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Finance Mgr
Accounts Payable Manager
Assistant Director of Finance
Vice President of Physician Revenue Cycle
Chief Financial Officer
Associate Director
Charge Description Master Analyst
Sr. Research Financial

Manager for Patient Accounting Revenue Recovery and Retention

Position Summary

At Stony Brook Medicine, the Manager for Patient Accounting Revenue Recovery and Retention will oversee the hospital’s Facility Insurance Denials, Appeals and Revenue Retention Units. Reporting to the Manager of Patient Accounting, the Revenue Recovery and Retention Manager will lead the Hospital’s denied claims appeal efforts as well as manage the defense of revenue against post-payment take-back/retraction. The Manager will develop and optimize related work flows and system work queues, train staff and monitor the unit’s work quality and productivity. They will track, trend and report on denied, appealed and contested accounts receivable and routinely work with Patient Accounting and Managed Care leadership to identify and resolve high dollar/high risk accounts. Successful candidates will have 5 plus years’ management experience in an Acute Care Hospital Revenue Cycle or Patient Accounting Department managing staff involved in acute care facility insurance claim follow-up, appeals and/or payment variance analysis.

Duties of a Manager for Patient Accounting Revenue Recovery and Retention may include the following but are not limited to:

Educate staff on Managed Care Contracts including medical review and readmission policies, dispute resolution processes, appeals and payment recoupment timeframes.
Develop work flows and training to support facility insurance appeals and revenue retention efforts.
Develop and monitor work queues and staff productivity to ensure work volumes and staffing are aligned.
Audit staff work; provide education on best practice.
Analyze and report on denial and payment retraction trends and appeals volumes/outcomes.
Collaborate with the Managed Care Department and Patient Accounting leadership to address payment issues and resolve at risk/high dollar accounts.
As required, participate in Joint Operating Calls (JOC) with insurance payers.
Identify issues and patterns regarding non-payments and collaborate on denials prevention initiatives.
As required, liaise with Insurance Company Provider Representatives to resolve contested accounts.
Assist management reporting and special projects as requested.

Qualifications

Required Qualifications:

B.S. Accounting/Finance, Health Information Management, Health Administration, Computer Science or related field.
5+ Years’ Healthcare Revenue Cycle or Patient Accounting experience managing Acute Care Facility Insurance claims follow-up, appeals and/or payment variance analysis.
5+ Years’ experience working with an Acute Care Contract Management software system.
Experience participating in Insurance Joint Operating Calls and interacting with Payer Provider Representatives.
Expert knowledge of governmental and non- governmental healthcare facility claims reimbursement methodologies.
Expert knowledge of inpatient and outpatient billing requirements (UB-04, 837i). Specifically how claims information impacts/drives reimbursement.
Experience working with CPT/HCPCs and ICD-10 codes.
Experience working with hospital patient accounting systems.
Proficiency in MS Office Suite. Including: Excel, Word.
Excellent written and verbal communication skills.

Preferred Qualifications:

Master’s Degree or professional licensure.
Medical Coding Certification through the American Academy of Professional Coders (AAPC) and/or the American Health Information Management Association (AHIMA.)
Proficiency with MS Access, Visio and/or Power point.
Experience reporting from healthcare decision support, patient accounting, contract management and/or claims scrubber systems.
Proficiency with visualization software (Tableau, MS Power BI, etc.)

Special Notes: Resume/CV and cover letter should be included with the online application.

Posting Overview: This position will remain posted until filled or for a maximum of 90 days. An initial review of all applicants will occur two weeks from the posting date. Candidates are advised on the application that for full consideration, applications must be received before the initial review date (which is within two weeks of the posting date).

If within the initial review no candidate was selected to fill the position posted, additional applications will be considered for the posted position; however, the posting will close once a finalist is identified, and at minimal, two weeks after the initial posting date. Please note, that if no candidate were identified and hired within 90 days from initial posting, the posting would close for review, and possibly reposted at a later date.

Stony Brook Medicine is a smoke free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises.
All Hospital positions maybe subject to changes in pass days and shifts as necessary.
This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.
This function/position maybe designated as “essential.” This means that when the Hospital is faced with an institutional emergency, employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities.

