The Revenue Cycle AR Manager is responsible for the oversight and management of the revenue cycle unit within the department. The Revenue cycle AR manager will be involved in the day to day billing operations of the clinical practice.
Responsible for revenue cycle operations including patient registration, insurance verification, referrals/authorizations and cash management.
Management and supervision of staff including day to day delegation of tasks and duties among staff to ensure smooth and efficient operations.
In conjunction with directors and Department Administrator, the incumbent will assist with the evaluation of ongoing billing operations on a regular basis for efficient use of resources.
Promote staff professionalism through personal example and ensures a customer service orientation is maintained in interactions with patients, physicians, department staff and external organizations.
Provide oversight of department specific billing and coding education, focused on the department's documentation, coding and billing processes.
Maintain oversight and provide resolution for missing charges, pre-AR edits, requests and other inquiries from the FPO and outsourced billing vendors as these pertain to practice revenue.
Oversight of managed care credentialing and re-credentialing.
Perform all HR functions concerning management of the unit, including but not limited to, quality assurance of work performed, monitoring time and attendance, ensures staff adheres to departmental and institutional policy and procedures.
Works collaboratively with clinical areas to establish effective communications to further the efficiency of the revenue cycle process.
Maintains a thorough working knowledge of all aspects of billing and policy updates for commercial, managed care and governmental payers.
Assists in developing, maintaining and implementing standard operating procedures associated with AR follow up, collection efforts and operations.
Initiate and participate in scheduled payer meetings to escalate resolution of denial appeals.
Monitors established key operating indicators (KOI), ensure that benchmarks are met, deploy resources as required to address priorities and receivables inventory.
Prepares appropriate report for senior leadership to increase knowledge of relationship between charge behavior, billing flow, and reimbursement.
Conforms to all applicable institutional HIPAA billing compliance and safety policies and guidelines.
Performs other duties as required.
Requires a bachelor's degree or equivalent in education and experience, plus 4 years of related experience.
CPC certification preferred.
Minimum of 3 years supervisory experience in a healthcare facility, or supervisory environment.
Demonstrated understanding of revenue cycle and the impact of front end work and how it impacts billing and collection efforts.
Billing system experience; knowledge of electronic verification systems; proficient in Microsoft Excel and ability and willingness to learn new systems and programs.
Proficiency in health insurance eligibility as it pertains to Medicare and Medicaid regulations, insurance and managed care reimbursement concepts and overall operational impact.
Ability to work independently in a fast paced environment.
Equal Opportunity Employer / Disability / Veteran
Columbia University is committed to the hiring of qualified local residents.
Internal Number: 505633
About Columbia University
Columbia University is one of the world's most important centers of research and at the same time a distinctive and distinguished learning environment for undergraduates and graduate students in many scholarly and professional fields. The University recognizes the importance of its location in New York City and seeks to link its research and teaching to the vast resources of a great metropolis. It seeks to attract a diverse and international faculty and student body, to support research and teaching on global issues, and to create academic relationships with many countries and regions. It expects all areas of the university to advance knowledge and learning at the highest level and to convey the products of its efforts to the world.