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HERC: Metro New York & Southern Connecticut Assistant Director, Cardiology Regional Billing Operations in New York, New York

Employer Name: Columbia University

Job Type: Officer of Administration Bargaining Unit: n/a Regular/Temporary: Regular End Date if Temporary: N/A Hours Per Week: 35 Salary Range: Commensurate with experience Position Summary Under the Direction of the Director of Revenue Cycle Operations, the ADRBO is responsible for managing and coordinating the overall regional billing operations for the Division of Cardiology to include all Front and Back end Revenue Cycle Operations, in coordination with the Assistant Director of the main campus billing operations. Specifically, to ensure maximization of cash flow while improving patient, physician and other customer relations within the billing operations and department. The Assistant Director, under the direction of the Director of Revenue Cycle Operations, is responsible for managing a core group of billing staff to support general billing operations that include but are not limited to: Epic Charge Review, A/R Follow Up, Claim Edit, Account, Charge Router and Adjustment Work queues. In addition, the Assistant Director will oversee the management, quality, distribution, and completion of the monthly DARV files by ensuring deadlines are met and files are returned to the Director for submission to the CRO timely. The Assistant Director is also responsible to oversee and monitor the revenue activities via the Executive and Revenue Integrity Dashboards, staff productivity via the Insurance Follow Up, Revenue Integrity and Front End Scorecards. The AD will work with all staff to ensure sufficient training, comprehension of the system and workflows, collaboration and teamwork, and overall success in productivity via standardized divisional workflows. The AD will also run and monitor various revenue cycle reports related to missing charges, charge router reconciliation, rejections monitoring, follow up activity trends, aged A/R, appeals and other reports as needed or requested by senior leadership. Light travel is required, as there are two regional billing offices. Responsibilities Responsible for managing all aspects of the Regional Billing Operations including front, and back end revenue cycle operations. Supervise all staff members within the department. Work and collaborate with the departments Practice Managers, Front-End IV/Auth Supervisors, Credentialing Coordinator and Executive Administrative teams. In collaboration and under the direction of the CRO, responsible for managing all outsourced relationships including vendor management, vendor performance, and vendor compliance. Oversees all collection efforts, account management and related patient to vendor relationships. Meet bi-weekly with the Medicine Analyst and Assistant Director from the Central Revenue Office to track performance, key indicators, and work on cash acceleration projects. Work with Director and AD, as well as the Office of Billing Compliance to develop Departmental billing policies and continuous billing quality improvement in partnership with key University Departments, including: The Epic Together Team, Cardiology Credentialing Manager, PEG, CRO and FPO. Plans and directs registration, patient insurance, billing and collections and data processing to ensure accurate patient billing and efficient account collection. Plans and prepares monthly revenue reports used by administrator, upper management, and faculty. Disseminate information, e.g., reimbursement guidelines, insurance and billing information, coding to staff at monthly Billers and Administrators meeting and communicates during weekly division billing meetings, and weekly internal staff meetings. Oversee resolution of credit balances: patient and insurance refunds as directed and communicated via the CRO. Reconcile Department?s IDX posted revenue with revenue deposited in Surgery?s bank account. Provides ad-hoc reports on associated revenue metrics (i.e. RVU, Payor Mix, CPT volume, etc.) as requested by DORC. Analyzes all revenue cycle related reports to ensure the department meets the cash target. Responsible to assist internal payment posting auditors that all lockbox and wire transfers are appropriately and accurately received and recorded. Works with CRO to problem solve as necessary. Disseminate information, e.g., reimbursement guidelines, insurance and billing information, coding to staff at all billing and operations meetings and conduct additional meetings as appropriate. Reviews status of patient accounts to identify and resolve billing and processing problems in a timely manner. Directly supervises accounts receivable collection team. Monitors progress of team daily and re-directs follow up efforts as appropriate. Establishes and implements a system for the collection of delinquent accounts ensuring third-party payors are contacted. Monitors credit and collection accounts in accordance with the CRO policy and procedures. Makes recommendations for improvement. Solves difficult payment and associated business office problems. Audits problem accounts. Maintains contacts with other departments to obtain and analyze additional patient information to document and process billing. Oversees all external hospital charges, which are paper bills. Assists with developing and implementing new procedures to improve the quality and quantity of work processed. Ensure policies are communicated and administered consistently. Oversees any system issues, and processes incident/tickets timely. Communicates issues across the division. Supervises, trains, orients, and evaluates staff performance over assigned personnel. Recommends merit increases, promotions, disciplinary actions. Monitors daily operating activity of the Department and makes necessary adjustments in work assignments. Initiates and answers pertinent correspondence. Maintains required records and files. Maintains knowledge of and complies with established policies and procedures including government, insurance, and third-party payor regulations. Attends administrative meetings and participates in committees as requested. Conducts special projects and studies as directed. Participates in professional development activities and maintains professional affiliations. Maintains confidentiality regarding patients accounts status. Performs other related duties. Minimum Qualifications Bachelor's degree or equivalent in education and experience, plus 4 years of experience within a management related position. A minimum of two years must be as a department manager in billing, accounting or information systems. Preferred Qualifications CPC or equivalent preferred. Other Requirements Ability to communicate effectively with multicultural and language-deficit patients. Effective interpersonal and communications skills required. Excellent telephone etiquette. Knowledge of medical terminology strongly preferred. Must be able to adapt to a growing and changing environment. Knowledge of business management. Knowledge of computer accounting programs, spreadsheets, and applications. Knowledge of medical terminology, coding, compliance, and office procedures. Knowledge of third-party and insurance company operating procedures, regulations and billing requirements and government reimbursement programs. Skill in establishing and maintaining effective working relationships with other employees, patients, organizations, and the public. Ability to process patients and public inquiries and respond with poise and efficiency. Ability to recognize, evaluate, solve problems, and correct errors. Ability to conceptualize workflow, develop plans, and implement appropriate actions. Ability to maintain confidentiality of sensitive information. Must successfully complete systems training requirements. Equal Opportunity Employer / Disability / Veteran Columbia University is committed to the hiring of qualified local residents.