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Revenue Cycle Optimization Director

  • Requisition no: 505233
  • Work type: Full Time
  • Location: Medical Center
  • School/Department: Faculty Practice Organization
  • Grade: Grade 107
  • Categories: General Administration
  • Job Type: Officer of Administration
  • Bargaining Unit:
  • Regular/Temporary: Regular
  • End Date if Temporary:
  • Hours Per Week: 35
  • Salary Range:

Position Summary

The Revenue Cycle Optimization Director is responsible for leading a team of resources to support revenue cycle operations and achieving maximum efficiency and performance.  Responsibilities include managing a team of resources and working collaboratively and in tandem with clinical department administration, faculty, other stakeholders to execute plans for standardization, optimization, and continuous improvement.


Responsibilities

1. Directly manage, develop and coach a team of resources that function as departmental liaisons and collaborators.
2. Ensure that the purpose and importance of the team are clarified (e.g., team has a clear understanding of roles and responsibilities) and ensures that necessary steering, review, and support functions are in place.
3. Direct the team on developing custom analysis and reports that identify trends and root causes adversely impacting accounts receivable and revenue targets.
4. Develop strategies to mitigate communication gaps between clinical department administration and faculty, stakeholders, colleagues, and leadership. Address specific issues impacting revenue that necessitate discussions with faculty and other necessary stakeholders. Serves as a revenue cycle subject matter expert for questions to reconcile complex revenue cycle issues.
5. Assess the impact of new programs, system implementations or modifications, and facility changes. Oversee impact analysis on revenue, reimbursement, and established processes.
6. Provide recommendations for issue resolution and performance improvement to managers and clinical departments. Conduct monthly revenue cycle review sessions with each department.
7. Direct team on revenue cycle optimization analytics and assessments. Assess revenue cycle processes that may include, but are not limited to: integration of clinical and front end operations within revenue cycle, complex historic trending and reimbursement analysis and industry trends.
8. Direct team on payer issue resolution and liaisons with Managed Care Contracting Office. Work across the enterprise revenue cycle to discern AR issues and trends that need to be addressed with the payer for resolution.
9. Work closely with FPO, CRO and Clinical Department leadership to identify and implement strategies to improve revenue cycle performance across the organization, including recommendation to managed care office on contract negotiations to eliminate the potential for denials and impact to gross revenue.
10. Direct and guide team to work collaboratively with clinical departments, FPO administration including: CBO, FPO Finance, Epic Enterprise, PO Managed Care, FPO Practice Operations, FPO Office of Billing Compliance and clinical department leaders to identify core practice management and clinical workflow that drive the revenue of departments. Use and apply knowledge of industry and institutional best practices, develops practical, multi-step recommendations for improving work flow and moving toward optimal performance.
11. Oversee Revenue Cycle Charge Champion program.
12. Direct the team to provide training, mentoring and leadership for departmental and practice staff who are learning higher level practice management skills and concepts. Train clinicians in revenue cycle concepts as needed.
13. Represent revenue cycle at committees, task forces, and/or related work groups. Lead meetings as needed.
14. Perform other tasks or management responsibilities as required by leadership.


Minimum Qualifications

1. BA/BS degree.
2. Minimum of 7 years’ experience of progressive and related experience in physician billing or practice management, preferably in an academic medical center.
3. Minimum of 5 years of management experience in revenue cycle or revenue integrity consulting
4. Demonstrated skills in A/R management, revenue integrity, problem assessment, and resolution and collaborative problem solving in complex, interdisciplinary settings.
5. Demonstrated business acumen, technical job knowledge, and leadership skills.
6. Strong analytical skills in order to detect and resolve problems related to accounts receivable and system implementations
7. Demonstrated proficiency in business intelligence applications.
8. Ability to prioritize and deliver on key initiatives; demonstrated success in achievement of key performance metrics targets within time and budget constraints.
9. Ability to develop training curriculum and conduct training sessions regarding billing functions & activities.
10. Ability to work collaboratively with other leaders in a large team setting.
11. Demonstrated ability to structure, process qualitative or quantitative data, and draw insightful conclusions from it.
12. Excellent oral and written communication and inter-personal skills
13. Ability to prioritize and coordinate multiple projects simultaneously.
14. Must be a motivated individual with a positive and exceptional work ethic.


Preferred Qualifications

1. MBA or Masters is a plus. Executive Education work in leadership, business strategy, or related field is a plus.
2. Knowledge of Epic billing system, Experian, Cognos, Microsoft Applications.
3. Knowledge of electronic billing systems and workflows: front end and back end.
4. Certified Coder experience is a plus.
5. Project management certification is a plus.


Equal Opportunity Employer / Disability / Veteran

Columbia University is committed to the hiring of qualified local residents.

Applications open: Eastern Standard Time
Applications close:

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