Provider Billing Partner

Job Opportunity At Hospital For Special Surgery

How you move is why we're here. Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace culture and who want to maximize the abundant opportunities for growth and success. If this describes you then let's talk! HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report. As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation. Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment.

Working with colleagues who love what they do and are deeply committed to our mission, you too can be part of our transformation across the enterprise.

Regular Full Time

The base pay scale for this position is $83,000.00 - $126,875.00. In addition, this position will be eligible for additional benefits consistent with the role. The salary of the finalist selected for this role will be determined based on various factors, including but not limited to : scope of role, level of experience, education, accomplishments, internal equity, budget, and subject to Fair Market Value evaluation. The hiring range listed is a good faith determination of potential compensation at the time of this job advertisement and may be modified in the future.

Duties And Responsibilities

Communication

Develop and cultivate collaborative and productive working relationships with Front Office Managers and Providers.

Work closely with Physician Hospital Organization (PHO) and Physician Billing to ensure proper escalation and addressing of providers' claims issues.

Partner with providers and front office leadership routinely to share operational updates, present metrics that monitor revenue cycle performance and identify strategic improvement opportunities.

Participate in key revenue cycle communication forums to better understand trends and advise on action plans, including metric meetings, denial prevention task force and leadership huddles.

Escalate lack of engagement from front office leadership and providers to appropriate sponsors.

Work closely with PCBO Management to use existing and not-yet-built tools to forecast revenue issues and develop action plans and communications in advance.

Triage communication from front office managers and providers to appropriate revenue cycle owner. Respond back with thorough and timely responses.

Data Analytics

Partner with PCBO Management and Revenue Cycle Support team to develop routine scorecards summarizing key revenue cycle metrics for providers, including open encounters, charge lag, revenue, billed charges, cash collections, initial denials, avoidable write-offs and aged receivables.

Continuously collaborates with PCBO Management to optimize scorecard and reporting through automation and inclusion of new, more impactful metrics.

Pull, organize and analyze data out of Epic to supplement metric scorecards to help identify performance improvement opportunities.

Perform ad hoc analyses to identify opportunity areas within each provider's revenue cycle operation.

Lead root cause analysis and escalation efforts inside and outside of the organization to benefit physician cash collections.

Training

Identify training opportunities for front office staff or providers through metric research.

Escalate training opportunities to appropriate stakeholders as needed, if outside of core responsibilities (e.g., provider education).

Hospital For Special Surgery is committed to providing high quality care and skilled, compassionate, reliable service to our community in a safe and healing environment. Consistent with this commitment, Hospital for Special Surgery provides care, admits, and treats patients and provides all services without regard to age, race, color, creed, ethnicity, religion, national origin, culture, language, physical or mental disability, socioeconomic status, veteran or military status, marital status, sex, sexual orientation, gender identity or expression, or any other basis prohibited by federal, state, or local law or by accreditation standards.