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