Revenue Cycle Optimization Manager

• Job Type : Officer of Administration
• Bargaining Unit :
• Regular / Temporary : Regular
• End Date if Temporary :
• Hours Per Week : 35
• Standard Work Schedule : M-F
• Building : Fort Lee
• Salary Range : $125000-$150000

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 Optimization Manager is responsible for supporting revenue cycle operations in clinical departments to achieve maximum efficiency and performance.

Responsibilities include providing analytical reporting, and operational support by identifying issues, and opportunities for revenue cycle improvement.

The incumbent will help facilitate best practice models, make recommendations, and assist with developing and executing plans for standardization and improvement.

Responsibilities

• Under the direction of the Executive Director of Revenue Cycle Optimization Director, the Revenue Cycle Optimization Manager will make recommendations in all aspects of revenue cycle operations by analyzing data, trends, and identifying opportunities and strategies to improve revenue cycle performance.
• Review physician charge patterns to identify utilization trends and variances.
• Perform disciplined denial analysis to maximize collections and reduce recurring billing errors.
• Identify positive and negative revenue cycle trends to determine root causes and corrective solutions to minimize denials.

Escalate trends for bulk resolutions with payers.

• Achieves proficiency in querying systems for data and reports. Works closely on interface and system issues as required, improving the generation of data.
• Develop and deploy standardized solutions and improvement plans for solving operational issues.
• Provides direct end-user support related to the Epic platform for revenue cycle improvement and education.
• Communicate information on global issues, and policies regarding coding and reimbursement practices.
• Collaborates with colleagues to develop and implement solutions.
• Track and Monitor key performance indicators to ensure departmental targets and benchmarks are achieved.
• Meet with Clinical Department leadership to review and discuss revenue cycle scorecards & dashboards.
• Represent at committees, task forces, and / or revenue cycle work groups. Lead meetings as needed.

Minimum Qualifications

• BA / BS in Business Administration, Information Systems, or equivalent in education and experience
• Minimum of 4 years experience of related experience in physician billing or practice management, preferably in an academic medical center.
• An equivalent combination of education and experience may be considered.
• Demonstrated skills in A / R management, problem assessment, and resolution and collaborative problem-solving in complex, interdisciplinary settings.
• Demonstrated proficiency in business intelligence applications.
• Excellent Analytical Skills
• Ability to work collaboratively with a culturally diverse staff and patient / family population, strong customer service skills, demonstrating tact and sensitivity in stressful situations.
• Demonstrated ability to structure, and process qualitative or quantitative data, and draw insightful conclusions from it.
• Excellent oral and written communication and interpersonal skills
• Ability to prioritize and coordinate multiple projects simultaneously.

Preferred Qualifications

• Knowledge of Epic billing system, Experian, Cognos, and Microsoft Applications.
• Knowledge of electronic billing systems : front-end and back-end functions and the willingness to learn new systems, applications, and programs.
• Certified Coder experience is a plus.
• Project management certification is a plus.
• Must successfully complete systems training requirements.

Competencies

Core Competencies

Accountability & Self-Management

Level 3 - Intermediate

Adaptability to Change

Level 3 - Intermediate

Communication

Level 3 - Intermediate

Customer Service-Patient Focus

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 & Compliance Focused

Level 3 - Intermediate

Leadership Competencies

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.