Revenue Cycle Director, Liaison (OBGYN)

Director Of Revenue Cycle Operations

Job Type : Officer of Administration

Regular / Temporary : Regular

Hours Per Week : 35

Standard Work Schedule : 9AM-5PM, M-F

Building : 400 Kelby Street, Fort Lee NJ

Salary Range : 150,000.00 - 190,000.00

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The above hiring range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting.

Position Summary

The Director is part of a team of end-to-end knowledge experts serving as members of the liaison team facilitating collaboration between the assigned department(s) and the CRO. The role is responsible for overseeing internal client engagement and satisfaction for their assigned units, including smooth workflow of revenue cycle operations, continuous improvement initiatives, and monitoring performance against key performance indicators, set targets, and service agreement standards.

Responsibilities

Operations

• Primary point of contact for assigned local departmental leadership, the CRO, vendors, and other key areas to ensure proper oversight of revenue cycle activities.
• Oversees satisfaction across assigned department(s), offers clarity on accountability, and offers operational support as it relates to the success of the Revenue Cycle.
• Supports process improvement opportunities, coordinates resources, and ensures support from all appropriate areas.
• Ensures efficient communication and collaboration between the department and CRO for optimal coordination of key functions for optimal workflows related to financial clearance, revenue integrity, coding, and AR follow-up.
• Fosters relationships and manages expectations by coordinating communication and keeping leaders up to date on projects and results, inclusive of onboarding new practice leaders
• Works to resolve complex matters, assess root cause analysis, and facilitate lessons learned for issues adversely impacting departmental revenue cycle, including but not limited to discrepancies in data, pre-authorizations, coding, or delays in claims payment processing.
• Audits workflows for efficiency and optimization, including examining the processes for submission, review, and management of local documentation, such as letters of medical necessity.
• Escalates and makes recommendations on issues impacting the department, such as coding, charge correction & provider charge capture (missing or lagging charges), and ensures the agreed-upon plan is completed in a timely manner.
• Partners with internal and external partners to ensure that units' revenue cycle operations align with the needs and functions of the organization. Ensures that the priority matrix for work is adhered to in alignment with established service level agreements and departmental needs.
• Ensures proper management and handling of work queue inventory for multiple rates of collection, and potential backlog, to make data-driven recommendations to leadership.
• Collaborate with EpicTogether to resolve logic issues to prevent future delays or denials.
• Partner with CRO leadership and experts to exchange information and troubleshoot issues.
• Keeps apprised of rules and regulations affecting reimbursement. Stays current through appropriate journals and personal contacts of such developments in the industry and informs departmental clients of the impact.

Strategic

People

Compliance and Other

Minimum Qualifications

Bachelor's degree or equivalent.

Seven (7) years plus experience in health care and revenue cycle.

An equivalent combination of education and experience may be considered.

Thorough knowledge of project improvement management processes and project management.

Knowledge of the healthcare industry revenue cycle, reimbursement, and payer contracting strategies and trends.

Proficiency in database, business intelligence, and spreadsheet applications, including COGNOS and MS Excel, computer hardware, and software operating systems.

Knowledge of IDX and relational database systems.

Ability to communicate effectively in both oral and written form. This position requires the ability to interact positively, constructively, and effectively with employees, professional staff, community representatives, and carriers.

Ability to work independently with follow-through and handle multiple tasks simultaneously.

Ability to work collaboratively and promote team building with a culturally diverse staff and patient / family population.

Must be a motivated individual with a positive and exceptional work ethic.

Proficiency in industry knowledge in data management.

Must successfully pass systems training requirements.

Preferred Qualifications

Master's Degree preferred.

Epic experience is preferred.

Prior supervisory experience is preferred.

Competencies

Patient Facing Competencies

Minimum Proficiency Level

Accountability & Self-ManagementLevel 4 - Advanced

Adaptability to Change & Learning AgilityLevel 4 - Advanced

CommunicationLevel 4 - Advanced

Customer Service & Patient CenteredLevel 5 - Expert

Emotional IntelligenceLevel 4 - Advanced

Problem Solving & Decision MakingLevel 4 - Advanced

Productivity & Time ManagementLevel 5 - Expert

Teamwork & CollaborationLevel 4 - Advanced

Quality, Patient & Workplace SafetyLevel 5 - Expert

Leadership Competencies

Minimum Proficiency Level

Business Acumen & Vision DriverLevel 4 - Advanced

Performance ManagementLevel 4 - Advanced

Innovation & Organizational DevelopmentLevel 4 - Advanced

Equal Opportunity Employer / Disability / Veteran

Columbia University is committed to the hiring of qualified local residents.

Minimum Salary : 34320.00 Maximum Salary : 34320.00 Salary Unit : Yearly