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Position Summary: We have an exciting opportunity to join our team as a Revenue Cycle Manager.
Under the direction of the Faculty Group Practice Central Billing Office (CBO) and Department of Orthopedic Surgery administration, this position is responsible for oversight and management of revenue cycle operations and adherence to FGP policies and procedures in a specialized physician practice setting. This key role will collaborate with Administrators, providers and vendors to monitor and optimize revenue cycle related activities from front end to coding and back end billing/collections activities and to manage the accounts receivable in conjunction with CBO staff. This position will also be responsible for preauthorizing and booking surgeries for the provider; managing the surgical schedule and following all clinical pathway guidelines as previously established (i.e. Pre-Admission Testing standards).
Collect surgical fees directly from patients and guide them through their benefit eligibility related to out of network services.
Serve as chief liaison between key parties including the patient, the surgeon, site managers, Department Administrator, Vice Chair for Professional Services, the Orthopedic Billing Staff and any related office staff.
Oversee Accounts Receivable management for the surgeons practice working through work queues and other tools in Epic.
Maintain performance to expected revenue cycle targets and benchmarks, and review and disseminate information to practices on a regular basis
Additional Position Specific Responsibilities: Responsible for pre-authorizations and certifications of surgical procedures. Ensures that appropriate procedure and diagnosis coding is utilized and questions surgeons, if appropriate, to ensure accuracy and completeness of information. Maintains either solely or in conjunction with the Medical Secretary the physician patient schedule, patient procedure schedules, appointment calendar and Operating Room schedule. Works closely with Directors, Practice Managers, Epic Operations, Central Billing Office and the Revenue Integrity team to identify opportunities to improve the revenue cycle processes including redesigning and optimizing front-end workflows, physician charge capture, and billing/collections workflows Participate in monthly A/R meetings and assist in facilitating key issues and initiatives that arise from meetings Generate and disseminate monthly reports for physician and applicable leadership Train physicians and staff in preparation for annual coding changes, ICD-10 and reimbursement modifications Perform analysis to identify problems with denials, coding, reimbursement, and other aspects of the revenue cycle and implement changes in conjunction with leadership Meet regularly with the Department Administrator, Practice Managers and Business Administrator to discuss revenue cycle performance and key initiatives Perform other related projects as necessary
Minimum Qualifications: Five to seven years minimum experience in healthcare operations with emphasis on physician practice operations. Bachelors degree required. Excellent written and oral communication skills Ability to prioritize effectively and handle shifting priorities professionally Strong workflow analysis and business process integration skills. Lean six sigma experience preferred. Ability to think systemically and understand the implications of policies and practices Ability to anticipate problems and take decisive action Strong interpersonal skills Lead others for implementation of projects and organizational workflow redesign
Qualified candidates must be able to effectively communicate with all levels of the organization.
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Internal Number: 66255642
About NYU Langone Medical Center
NYU Langone Health is a world-class, patient-centered, integrated academic medical center, known for its excellence in clinical care, research, and education. Included in the 200+ locations throughout the New York area are five inpatient locations: Tisch Hospital, its flagship acute-care facility; Rusk Rehabilitation, ranked as one of the top 10 rehabilitation programs in the country; NYU Langone Orthopedic Hospital, a dedicated inpatient orthopedic hospital with all musculoskeletal specialties ranked top 10 in the country; Hassenfeld Children's Hospital at NYU Langone, a comprehensive pediatric hospital supporting a full array of children's health services; and NYU Langone Hospital—Brooklyn, a full-service teaching hospital and level 1 trauma center located in Sunset Park, Brooklyn. Also part of NYU Langone Health is the Laura and Isaac Perlmutter Cancer Center, a National Cancer Institute–designated cancer center, and NYU School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history.