Revenue Cycle Assistant Director
Overview:
St. John's Riverside Hospital is a leader in providing the highest quality, compassionate health care utilizing the latest, state-of-the-art medical technology. Serving the Westchester community from Yonkers to the river town communities of Hastings-on-Hudson, Ardsley, Dobbs Ferry and Irvington, St.John's Riverside has been and continues to be a unique and comprehensive network of medical professionals dedicated to a tradition of service that spans generations.
St. John’s has been an integral part of the community since the 1890's and its’ commitment to provide the community with the most advanced medical services available continues to be the hospitals’ vision, mission and value. St. John's Riverside Hospital built itself around an early foundation of nursing and community service.In 1894, the Cochran School of Nursing, the oldest hospital-based school of nursing in the metropolitan area, was founded, thus making the St. John's Nursing Staff more than just the backbone of the hospital, but the heart and soul. St. John’s dedicated nurses give superior attention to those who need it most with a strong emphasis on patient and family-focused nursing care.
St. John’s Riverside Hospital staff is committed to making life better for all patients. The hospital continues to elevate the services provided with the goal of increasing the quality of life for all who entrust St. John's Riverside Hospital to their care.
Personalized care together with advanced technology is what it means to be Community Strong
Responsibilities:
The Revenue Cycle Assistant Director (AD) will provide daily oversight of revenue cycle operations for the St. John’s Medical Group, with a primary focus on billing services. The AD collaborates with the Practice Administrator, Operations Leadership Team as well as the Practice Senior Leaders to ensure high performance, financial efficiency, and optimization of revenue.
Provide direct supervision of all charge entry, cash posting and payer payments.
Implement strategies to improve A/R days and cash collections from payers and patients.
Maintain coding efficiency and accuracy.
Investigate and follow up with all denied charges to ensure accurate and timely appeals.
Establish and monitor revenue procedures to ensure efficient workflow through documentation, coding, and billing.
Collaborate with Practice Administrator to delineate assignments to Revenue Cycle Staff to ensure equitable distribution and timely completion.
Maintain personal billing assignment to ensure implementation of charge capture/billing processes.
Ensure timely and accurate charge capture/billing submission to the outsource billing company.
Active collaboration with outsourced billing company to ensure efficient and effective billing processes and timely submission to payers.
Collaborate with Providers regarding accurate and timely documentation for billing.
Reconciliation of services provided and charge capture/billing.
Directly assist patients with billing concerns to collect payments in a timely manner.
Complete bank deposits and corresponding reconciliation as needed.
Complete electronic fund transfer (EFT) reconciliation and communication of information to outsource billing company as needed.
Monitor and develop revenue related policies and procedures.
Participate in identification and provision of related training as needed for SJMG staff.
Direct supervision of billing staff and completion of performance evaluations.
Complete related reports as requested in a timely manner.
Demonstrates flexibility in work schedule and assignments.
Maintain strong collaboration and cross coverage with Senior Manager.
In collaboration with Senior Manager, ensure all areas of the Revenue Cycle office are covered and staff are cross trained to ensure the most efficient and effective service.
Liaison and communicator to Chief of Staff/Associate Vice President, Medical Director, Practice Administrator, Directors, Office Managers, and Providers to modify/enhance operational procedures, third party reimbursements and operational modification in service delivery arrangement.
Responsible to report all revenue related concerns to Practice Administrator for resolution.
Assist with pre-authorizations as needed.
Maintains a respectful and positive working relationship with insurance companies, co-workers, and other departments.
Assists in special projects and other duties as assigned.
Abides by all HIPAA policies and procedures pertaining to Patient Health Information.
Adheres to St. John’s Riverside Hospital attendance policy. Regular attendance and timeliness are required.
Other responsibilities as assigned.
Sitting, standing, walking, bending, good vision, mental alertness, filing.
Driving between Practice locations, Main Hospital and primary work location as needed.
Well-lighted and ventilated office.
Working at desk most of day.
Extended exposure to a computer screen
Qualifications:
Bachelor’s degree in related field required. Master’s degree preferred.
Three (3) year medical billing and benefit verification experience required.
Excellent written and oral communication skills.
Exceptional attention to detail and accuracy.
Experience in customer service in medical setting required.
Medical Coding Certificate preferred or completion of Certificate within 6 months of employment.
Strong computer knowledge including MS Word and Excel; database experience required.