseling etc.) preferred.
• Experience with HIPAA compliance, coding, charging and billing.
• Excellent communication, organization, and problem-solving skills required. Candidate must be comfortable discussing billing, collections, and charging matters, as well as the ability to interact with patients in a professional manner.
• Excellent written and verbal skills.
• Ability to present information in a clear, concise manner is a must.
• Working knowledge of CPT, ICD-9/ICD-10 coding, and Federal/managed care rules and regulations preferred.
• Epic system knowledge preferred.
• Working knowledge of Excel, Word, and PowerPoint, is required.
• CRCR (Certified Revenue Cycle Representative), HFMA Preferred
• CRCP (Certified Revenue Cycle Professional), AAHAM Preferred

Montefiore New Rochelle Hospital is an equal employment opportunity employer. Montefiore New Rochelle Hospital will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.