Associate Director Patient Accounting Reporting and Analysis - 2001568
Reporting to the Director of Patient Financial Services, the Associate Director Patient Accounting Reporting and Analysis will manage the department's reporting and analytical support staff. Candidates must possess a high degree of technical skill in revenue cycle or healthcare financial decision support and reporting and have significant knowledge and understanding of hospital facility billing and reimbursement. This position will actively develop and maintain dashboards, reports, reconciliations and worklists which support day to day operations, internal audit efforts, regulatory compliance and performance improvement initiatives. It is expected the incumbent will work to identify operational opportunities, quantify the scope and financial magnitude of such issues/opportunities and work to develop KPI's and/or Benchmarks which ensure financial opportunities, remediation efforts and/or go-forward work flow re-engineering and throughput are optimized. Regularly partners with Revenue Cycle leaders, Stony Brook Information Technology. and Vendors in developing, executing and monitoring Revenue Cycle initiatives.
The Associate Director of Reporting and Analysis and staff will be responsible for operational reporting and reconciliations and analysis including, but not limited to the following departmental functions and/or systems:
1) Accounts Receivable Management (Invision Patient Accounting and Contract Management; Optum Payment Integrity Compass, MS SQL Server) - service line, payer and aging level A/R trending and analysis, identification of "at-risk" receivables, over/underpayment trends and analysis, and claims follow up productivity (quantitative and qualitative)
2) Claims and Denials Management (SSI, Tracker Pro, Optum Payment Integrity Compass) including reconciliation of billing volumes, clean claims rates, detailed edit and error reporting, claims error root cause analysis, claim error resolution timeframes, payer electronic claim acceptance/error rates, denials tracking, and appeals outcomes.
3) Cash Management
4) Bad Debt/Charity Care/Financial Assistance including write-offs, recoveries and assistance granted.
B.S. Accounting, Finance, Health Information Management, Computer Science or related field.
Minimum six years' experience in healthcare revenue cycle, accounting, finance or decision support for an Inpatient Acute Care Facility or Health System with two or more in a supervisory role.
Experience in planning, leading, directing and managing projects.
Demonstrated experience with healthcare reimbursement and facility claims analysis (DRG, APC, APG, Managed Care Contracts, UB-04, 837i, 835)
Proficient with SQL.
Familiarity with CPT, HCPCs and ICD-10 coding principles
Advanced MSOffice experience including relational database experience may include Power Pivot or Power Query.
Excellent written and verbal communication skills.
Master's Degree or Professional Licensure
Programming experience with VBA, EMUE, Boston Workstation and/or other Scripting/Automation tools/languages.
Experience with Robotic Process Automation for Revenue Cycle (RPA) implementation.
Experience utilizing SAP Business Objects/Crystal Reports.
Experience utilizing visualization software (Tableau, MS Power BI, etc.)
Proficient utilizing MS SQL Server Management Studio to write queries, create tables/views and write stored procedures
Proficient utilizing MS Visual Studio to create and maintain SSIS packages
Special Notes: This position will remain posted until filled or for 90 days max.
An initial review of all applicants will occur two weeks from the posting date. For full consideration, applications must be received before the initial review date (which is within two weeks of the posting date). If within the initial review no candidate was selected to fill the position posted, additional applications will be considered for the posted position; however, the posting will close once a finalist is identified, and at minimal, two weeks after the initial posting date. Please note, that if no candidate were identified and hired within 90 days from initial posting, the posting would close for review, and possibly reposted at a later date.
Stony Brook Medicine is a smoke free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises.
All Hospital positions are subject to changes in pass days and shifts as necessary. This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.
The selected candidate must successfully clear a background investigation. Prior to start date, the selected candidate must meet the following requirements: Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health Services (The hiring department will be responsible for any fee incurred for examination), submit (3) written references, and provide a copy of any required New York State license(s)/certificate(s). Please be advised that failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer.
The best ideas in medicine start with the best people. At Stony Brook Medicine, our highest calling is to put the power of ideas to work in our patients' lives. Stony Brook Medicine integrates and elevates all of our health-related initiatives: education, research and patient care. Stony Brook Medicine is Long Island's premier academic medical center. With 603 beds, we serve as the region's only tertiary care center and Level 1 Trauma Center, and are home to the Stony Brook Heart Institute, Stony Brook Cancer Center, Stony Brook Children's Hospital, Stony Brook Neurosciences Institute, and Stony Brook Digestive Disorders Institute. We also encompass Suffolk County's only Level 4 Regional Perinatal Center, state-designated AIDS Center, state-designated Comprehensive Psychiatric Emergency Program, state-designated Burn Center, the Christopher Pendergast ALS Center of Excellence, and Kidney Transplant Center. It is home of the nation's first Pediatric Multiple Sclerosis Center.
Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning, and working environment. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws.
This function/position has been designated as "essential." This means that when the Hospital is faced with an institutional emergency, employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities.
Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation. If such information has been requested from you before such time, please contact the Governor's Office of Employee Relations at (518) 474-6988 or via email at email@example.com .
IF YOU NEED A DISABILITY-RELATED ACCOMMODATION, PLEASE CALL THE UNIVERSITY HUMAN RESOURCE SERVICES DEPARTMENT AT (631) 632-6161 OR THE UNIVERSITY HOSPITAL HUMAN RESOURCES DEPARTMENT AT (631) 444-4700. IN ACCORDANCE WITH THE TITLE II CRIME AWARENESS AND SECURITY ACT, A COPY OF OUR CRIME STATISTICS IS AVAILABLE UPON REQUEST BY CALLING (631) 632-6350. IT CAN ALSO BE VIEWED ON-LINE AT THE UNIVERSITY POLICE WEBSITE AT http://www.stonybrook.edu/police
Official Job Title: TH Supervising Financial Analyst
Job Field: Finance
Primary Location: US-NY-East Setauket
Department/Hiring Area: Patient Accounting-Stony Brook University Hospital
Schedule: Full-time Shift: Day Shift Shift Hours: 8:30am-5pm Pass Days: Sat, Sun
Posting Start Date: Jun 2, 2020
Posting End Date: Sep 1, 2020, 3:59:00 AM
Salary: Commensurate with experience
Salary Grade: SL5
Internal Number: 2001568
About Stony Brook University
FROM ITS BEGINNINGS A HALF-CENTURY AGO, STONY BROOK UNIVERSITY HAS BEEN CHARACTERIZED by innovation, energy and progress, transforming the lives of people who earn degrees, work and make groundbreaking discoveries here. A dramatic trajectory of growth has turned what was once a small teacher preparation college into an internationally recognized research institution that is changing the world.