• Job Type: Officer of Administration
• Bargaining Unit:
• Regular/Temporary: Regular
• End Date if Temporary:
• Hours Per Week: 35
• Standard Work Schedule:
• Building:
• Salary Range: 150,000-180,000

Position Summary

The Director of Revenue Cycle is responsible for providing oversight, developing, administering, and coordinating all Revenue Cycle activities. These responsibilities include but are not limited to: accounts receivable management, collections, coding and compliance, and performance/analytical reporting.

Responsibilities

Operations

1. Day-to-day management of a business unit that is responsible for handling all revenue-related activities.
2. Organizes and supervises staff to work in accordance with operating protocols to achieve maximized efficiency.
3. Promotes a patient-focused culture of service.
4. Develops, implements, and revises departmental policies and procedures.
5. Evaluates ongoing operations and programs on a regular basis for efficient use of resources.
6. Manages "special situation" and/or higher complexity issue escalated by the Revenue Cycle Team for resolution.
7. Analyze Revenue cycle reports to track performance, key indicators, and work on cash acceleration projects.
8. Responsible for managing all outsourced relationships including vendor management, vendor performance, and vendor compliance.
9. Establish key performance indicators/metrics to assess performance and optimize processes and systems.
10. Facilitate/Manage departmental Revenue Cycle reporting.
11. Define, implement, monitor, and maintain financial controls.
12. Lead projects that focus on the departmental strategic objects and revenue targets.
13. Oversee all collection efforts, account management, and related patient to vendor relationships.
14. Oversee resolution of credit balances: patient and insurance refunds.
15. Establish and recommend credit and collection policies and make recommendations for improvement.
16. Establish and implement a system for the collection of delinquent accounts ensuring third-party payors are contacted.
17. Reconcile Department's EPIC posted revenue with revenue deposited in Surgery's bank account.
18. Provide ad-hoc reports on associated revenue metrics (i.e.RVU, Payor Mix, CPT volume, etc.) as requested by Chairman, Division Chiefs, Faculty and CFO.
19. Responsible to ensure that all lockbox and wire transfers are appropriately and accurately received and recorded.
20. Disseminate information, e.g., reimbursement guidelines, Insurance and billing information, coding to staff at monthly biller and administrator meetings and conduct additional meetings as appropriate.
21. Reviews current status of patient accounts to identify and resolve billing and processing problems in a timely manner.
22. Manage all financial related items i.e P&L/EPIC and revenue cycle for the Divisions of Pediatric and NYPW/Lawrence Surgery.
23. Participate in professional development activities and maintains professional affiliations.
24. Other Duties as assigned.

Strategic

1. Develops and maintains a good productive and collaborative relationship with departmental management and representatives.
2. Work collaboratively with clinical departments to establish effective communications to further the efficiency of the revenue cycle process.
3. Identify new opportunities for change and growth and develop business cases to support opportunity.
4. Serve as liaison with and manage the Department's relationship with the Clinical Revenue Office.
5. Work with Office of Billing Compliance and CFO to Develop Departmental billing policies and continuous billing quality improvement in partnership with key University Departments, including: Shared Practice Systems Group, Columbia Physicians Provider Network, Office of Practice Development, and International Services.
6. Work with the Finance Office to established budget including annual planning and develops monthly status reports.
7. Meets regularly with the CRO management team to review trends related to collections and/or billing issues.

Management

1. Promotes staff professionalism and performance with coaching, training, and feedback.
2. Manages staff performance evaluation process. Under the direction of Department Administration takes corrective action with staff in accordance with institutional HR guidelines.
3. Responsible for the development, training, and mentorship of the billing/coding, accounts receivable, and reporting teams
4. Establish departmental trainings materials and program (s)
5. Build and develop teams, both cross-functional project teams and direct reports
6. Manage the Department's Credentialing Coordinator, Refund Coordinator, AR team, Revenue Cycle Team and Bank Reconciliation Coordinator.
7. Monitor progress of team on a daily basis and re-direct follow up efforts as appropriate

Compliance & Other

1. Provides oversight for other revenue cycle tasks as assigned by the FPO.
2. Represents the Department of Surgery on committees, task forces, and work groups as assigned.
3. Conforms to all applicable HIPAA, Billing Compliance, and safety policies and guidelines.

Minimum Qualifications

• Bachelor's Degree or equivalent in education and 5yrs related experience
• Knowledge of Medical Billing terminology.
• Ability to work independently and takes initiative to improve overall office operations.
• Strong interpersonal skills.

Preferred Qualifications

• Certified Professional Coder preferred.
• Masters preferred.

Other Requirements

• Possess knowledge of modern office equipment, systems and procedures.
• Experience with EPIC or other Electronic Medical Record systems.
• Specialized knowledge in accounting, administration, personnel admin or supervision may be required depending on the focus of the position.
• Strong analytical ability and organizational skills.
• Ability to work independently.
• Must know and apply sound supervisory practices.