MANAGER, PROFESSIONAL BILLING
Mount Sinai Medical Center - Queens, NY

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Assist Director in the oversight and monitoring of all professional billing activities for MSQ including but not limited to coding, physician education, charge capture, accounts receivable management, credentialing, and denials management. Oversee daily operational activities of support staff.

  • Analyze monthly reports to identify trends and improve accounts receivable and denials management. Identify and correct internal operational barriers and barriers within McKesson that hinder successful performance/outcomes by developing creative solutions to problems including the use of automation, procedure revisions, and recommend organizational changes. Monitor performance of McKesson.

  • Work with Director to coordinate all functions of revenue cycle activity ensuring maximization of cash flow while improving patient, physician and customer relations. Accountable for front and back end functions, daily reconciliation, and resolution of billing inquiries. Responsible for working with the clinic management and registration staff to improve front end denials.

  • Cash Reconciliation and accounting – Oversee and assist Director to streamline current process including our refund process. Maintain and ensure compliance of the department policies and procedures as well as those of Internal Audit both internally and at our off site practices as it relates to cash. Review refunds for processing and approval. Monthly distribution of cash to general ledgers.

  • Patient Keeper Charge Capture Software & EPIC (EMR) – Become proficient in system and assist Director and staff with system roll out, trouble shooting system, physician training, staff training, and release of charges to McKesson.

  • Human Resources – Supervises, trains, orients, and evaluates performance of assigned personnel. Foster an environment that promotes teamwork.

  • In conjunction with Director manages the daily operation of the department. Updates and revises the department’s policies and procedures as needed.

  • Maintain effective working relationships with physicians and all levels of operating management to help achieve departmental targets.

  • Resolve complex collection issues. Establish and develop collection agency relationships and processes while monitoring agencies for performance and cost effectiveness.

  • Acts as a resource to the Director.

  • Attends regularly scheduled meetings with Director and billing vendors

  • Other projects as assigned.

  • Job Qualifications:

    Experience in healthcare setting for 8-15 years with progressively more responsibility and proven track record. Experience in a Multi-Specialty Faculty Practice setting preferred. Management experience, strong knowledge of billing techniques, third party reimbursement, computer systems and effective verbal and written skills required. Ability to evaluate billing systems required. Strong organizational and leadership skills mandatory. Proficiency in Excel, Microsoft and Power Point.

    Bachelors Degree and or significant years and proven track record

    EPIC experience a plus

    IDX experience a plus

    CPC a plus

    Mount Sinai Medical Center is an equal opportunity/affirmative action employer. We recognize the power and importance of a diverse employee population and strongly encourage applicants with various experiences and backgrounds.

    Mount Sinai Medical Center--An EEO/AA-D/V Employer.

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    Mount Sinai Medical Center