Revenue Cycle Optimization Manager

Position Summary

The Revenue Cycle Optimization Manager is responsible for supporting the revenue cycle across all clinical departments achieving maximum efficiency and performance. Responsibilities include analytical reporting, facilitating best practices, identifying issues, and executing plans for revenue cycle improvement.

Responsibilities

Operations (60%)

• Under direction of the Associate Director, the Revenue Cycle Optimization Manager will make recommendations in all aspects of revenue cycle by analyzing data, trends, opportunities and strategies to improve revenue cycle performance.
• Develops and implements optimization improvement plans and utilizes a data driven methodology to monitor progress.
• Utilizes dashboards and reports to monitor key performance indicators of operational workflows.
• Perform disciplined charging, billing and denial analysis to maximize collections, improve workflows and prevent billing errors.
• Identify positive and negative revenue cycle trends to determine root causes and corrective solutions to minimize denials.
• Maintain detailed documentation of design requirements, plans, testing scenarios, workflows and monitoring tools.

Strategic (15%)

• Identify and deploy standardized solutions and best practices for solving operational issues.
• Ensures strategic alignment of optimization plans supporting organizational mission, vision and goals.
• Meet with Clinical Department leadership to review and discuss revenue cycle scorecards & dashboards; track and monitor key performance indicators to ensure targets are achieved.
• Lead committees, task forces, and/or revenue cycle workgroups.
• Learns best industry practices, conducts environmental scan and identifies gaps in current processes to develop proposals for senior leadership.

People (20%)

• Develops and maintains excellent working relationships with Columbia University Departments, payers and vendors.
• Promotes a culture of collaboration facilitating continuous process improvement and professional development.
• Provides direct end user support for revenue cycle improvement and education.
• Participates in committees, taskforce, and workgroups regarding all applicable HIPAA, Billing Compliance and other pertinent regulations.

Compliance (5%)

• Keeps apprised of rules and regulations affecting revenue cycle. Stays current through appropriate journals and personal contacts of such developments in the industry.
• All other duties and projects as assigned.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

Please note: While this position is primarily remote, candidates must be in a Columbia University-approved telework state. There may be occasional requirements to visit the office for meetings or other business needs. Travel and accommodation costs associated with these visits will be the responsibility of the employee and will not be reimbursed by the company.

Minimum Qualifications

• Bachelor’s degree.
• Minimum of 4 years related experience and/or a combination of training and revenue cycle experience.
• An equivalent combination of education and experience may be considered.
• Demonstrated skills in A/R management, problem assessment, and resolution, and collaborative problem solving in complex, interdisciplinary settings.
• Ability to work collaboratively with a culturally diverse staff and patient/family population, strong customer service skills, demonstrating tact and sensitivity in stressful situations.
• Demonstrated ability process qualitative or quantitative data and draw insightful conclusions.
• Excellent oral and written communication skills; must be able to create and deliver high-level communication presentations for senior leadership and organizational stakeholders.
• Must successfully pass systems training requirements.

Preferred Qualifications

• Master’s Degree preferred.
• Epic experience and certification are preferred.
• Prior supervisory experience is preferred.
• Knowledge of Epic billing system, Experian, Cognos, PowerBI, Microsoft Applications.
• Knowledge of electronic billing systems: front-end and back-end functions.
• Certified Coder experience is a plus.

Competencies

Core Competencies

Accountability & Self-Management

Level 3 - Intermediate

Adaptability to Change

Level 3 - Intermediate

Communication

Level 3 - Intermediate

Customer Service-Patient Focus

Level 3 - Intermediate

Emotional Intelligence

Level 3 - Intermediate

Problem Solving & Decision Making

Level 3 - Intermediate

Productivity & Time Management

Level 3 - Intermediate

Teamwork & Collaboration

Level 3 - Intermediate

Quality & Compliance Focused

Level 3 - Intermediate

Leadership Competencies

Business Acumen & Vision Driver

Level 1 - Introductory

Performance Management

Level 2 - Basic

Innovation & Organizational Development

Level 1 - Introductory