DUTIES: Reporting to the Chief Financial Officer/University Hospital of Brooklyn and in close collaboration with UHB leadership, the position will be responsible for strategic vision, long term planning, direction and overall accountability for revenue cycle functions within the clinical enterprise (hospital and physician), including those functions that contribute to the capture and management of patient information, insurance, revenue and billing to secure appropriate and timely reimbursements. The position will: Oversee Pre-service functions, including scheduling, pre-registration, insurance verification, and pre-admission Review/Pre-Certification; Registration/Admitting functions, including Bed Board Management, Authorizations/Referrals, One Day Stays/Observation; Point-of-Service Collections/Cashering; Financial Counseling; Charge Capture management and Clinical documentation management. Oversee Post-Service functions, including Unbilled Accounts; Health Information Management, including coding and abstracting; Billing and Follow-up; Cash Posting/Remits; Customer Service; Underpayment Recovery; Denial Management; and Vendor Management. Manage Revenue cycle Infrastructure and Leadership, including developing and maintaining key components that enable revenue cycle performance. Develop metrics to achieve annual and periodic goals set by DMC for significant indicators of revenue performance, and provide management with accurate and timely reports to enable monitoring and enhance performance management. Manage ICD-10 implementation, including directing the establishment and implementation of internal control systems and policies and procedures to meet accrediting, regulatory and operational requirements for medical records, coding and transcription. Manage IS-Revenue cycle. Develop on-going programs for staff development. (DUTIES AND RESPONSIBILITIES ARE NOT LIMITED TO THE ABOVE POSITION DESCRIPTION) QUALIFICATIONS: REQUIRED: Bachelor's degree, preferably in Business, Health, Public Administration, or related discipline and a minimum of 10 years of management and/or consulting experience in healthcare receivables, with demonstrated in-depth knowledge of hospital and physician billing and reimbursement, NYC policies relating to billing and collections, MIS billing and reimbursement regulations, and revenue cycle operations; effective communication skills PREFERRED: Master's degree in Hospital or Business Administration Additional Info: Hours of Work: 8:00 am - 4:30pm; Days of Week: Monday - FridayClosing Date: Open Until Filled STATE UNIVERSITY OF NEW YORK IS AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER
Internal Number: 56549
About SUNY Downstate Medical Center
SUNY Downstate's College of Medicine, Health Related Professions, Nursing and its School of Graduate Studies offer students a broad professional education that will prepare them for practice or careers in any location and community. This education provides exceptional opportunities for those students with a commitment to promoting health in urban communities and addressing the complex challenges of investigating and preventing diseases that confront clinicians, educators, and researchers in such an environment. This special aspect of Downstate's unique mission is reflected in the students it attracts and selects, the vast majority of whom are drawn from the New York City Metropolitan area. Many of these students are members of minority and cultural groups underrepresented in the health professions, and/or come from families of first-generation immigrants or from economically disadvantaged backgrounds.