Job Description

The Senior CBO Revenue Cycle Manager reporting to the Senior Director of CBO Operations, is responsible for directing and coordinating the overall AR follow up and denials management with a specialty specific focus. This includes ensuring maximization of cash flow while improving patient, physician and customer relations. Ensures all KPIs related to net collections, gross days in AR, rejections and edits are met. Serves as single point of contact for revenue cycle issues for the Department. Proactively manages the relationship through monitoring key performance indicators and understanding the client’s revenue cycle needs and financial performance targets.

Responsible for establishing a strong working relationship between the CBO and the clinical department including participating in regular meetings with department staff and providers to provide information/feedback on claims/denials to ensure optimal AR management. Analyzes Department metrics to assess operational and performance trends. Recommends issue resolution strategies while strengthening CBO relationships through consistent and timely communication; facilitates resolution of any issues related to the revenue cycle. Proactive execution of special projects related to this process and accountable for the success of billing operations for each assigned practice. Oversees billing staff and ensures proper training and processing in accordance to institutional and billing policies.

Qualifications

BA/BS or equivalent experience required.

7+ years health care or related physician practice business operations. Knowledge of health care revenue cycle management required

Experience in an academic medical center preferred

Responsibilities

1. Hires, trains, coaches and evaluates staff in accordance with all internal policies and procedures. Assigns accountabilities, delegates tasks and responsibilities to ensure smooth operations to maintain a high level of adherence to financial targets. Communicates values, strategies and objectives of the department on a regular basis.

2. Develops, implements and evaluates performance indicators for staff members. Identifies additional training needs and monitors performance against established indicators.

3. Oversees billing staff responsible for billing functions and ensures that net, gross collections, accounts receivable, edits and rejection targets are met and monitored on a daily, weekly, monthly and annual basis.

4. Develops methodologies to follow up on claim denials and correspondence.

5. Serves as primary in-house expert regarding the accounts receivable for assigned departments.

6. Serves as operational liaison between CBO and department. Initiates and answers pertinent correspondence.

7. Collaborates with fellow team members and partners to resolve department concerns or requests.

8. Represents the CBO in various revenue cycle meetings. Researches data and prepares for meetings.

9. Tracks progress and submits reports to Senior Director on a daily, weekly, monthly basis. Monitors key billing/collection statistics and compares to national/regional/local benchmarks including, but not limited to, net collections, days in A/R, etc. Prepares, analyzes operational and financial reports and notes trends and makes appropriate recommendations.

10. Works closely with CBO peer leadership to support full revenue cycle.

11. Works closely with DTP to ensure billing accuracy.

12. Reviews internal controls to ensure proper billing of services within established time frames and guidelines.

13. Maintains professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks, participating in professional societies.

14. Performs other related duties as assigned.

About Us

Strength Through Diversity

The Mount Sinai Health System believes that diversity, equity, and inclusion are key drivers for excellence. We share a common devotion to delivering exceptional patient care. When you join us, you become a part of Mount Sinai’s unrivaled record of achievement, education, and advancement as we revolutionize medicine together. We invite you to participate actively as a part of the Mount Sinai Health System team by:

• Using a lens of equity in all aspects of patient care delivery, education, and research to promote policies and practices to allow opportunities for all to thrive and reach their potential.

• Serving as a role model confronting racist, sexist, or other inappropriate actions by speaking up, challenging exclusionary organizational practices, and standing side-by-side in support of colleagues who experience discrimination.

• Inspiring and fostering an environment of anti-racist behaviors among and between departments and co-workers.

At Mount Sinai, our leaders strive to learn, empower others, and embrace change to further advance equity and improve the well-being of staff, patients, and the organization. We expect our leaders to embrace anti-racism, create a collaborative and respectful environment, and constructively disrupt the status quo to improve the system and enhance care for our patients. We work hard to create an inclusive, welcoming and nurturing work environment where all feel they are valued, belong and are able to advance professionally.

Explore more about this opportunity and how you can help us write a new chapter in our history!

“About the Mount Sinai Health System:

Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 43,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes approximately 7,400 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics and top 20 in Cardiology/Heart Surgery, Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 14 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.

The Mount Sinai Health System is an equal opportunity employer. We comply with applicable Federal civil rights laws and does not discriminate, exclude, or treat people differently on the basis of race, color, national origin, age, religion, disability, sex, sexual orientation, gender identity, or gender expression. We are passionately committed to addressing racism and its effects on our faculty, staff, students, trainees, patients, visitors, and the communities we serve. Our goal is for Mount Sinai to become an anti-racist health care and learning institution that intentionally addresses structural racism.”

EOE Minorities/Women/Disabled/Veterans

Compensation Statement

Mount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $86772 - $130159 Annually. Actual salaries depend on a variety of factors, including experience, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.