Revenue Cycle Project Manager; FGP - Manhattan, CBO North Billing

NYU Langone Health is a fully integrated health system that consistently achieves the best patient outcomes through a rigorous focus on quality that has resulted in some of the lowest mortality rates in the nation. Vizient Inc. has ranked NYU Langone the No. 1 comprehensive academic medical center in the country for three years in a row, and U.S. News & World Report recently placed nine of its clinical specialties among the top five in the nation.

NYU Langone offers a comprehensive range of medical services with one high standard of care across six inpatient locations, its Perlmutter Cancer Center, and over 320 outpatient locations in the New York area and Florida. With $14.2 billion in revenue this year, the system also includes two tuition‑free medical schools, in Manhattan and on Long Island, and a vast research enterprise with over $1 billion in active awards from the National Institutes of Health.

For more information, go to NYU Langone Health, and interact with us on Linked In, Glassdoor, Indeed, Facebook, Twitter, You Tube and Instagram.

We have an exciting opportunity to join our team as a Revenue Cycle Project Manager (FGP) – Manhattan, CBO North Billing. Manages a portfolio of practices and/or departments as assigned by the FGP Leadership team. Responsible for the day‑to‑day communications with physician practices and billing operations team, and revenue cycle reporting for the designated medical specialties. Requires analyzing financial reports, fee schedules, payer trends, staff productivity, and A/R measurement statistics.

Accountable for assigned practices/services.

• Other related duties as assigned
• Manages relationships with practices and functions as the primary point‑of‑contact for day‑to‑day issues, including ongoing communications, and coordination of projects, billing functions and other activities.
• Monitors key performance indicators, Epic WQs, operational metrics, quality indicators, and/or reimbursement fee schedules for any trends.
• Meets with practice(s) on a regular basis to discuss revenue cycle opportunities. Communicates with providers, patients, coders, or other responsible persons to update workflows to maximize revenue.
• Monitor reports and assigned work queues, ensuring coding, charge submission and accounts receivable follow‑up is occurring on a timely basis.
• Liaises with operations managers and practice management to resolve billing issues.
• Performs regular and ad‑hoc operational analyses related to processes, charges, claims, and/or accounts receivable.
• Attends and presents at management and/or physician meetings.
• Reviews billing resources, including CPT procedural and ICD‑10 manuals, payer policies, updates, and CMS publications to ensure services rendered are in compliance. Serves as resource to physicians, staff, and management regarding local and national coding and reimbursement policies.
• Educates physicians, staff, and management on new and any changes to existing policies.
• Adheres to general practice and FGP guidelines on compliance issues and patient confidentiality.
• Develops and updates revenue cycle action plans on a monthly basis (or more frequently as needed); ensures that the team produces action plans timely; reviews all data and reports with leadership before sharing.
• Analyzes issues to identify trends in denial rates to focus improvement initiatives on, and charges that require action. Recommends suggestions, ideas, and solutions to improve operational processes and workflows.
• May act as a financial counselor to patients who require assistance understanding their benefits and financial options. Acts as the patient advocate with the patient and/or family members and liaison with the insurance companies to assist in obtaining insurance information.
• Takes initiative to teach and share new information and provide constructive feedback; communicates delays and work‑queue issues to management daily.
• Works with practice operations to implement changes to improve revenue where necessary.
• Ensures timely and accurate collection, preparation, and verification of billing information submitted to an outsourced billing service. Reviews…