Prior to start date, the selected candidate must meet the following requirements:

Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine’s Employee Health Services*
Complete electronic reference check with a minimum of three (3) professional references.
Successfully complete a 5 panel drug screen*
Successfully complete a Background Check investigation.
Provide a copy of any required New York State license(s)/certificate(s).

Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer.

*The hiring department will be responsible for any fee incurred for examination.

Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning, and working environment. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws.

If you need a disability-related accommodation, please call the University Office of Equity and Access at (631)632-6280.

Official Job Title: TH Patient Accounting Senior Specialist
Job Field: Administrative & Professional (non-Clinical)
Primary Location: US-NY-East Setauket
Department/Hiring Area: Patient Accounting-Stony Brook University Hospital
Schedule: Full-time Shift: Day Shift Shift Hours: 8:30am-5:00pm Pass Days: Sat, Sun
Posting Start Date: Apr 6, 2021
Posting End Date: Jul 6, 2021, 9:29:00 AM
Salary: Commensurate with experience
Salary Grade: SL4

Posted 04/10/2021

Revenue Department Opportunities

If you are looking to use your creative thinking and data analysis skills, look no further than Westchester Medical Center Health Network (WMCHealth). We are looking for thorough and adaptive candidates to join our team and enrich our Revenue Department. We have various full-time opportunities with responsibilities including account and billing review, managed care contracts, and revenue cycle management. Some of our open opportunities include:

Sr. Revenue Integrity Analyst
Managed Care Specialists
Financial Analysts
AVP Network Integration, Revenue Cycle

About Westchester Medical Center Health Network

WMCHealth is a 1,900-bed healthcare system headquartered in Valhalla, New York, with 10 hospitals on seven campuses spanning 6,200 square miles of the Hudson Valley. WMCHealth employs more than 12,000 people and has nearly 3,000 attending physicians. From Level I, Level II and Pediatric Trauma Centers, the region’s only acute care children’s hospital, an academic medical center, several community hospitals, dozens of specialized institutes and centers, a state-of-the-art Telemedicine program, skilled nursing, assisted living facilities, homecare services and one of the largest mental health systems in New York State, today WMCHealth is the pre-eminent provider of integrated healthcare in the Hudson Valley.

Learn more and apply online.

WMCHealth is an Equal Opportunity Employer. It is the policy of Westchester Medical Center Health Network to provide equal employment opportunities without regard to race, color, religion, gender, national or ethnic origin, sex, sexual orientation, gender identity or expression, age (40 or older), marital status, genetic information or carrier status, disability (mental or physical), citizenship status, pregnancy, military service or veteran status, arrest or criminal accusation, domestic violence victim status or any other status protected by federal, state, or local law.

Posted 03/26/2021

Charge Master Analyst

Healthcare Industry – Melville, NY

Growing Health Care Receivable Management Company located in Melville (Suffolk County) Long Island is seeking detail oriented full time Chargemaster Analyst.

Job Description

Healthcare network seeks candidate responsible for ensuring that hospital items and services are captured in an appropriate manner. Responsible to identify, analyze and reconcile billing errors or omissions and to review patient account records and third party payer issues. Responsible to perform coding reviews and to drop appropriate charges. Responsible to troubleshoot issues with accounts and/or charges; outside-the-box thinking is a must.

Ideal candidate will have excellent verbal and written communication skills, be detailed oriented and have the ability to interact closely with the revenue producing departments. Computer skills must include Microsoft Word and Excel. Epic and Craneware experience a plus.

Requirements:

Highschool Diploma or GED, Required.
College, Preferred.
Minimum of 3 years coding experience in a hospital inpatient and outpatient setting and professional certification through AAPC or AHIMA.
Knowledge of EPIC, preferred.
Computer literate.
Ability to prioritize and multi-task with strong organizational and analytical skills.
Ability to work independently on assigned tasks, and accept direction.
Participation in all educational activities, seminars and webinars.

