Revenue Cycle Manager, Manhattan

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 6 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, X, You Tube and Instagram.

We have an exciting opportunity to join our team as a Revenue Cycle Manager. In this role, the successful candidate Manages a portfolio of practices as assigned by the Senior FGP Revenue Cycle Managers. 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. The manager will lead a group of billing coordinators and/or other assigned staff.

• Perform other duties as needed.
• 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.
• Meets with practices on a regular basis to discuss revenue cycle opportunities;
  Communicates with providers, patients, coders, or other responsible persons to maximize revenue.
• Liaises with operations managers and practice management to resolve billing issues.
• Manages billing coordinators or other staff of assigned practices, ensuring their adherence to FGP standard operating procedures, productivity and workflows.
• Performs regular and ad-hoc operational analyses related to processes, charges, claims, and/or accounts receivable.
• Attends and presents at physician and management meetings.
• Serves as resource to physicians, staff, and management regarding local and national coding and reimbursement policies. Educate physicians, staff, and management on new policies and changes to existing policies.
• Monitors key performance indicators, operational metrics, quality indicators, and/or reimbursement fee schedules for any trends.
• Adheres to general practice and FGP guidelines on compliance issues and patient confidentiality.
• Develops and updates 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 requires action.
• May act as a financial counselor to patients who require assistance understanding their benefits and financial options. Act 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;
  Communicate delays and workqueue 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 the outsourced billing service. Review billing collection and denial reports from the vendor and identify trends and recommend changes on how to improve issues.
• Serves as a liaison for questions, data requests, and other inquiries. Review charge encounter forms for complete CPT code, ICD-10 code, and other required billing information on a daily basis.
• Compares coding to notes/documentation and communicate with providers to clarify errors.
• Analyzes/audits notes and ensure the appropriate codes are charged in order to maintain billing compliance and prevent denials or works with appropriately…