Revenue Cycle Manager (FGP) - Manhattan, Central Billing Office

NYU Langone Health is a fully integrated health system that consistently achieves the best patient outcomes through a rigorous focus on quality that has resulted in some of the lowest mortality rates in the nation. Vizient Inc. has ranked NYU Langone the No. 1 comprehensive academic medical center in the country for three years in a row, and U.S. News & World Report recently placed nine of its clinical specialties among the top five in the nation. NYU Langone offers a comprehensive range of medical services with one high standard of care across 6 inpatient locations, its Perlmutter Cancer Center, and over 320 outpatient locations in the New York area and Florida. With $14.2 billion in revenue this year, the system also includes two tuition-free medical schools, in Manhattan and on Long Island, and a vast research enterprise with over $1 billion in active awards from the National Institutes of Health.

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Position Summary:

We have an exciting opportunity to join our team as a Revenue Cycle Manager (FGP) - Manhattan, Central Billing Office.

In this role, the successful candidate manages a portfolio of practices as assigned by the Revenue Cycle Management team. Responsible for day-to-day communications with physician practices and billing operations team, and revenue cycle reporting for the designated medical specialties. Requires analyzing financial reports, fee schedules, payor trends and A/R measurement statistics. Accountable for assigned practices/services.

Job Responsibilities:

• Manages relationships with practices and functions as the primary point-of-contact for day-to-day issues, including ongoing communications, and coordination of projects, billing and other activities;
• Train staff and clearly explain proper work procedures and methods and office policy.
• Directly supervise employees, establish priorities, assign work, and follow up to ensure assignments are complete. Select, orient, and evaluate staff. Provide initial and ongoing guidance. Resolve employee issues and address procedure and performance related issues.
• Meet or exceed internal standards for accuracy and timeliness in documentation preparation and submission.
• Compile statistical data as requested and reports data monthly to appropriate parties. Prepare reports and analyses to assist in identification of cash flow variances, physician referral patterns, physician volume, and any other issues identified by Management.
• Review outstanding accounts receivable to maintain minimal level of open accounts.
• Determine and establish the explanation to complex claims, issues, and questions not covered by specific instructions or common practice.
• Demonstrate a significant level of expertise in subject matter to assist and mentor entry-level billing staff, support the operations lead/supervisor in managing day-to-day team activities against scope and timeline, and ensure timely reporting of activities. Provide feedback and contribute to employee performance reviews.
• May assist with leading and coordinating all aspects of charge submission and accounts receivable in defined FGP(s) for other Billing Coordinators.
• Meet or exceed the accountabilities of the Billing Coordinator I and II, and serve as a role model and resource to entry-level team members.
• Identify denial trends and train staff accordingly to avoid in the future, emphasizing improvement of accurate charge capture. Develop supporting training documentation as needed with FGP management.
• Analyze/audit notes and ensure the appropriate codes are charged in order to maintain billing compliance and prevent denials.
• Compare coding to notes/documentation and communicate with providers to clarify errors.
• Serve as a liaison to the outside billing for questions, data request, and other inquiries. Review charge encounter forms for complete CPT code, ICD-10 code, and other required billing information on a daily basis.
• Ensure timely and accurate collection, preparation, and verification of billing information submitted to the outsourced billing service. Review billing collection and denial reports from the vendor and identify trends and recommend changes on how to improve issues.
• Work with practice operations to implement changes to improve revenue where necessary.
• Take initiative to teach and share new information and provide constructive feedback; Communicate delays and workqueue issues to management daily.
• May act as a financial counselor to patients who require assistance understanding their benefits and financial options. Act as the patient advocate with the patient and/or family members and liaison with the insurance companies to assist in obtaining insurance information.
• Review practice Action Plans and/or reports on a timely basis. Analyze issues to identify trends in denial rates to focus improvement initiatives on, and charges that requires action.
• Develops and updates action plans on a monthly basis; Ensures that the team produces action plans timely;
• Adhere to general practice and FGP guidelines on compliance issues and patient confidentiality.
• Monitors key performance indicators, operational metrics, quality indicators, and/or reimbursement fee schedules for any trends;
• Serve as resource to physicians, staff, and management regarding local and national coding and reimbursement policies. Educate physicians, staff, and management on new policies and changes to existing policies.
• Attends and presents at physician and management meetings;
• Performs regular and ad-hoc operational analyses related to processes, charges, claims, and/or accounts receivable;
• Liaises with billing operations managers and practice management to resolve billing issues;
• Meets with practices on a regular basis to discuss revenue cycle opportunities; Communicates with providers, patients, coders, or other responsible persons to maximize revenue;

Minimum Qualifications:

• Bachelor's Degree with a minimum of 2-3 years of relevant work experience or equivalent combination or training and relevant work experience, required.
• Ability to handle multiple tasks at once; good communication, interpersonal, and computer skills. Arrive on time for work and meetings.
• Ability to develop and maintain effective working relationships with staff and patients.
• High level of accuracy for reviewing charge batch submissions, preparing and presenting analyses, and in staff education.
• Maintain current insurance regulatory policies and requirements relevant to the specialty.
• Knowledge of medical terminology required.
• Possess outstanding interpersonal and communication skills to gain confidence and trust across the FGP.
• Demonstrated leadership skills with the ability to guide, direct, train and interact with staff and outside contacts.
• Strong conceptual and analytical abilities with the ability to identify issues and opportunities and be able to solve problems.
• Strong verbal and written communication skills as well as excellent listening skills.
• Ability to conceptualize workflow, develop plans and implement appropriate actions.
• Ability to create a positive environment where staff are valued and respected for their contributions.
• Professional demeanor.

Preferred Qualifications:

• 3+ years of billing or revenue cycle experience.
• Experience with large data sets and Excel
• Previous experience managing a staff, a plus.

Qualified candidates must be able to effectively communicate with all levels of the organization.

NYU Langone Health provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents.

At NYU Langone Health, we are committed to supporting our workforce and their loved ones with a comprehensive benefits and wellness package. Our offerings provide a robust support system for any stage of life, whether it's developing your career, starting a family, or saving for retirement. The support employees receive goes beyond a standard benefit offering, where employees have access to financial security benefits, a generous time-off program and employee resources groups for peer support. Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care. The benefits and wellness package is designed to allow you to focus on what truly matters. Join us and experience the extensive resources and services designed to enhance your overall quality of life for you and your family.

NYU Langone Health is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. We require applications to be completed online.

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NYU Langone Health provides a salary range to comply with the New York state Law on Salary Transparency in Job Advertisements. The salary range for the role is $84,577.92 - $108,000.00 Annually. Actual salaries depend on a variety of factors, including experience, specialty, 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.

To view the Pay Transparency Notice, please click here