Revenue Cycle Manager; Outsourcing

• Job Type: Officer of Administration
• Regular/Temporary:
  Regular
• Hours Per Week: 35
• Standard
  
  Work Schedule:
  
  Core business hours Monday-Friday, schedules vary
• Building: 3 Columbus Circle, New York, NY 10019
• Salary Range: $95,000.00- $

The compensation range listed in this job posting reflects the market rate for the New York City Metropolitan area. Actual compensation may vary depending on the geographic location of the candidate, in accordance with local labor market conditions.

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.

The Revenue Cycle Manager (Outsourcing) is responsible for direct oversight of the outstanding receivables that have been referred to an outside vendor and the FPO outsourcing team. The Manager is responsible for units and vendor performance, work quality, efficiency, and compliance with policies and regulations.

• Manages the outsourcing unit for CUIMC, including the College of Dental Medicine (CDM), and leads a team of four Outsourcing Coordinators. Oversees and monitors daily operational workflows, work queues, and related programs to ensure optimal efficiency and effective resource utilization. Continuously evaluates the need for new tasks, functions, or process improvements. Ensures adherence to established workpriority matrices and monitors workqueue inventory to confirm timely followup on accounts.
  
  Proactively identifies potential backlogs and advises Directors on appropriate mitigation strategies.
• The role involves supervising and assisting outsourcing coordinators in managing vendor performance, productivity, and quality, as well as monitoring staff performance within the outsourcing unit. It includes developing guidelines for prioritizing work activities and optimizing work queues. The position also entails evaluating the effectiveness of workflows and implementing quality control measures and audits to ensure compliance and operational efficiency.
• Supports vendor negotiation activities and coordinates the purchase order process. Reviews, audits, and prepare vendor invoices for approval and payment.
• Manages vendor system access and training, ensuring appropriate onboarding, ongoing education, and compliance with institutional standards.
• Conducts analysis and provides reporting to Directors on referrals, contingency fees, receivables aging, and other operational metrics to identify efficiencies, trends, and opportunities for improvement.
• Maintains and updates policies and procedures, ensuring they are clearly communicated, understood, and consistently followed by both internal staff and external vendor partners.
• Serves as the primary liaison between departmental leadership and the billing vendor on all revenue cycle and accounts receivable-related matters.
• Oversees special projects and escalated issues, providing resolution for higher complexity items raised by vendor(s) or internal staff.
• Regularly evaluates work queues to ensure they accurately capture required activities, analyzes inflow for issues and trends, and collaborates with management and departments such as IT to resolve systemic issues. Reviews, understands, and communicates payer industry standards, policies, and other changes. Stays apprised of payer process changes.
• Serves as the subject matter expert responsible for troubleshooting, analyzing, and performing resolution management for accounts receivables.
• Implement approved quality and audit control measures to achieve compliance and optimum efficiency.
• Reviews denial reports for trends and research denials. Identifies root cause and prepares issues for escalation.
• Conducts regularly scheduled vendor meetings offering new paths, procedures, and approaches to account resolution to maximize opportunities for performance and process improvement.

• Works collaboratively with clinical departments and vendor(s) to…