Job Title: Dir CBO Revenue Cycle
Location: New Hyde Park, NY
Hiring Company: Northwell Health
**Req Number** 003E4XJob Description0in 5.4pt 0in 5.4pt”**POSITION****SUMMARY**11.0pt;mso-bidi-font-family:Arial;font-weight:normal”Directs the operations,development, coordination, and administration of the revenuecycle Central Business Office for Ambulatory Services Medical Group. Collaborates with leadership to identifybest practices and develop performance improvement strategies. Monitors ongoingchanges regarding regulatory environment impacting operations and coordinatescompliance teams to ensure compliance. Arial;font-weight:normal”**RESPONSIBILITIES**********************************Strategic Planning**tab-stops:list .25in”1.Participates in the development of strategic short andlong-term plans, policies, procedures and standards to improve operational and financial operations.tab-stops:list .25in”2.Promotes quality and productivity improvement throughdevelopment and implementation of improved procedures and processes.tab-stops:list .25in”3.Collaborates with leadership to identify best practices, deficiencies,and identify opportunities.tab-stops:list .25in”4.Monitors, researches and keeps abreast of regulatoryupdates impacting operations.tab-stops:list .25in”5.Forecasts and plans for ongoing updates to operationalpolicies and procedures.**Financial Management**tab-stops:list .25in”6.Manages and ensures timely and accurate resolutionof issues regarding outsourcing partners aligned to operations.tab-stops:list .25in”7.Directs the development andreporting of benchmarks and metrics related to operational efficiencies andturn-around-time.tab-stops:list .25in”8.Plans and monitors department budget.tab-stops:list .25in”9.Establishes and standardizes financial management systemto support financial reporting requirements.**Human Resources Management**tab-stops:list .25in”10. Directsthe implementation of Human Resources plans to achieve strategic goals and objectivesincluding organizational development, recruiting, compensation, training anddevelopment, employee engagement and relations.tab-stops:list .25in”11. Selects, develops, manages andevaluates direct reports; and oversees the selection, development, managementand evaluation of indirect reports. Ensures performance appraisals arecompleted in a timely manner.tab-stops:list .25in”12. Manages productivity,resolves issues and prepares analysis to monitor and ensure quality controland performance improvement.**Operations Management**tab-stops:list .25in”13. Manages specific to AccountsReceivable operations:+ Accounts Receivable / escalation of system issues+ Payer Compliance (Payer Underpayments)+ Managed Care Contracting participation+ Receivables outsourced partnerstab-stops:list .25in”14. Manages specific toCash Management & Enrollment operations:+ Cash Management / Payment posting+ Customer Service+ Provider Enrollment+ Payment and Enrollment outsourced partnerstab-stops:list .25in”15. Collaborates withmanagement and clinical personnel to ensure resolution of coding and billingissues.tab-stops:list .25in”16. Managesand ensures timely and accurate resolution of system edits impactingoperations from interfaces.tab-stops:list .25in”17. Attends ChairCommittee meetings and maintains open communications and good workingrelationships with all levels of management.tab-stops:list .25in”18. Encouragesrecommendations for improvement and changes from all areas to enhance currentoperations.tab-stops:list .25in”19. Develops and presentsexecutive dashboards with explanations on monthly performance againstestablished goals.tab-stops:list .25in”20. Participates in theimplementation of specific software system tools and system upgrades tosupport billing systems, i.e., payer compliance software, provider enrollmentsoftware.**Quality Management**tab-stops:list .25in”21. Promotes quality andproductivity improvements through the development of improved procedures,process innovations and changes which support the strategic direction of the CBO.**Compliance Management**tab-stops:list .25in”22. Ensures compliancewith federal, state, and local regulations and tax laws, and regulatoryagency standards of compliance.tab-stops:list .25in”23. Maintains current knowledge of regulatory guidelines, billing processes,federal, state and regulatory agency reimbursement changes.tab-stops:list .25in”24. Performs relatedduties, as required.* **ADA Essential Functions**Qualifications0in 5.4pt 0in 5.4pt”**REQUIRED****EXPERIENCE****AND QUALIFICATIONS**0in;margin-left:19.25pt;margin-bottom:.0001pt;text-indent:-18.7pt;mso-list:l0 level1 lfo1;tab-stops:list 19.25pt left .7in 1.2in 1.9in 2.3in 3.7in 5.7in”*Bachelor’s Degree in Finance, BusinessAdministration or related field, required.Master’s Degree, preferred. mso-bidi-font-family:Arial”0in;margin-left:19.4pt;margin-bottom:.0001pt;text-indent:-18.7pt;mso-list:l0 level1 lfo1;tab-stops:list 19.25pt left .7in 1.2in 1.9in 2.3in 3.7in 5.7in”*mso-bidi-font-family:Arial”Minimum of seven (7) years revenue cycleexperience in healthcare and/or centralized business office, required. Revenue cycle experience in facultypractice environment, preferred.Experience managing outsourced partners and operational budgets, required.0in;margin-left:19.4pt;margin-bottom:.0001pt;text-indent:-18.7pt;mso-list:l0 level1 lfo1;tab-stops:list 19.25pt left .7in 1.2in 1.9in 2.3in 3.7in 5.7in”*mso-bidi-font-family:Arial”Knowledge of billing, cash management and paymentposting, accounts receivable and customer service operations, required. 11.0pt”0in;margin-left:19.4pt;margin-bottom:.0001pt;text-indent:-18.7pt;mso-list:l0 level1 lfo1;tab-stops:list 19.25pt left .7in 1.2in 1.9in 2.3in 3.7in 5.7in”*mso-bidi-font-family:Arial”Knowledge of physician credentialing, providerenrollment operations, and physician coding and reimbursement, required.0in;margin-left:19.4pt;margin-bottom:.0001pt;text-indent:-18.7pt;mso-list:l0 level1 lfo1;tab-stops:list 19.25pt left .7in 1.2in 1.9in 2.3in 3.7in 5.7in”*mso-bidi-font-family:Arial”Knowledge of hospital revenue cycle operationsspecific to alignment with medical group billing operations, required.