The Manager of Revenue Cycle will be responsible for supporting all revenue cycle activities, within an outsourced environment, to ensure the maximum efficiency and performance of revenue cycle operations for the expansive clinical enterprise within the Department of Radiology and Joint Venture(s). The incumbent will facilitate best practice models and assist with developing and executing plans for standardization and improvement.
This position reports to the Director of Revenue Cycle and works closely with the department operations leadership and staff to ensure the integrity of the revenue cycle. This role leads and/or participates in various revenue cycle initiatives to maximize reimbursement and collections and is accountable for defining and tracking A/R objectives including implementation of any IT solutions and integrated platforms.
The Manager represents Radiology at taskforces and committees to leverage combined resources to support Revenue Cycle's program objectives and priorities. Apply expertise to revenue cycle platforms and workflows to maximize the performance results, limit risk, and enhance the revenue cycle results.
Reviews outsourced vendorsâ€™ activities and status of accounts receivable. Identifies any obstacles with account management and facilitate resolution in a timely manner.
Assist management in defining project scope and deliverables that achieve goals.
Source feedback from key stakeholders to assess revenue cycle performance and partner with vendors to meet established benchmarks and goals.
Reporting and Analytics
Extract data from multiple sources and develop analytics to assess and report on key performance indicators. Review metrics and continuously seeks to implement performance improvements initiatives.
Utilizes system dashboards and reports to monitor operational workflows and ensure an optimized revenue cycle. Modify dashboards as needed to enhance reporting.
Prepares operational and financial reports and analysis, noting achievements as well as adverse trends. Makes appropriate conclusions and recommendations.
Develops revenue optimization and improvement strategies and utilizes a data-driven methodology to monitor progress.
Internal Workflow / Front End Operations
Coordinate with radiology business units to achieve productivity and quality metrics. Assess and implement remediation measures to ensure compliance and best practices.
Measures activities against industry benchmark and implement adjustments as needed to improve performance.
Integrates with operations for registration, eligibility, and precertifications to ensure accurate patient billing and efficient account posting and collection.
Evaluate inventory in work queues for prioritizing activities. Evaluate workflow trends, effectiveness, and performance. Identify early intervention corrective measures and lead implementation to achieve optimum efficiency.
Maintains workflow with medical records to process additional information expeditiously.
Assist within establishing revenue budgets and targets, including annual planning, and develops monthly updates and target reports.
Audits problem accounts and takes appropriate action to achieve amicable outcomes.
Solves difficult claims issues associated with Columbia practices or Hospital services.
Establishes and implements a system for the evaluation and collection of delinquent accounts. Establishes and recommends credit balance and collection policies.
Implements feedback mechanism to identify issues and reduce write offs.
Develops and implements new processes to improve the quality of work. Ensure policies and best practices are communicated and administered consistently across operations.
Provide guidance and engage operations staff to implement revenue cycle solutions.
Establishes a positive culture. Emphasizes shared responsibility for managing outcomes by setting goals and establishing an approach of continuous improvement.
Ensures that staff is engaged and trained to execute revenue cycle operations.
Develops and maintains excellent working relationships with departments, payers, and vendors. Serves as liaison between CRO and outsourced vendor and clinical divisions in the coordination of activities to identify strategies to improve revenue cycle performance across the department faculty and staff.
Assists in planning and carrying out goals for the department. Prepares and evaluates proposals to implement new programs and expand existing ones.
Conduct various meetings to implement policies and disseminate pertinent information.
Attends administrative meetings and participates in committees as requested. Keep department management appraised of institution initiatives and industry activities.
Exhibits subject matter expertise and services as a resource for the EMR implementation and optimization.
Serves as a patient advocate to facilitate and adjudicate patient accounts. Act as the patient liaison for all billing inquiries and escalates when appropriate. Initiates and answers pertinent correspondence as needed.
Works closely with Epic enterprise, to identify and troubleshoot system and resolve workflow issues. Manages business systems and works with Information Technology to ensure timely and accurate implementation
Carries out duties in compliance with all federal and managed care and clinical research billing guidelines. Maintains knowledge of and complies with established policies and procedures including government, insurance and third-party-payor regulations.
Prioritizes requests and implements timely escalation to the appropriate teams for resolution and corrective actions.
Perform other special projects and duties as needed or assigned.
Bachelorâ€™s degree or equivalent in education and years of experience plus 4 years of related experience role with progressive responsibilities.
Possess thorough understanding of hospital and ambulatory revenue cycle functions and related information systems. Comprehensive knowledge of medical coding, compliance, and third-party and government payor policies and procedures.
Possesses extensive experience with A/R management and strong data analytical skills.
Proficient in Microsoft Office, Epic, and COGNOS reporting.
Ability to build a network of contacts and interact effectively with people at varying organizational levels. Ability to effectively communicate with cross-functional leadership.
Outstanding organizational and time management skills. Highly collaborative with strong communication, writing, and interpersonal skills. Demonstrates innovative thinking.
Masterâ€™s degree in business, healthcare administration, or other related field.
Prior experience with radiology and interventional radiology billing
Management and project experience in a large academic medical center.
Equal Opportunity Employer / Disability / Veteran
Columbia University is committed to the hiring of qualified local residents.
Internal Number: 514258
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.