Parliament, Office Building, Building, Architecture, Urban, Postal Office, Grass, Plant, City, Town

Revenue Cycle Manager (Self Pay Collection)

Faculty Practice Organization

Revenue Cycle Manager (Self Pay Collection)

  • 532767
  • New York
  • Faculty Practice Organization
  • Full Time
  • Opening on: Dec 14 2022
  • Grade 105
  • Job Type: Officer of Administration
  • Bargaining Unit:
  • Regular/Temporary: Regular
  • End Date if Temporary:
  • Hours Per Week: 35
  • Salary Range: 95,000-100,000
The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The above hiring range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting.
 

Position Summary

The Revenue Cycle Manager (Self-Pay Collection) is responsible for direct oversight of the centralized Self-Pay collections unit handing outbound telephone calls associated with professional medical claims.  The manager will ensure all outbound telephone calls are handled and resolved within a timely manner, all over the phone payments are posted and reconciled daily and all patient complaints are addressed immediately. The Manager is responsible for the assigned unit performance, work quality, efficiency, and compliance with policies and regulations.


Responsibilities

Operations

  • Organizes and supervises staff to work in accordance with operating protocols to achieve maximum efficiency.  Assists with the evaluation of ongoing operations and programs on a regular basis for efficient use of resources. 
  • Manages “special situation” and/or higher complexity calls escalated by Self-Pay Specialists for resolution. Identifies trends and conducts root cause analysis.  Makes recommendations to close identified gaps in process, people, or technology. 
  • Responsible for weekly/ monthly/status reporting (development/preparation/maintenance of reports)
  • Monitors inbound telephone queues resulting from successful automated calls.
  • Performing quality review on staff by sampling accounts and listening to live calls.
  • Directly manages call workflows (manual and via an automated auto-dialer) and backlog reduction. 
  • Develops procedures and work practices designed to maximize performance and overall collection activities.
  • Meets regularly with the CRO management team to review trends related to collections and/or billing issues.
  • Assists the management in developing, implementing, and revising departmental policies and procedures.
  • Conduct routine scheduled meetings with unit supervisors to ensure the consistencies, ongoing education, and training.
  • Ensures payments collected and posted by Specialists are reconciled daily.
  • Manage a working relationship with collection agencies and external Legal offices and service providers including litigation.
  • Manage third-party Collection Agency performance and reporting
  • Effectively manage all collection-related escalations and routinely drive account suspensions and suspension resolution
  • Reviews and recommends accounts for legal action and initiates proper follow-up. Consults with appropriate personnel prior to legal action. Follows through as required.
  • Reviews hardship applications received from patients to determine if a discount should be granted

Strategic 

  • Works collaboratively with clinical departments to establish effective communications to further the efficiency of the revenue cycle process.
  • Serves as an individual or team contributor towards achieving established organizational goals across all Revenue Cycle units. Develops new business cases for revenue optimization.
  • Collects and evaluates both internal and external data to identify quality management problems and suggest sound solutions, consistent with Revenue Cycle’s operation standards.
  • Reports the status of the Unit with respect to staffing, work tools, reports, potential problems, changes, and requirements to the Director.

People 

  • Direct oversight of staff includes recruiting and human resource management.
  • Evaluates staff performance and takes corrective action in accordance with departmental HR guidelines.
  • Promotes staff professionalism and performance with coaching, training, and feedback.

Compliance & Other

  • As a member of the management team, performs other tasks, assumes additional management or supervisory responsibilities within the Revenue Cycle Department as assigned. 
  • Represents the FPO on committees, task forces, and workgroups as assigned.
  • Conforms to all applicable HIPAA, Billing Compliance, and safety policies and guidelines.

Minimum Qualifications

  • Requires bachelor’s degree or equivalent in education and experience.
  • Minimum of 4 years related experience in a third-party payor environment.
  • Demonstrated intermediate skills in A/R management, Customer Service, problem assessment, and resolution, and collaborative problem-solving in complex, and interdisciplinary settings including strong proficiency in healthcare and payer guidelines as it pertains to billing and reimbursement.
  • Ability to work collaboratively with a culturally diverse staff and patient/family population, strong customer service skills, demonstrating tact and sensitivity in stressful situations.
  • Ability to work independently and follow through and handle multiple tasks simultaneously.
  • Excellent verbal and written communication skills.
  • Intermediate to advanced level proficiency of Microsoft Office (Word & Excel) or similar software is required and an ability and willingness to learn new systems and programs.
  • Must be a motivated individual with a positive and exceptional work ethic.
  • Must successfully complete systems training requirements.

Preferred Qualifications

  • Prior experience with external collection agencies (e.g. oversight of financial reporting, managing vendor relationships, and statistical analysis in measuring performance.) is preferred.
  • At least 2 years of direct supervisory experience is preferred.
  • Knowledge of Epic and GE/IDX billing systems is preferred.
  • Certified Coder is preferred.
  • Bilingual English/Spanish proficiency in a healthcare setting is preferred.
  • Managed care industry experience is preferred.
  • Call center experience and knowledge of an automatic call distributor phone system is preferred

Other Requirements

Patient Facing Competencies

Minimum Proficiency Level

Accountability & Self-Management

Level 3 - Intermediate

Adaptability to Change & Learning Agility

Level 3 - Intermediate

Communication

Level 3 - Intermediate

Customer Service & Patient-Centered

Level 3 - Intermediate

Emotional Intelligence

Level 3 - Intermediate

Problem Solving & Decision Making

Level 3 - Intermediate

Productivity & Time Management

Level 3 - Intermediate

Teamwork & Collaboration

Level 3 - Intermediate

Quality, Patient & Workplace Safety

Level 3 - Intermediate

Leadership Competencies

Minimum Proficiency Level

Business Acumen & Vision Driver

Level 1 - Introductory

Performance Management

Level 2 - Basic

Innovation & Organizational Development

Level 1 - Introductory


Equal Opportunity Employer / Disability / Veteran

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

Apply Now

Alert me about jobs like this

Refer someone to this job

Not You?

Thank you