Assoc. Director Revenue Optimization

Supports the VP of Revenue Cycle Operations and Optimization in managing aspects of revenue cycle optimization, including maintaining relationship and monitoring of third-party billing organization and EPIC hosting organization, identifying and implementing revenue optimization strategies, regulatory compliance with third-party insurers (Medicaid, Blue Cross/Blue Shield, etc.), and maintenance of billing and reporting systems.

Requirements

• Recruits, retains and develops a diverse and highly qualified staff
• Trains or assists in training staff in other departments on revenue cycle related areas
• Evaluates staff in a timely manner in accordance with PPGNY’s policies
• Develops workplans to address billing corrections needed
• Collaborates with third party RCM vendor and health center operations to implement process changes
• Develops and implements reporting tools to identify revenue cycle trends
• Maintains up-to-date knowledge of developments in third-party billing
• Identifies changes required to department procedures in response to developments
• Remains current on payer billing requirements
• Remains current on Epic reporting tools
• Evaluates the results of periodic coding audits conducted by an outside agency
• Provides training and feedback to clinical providers on their performance and areas for improvement
• Responsible for identification of training needs for all registration areas
• Provide training material working in conjunction with RDO of operations

Benefits

• Generous PTO and holiday schedule
• Medical, dental and vision coverage options for you and eligible dependents
• FSA, HSA, Commuter pre-tax reimbursement funds
• Short- and Long-Term Disability
• Free Basic Life and AD&D
• 401(k) Retirement Plan with Safe Harbor contributions after 1 year of employment