Posted 03/16/2021

INTERNAL AUDITOR – PATIENT FINANCIAL SERVICES

Healthcare Industry – Melville, NY

Job Description

A Healthcare Management Company located in Melville (Long Island), New York seeks an Internal Auditor who will use his/her skills, knowledge and experience to improve the overall efficiency and effectiveness of daily operations to achieve organizational goals.

Summary of Responsibilities:

The candidate should have 2-5 years of medical billing/coding experience
Identifies Risk Areas, creates an audit strategy, requests correct reports, concisely identifies the issues and recommends effective corrective action.
Works with individual departments to improve performance.
Conducts follow up review with requesting departments to ensure points of clarifications on items are met.
Contributes recommendations in project issue resolution.
Reviews OIG and OMIG work plans. Decides how to audit accounts to ensure that we are compliant with all audits that they may possible conduct..
Working knowledge to third party rules, regulations and billing requirements.
Responsible for maintaining professional relationships with all areas of the hospital staff, and management to ensure ongoing cooperation.
Collects, validates and analyzes data related to project and extracting and interpreting data to summarize findings.
Maintains current industries knowledge.
Manages time efficiently to meet assigned tasks deadline.
Performs other duties, as assigned by manager.

Education:

High School Diploma or GED.
Associate or Bachelors, Preferred.

Required Licenses/Certifications:

Certified Professional Coders (CPC) or
Certified Coding Specialists (CCS) or
Certified Coding Specialists Physicians (CCSP) or
Certified Outpatient Coder (COC)
Certified Professional Medical Auditor (CPMA) desirable

Skills and Knowledge:

Proficient in EPIC application
Knowledge of medical terminology – CPT and ICD
Computer literate
Microsoft Excel and PowerPoint Proficiency
Ability to work independently on assigned tasks as well as to accept direction on given assignments.
Excellent written and oral communication skills.
Knowledge of billing guidelines – CMS, NYS, Third Party, OMH, PATH, ICD-10-CM ,ICD-10-PCS, CPT, HCPCS
Ability to interact with co-workers in all departments of the company and multi-task.

The Company is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.”

Interested applicants should contact/send resume to mdichiar@jhmc.org

Posted 03/16/2021

Senior Finance Director

WittKieffer is partnered with MaineGeneral Health in the search for a dynamic, distinguished leader to serve as its new Senior Finance Director.

MaineGeneral Health is a comprehensive community healthcare delivery system with approximately $560 million in net revenues, serving patients from 88 cities and towns through the Kennebec Valley region of Maine. MaineGeneral Health features a medical center with two campuses: the Alfond Center for Health in Augusta, which provides both inpatient and outpatient care, and the Thayer Center for Health in Waterville, which provides comprehensive outpatient care along with a 24/7 emergency department. In addition to the medical center, MaineGeneral Health also supports the Harold Alfond Center for Cancer Care and the Kennebec Region Health Alliance PHO. The vast majority of physicians practicing within MaineGeneral Health are employed by the organization.

The Senior Finance Director is a critical and key member of our leadership team reporting directly to the CFO and primarily responsible for reimbursements, managing payer contracts and financial modeling. The incumbent will be part of the senior finance team built upon deep knowledge and experience with exceptional technical and analytical skills.

Minimum five to ten years of significant healthcare financial planning & analysis experience.
Maine State Licensure as Certified Public Accountant (CPA) is preferred.
Master’s degree or advanced degree in related field is preferred.
Financial modeling and strong analytical skills required.

All applications, inquiries, and nominations are welcome via the buttons below. Please direct via email to WittKieffer Melinda Morton directly at mmorton@wittkieffer.com All communication is strictly confidential.

Melinda Morton
617-653-4141
mmorton@wittkieffer.com

Stephen C. Davis
781.564.2624
sdavis@wittkieffer.com

Posted 03/04/2021

Accounts Payable Manager

THE BEST CAREERS. Right here at Brooklyn’s Leading Hospital – The Best Care Right Here in Brooklyn.

Maimonides Medical Center is at the forefront of innovation in medical science and is the largest hospital in Brooklyn – the most populous borough in New York City. The Maimonides Heart & Vascular Institute ranks among the top 1% of hospitals in the US for heart attack and heart failure patient outcomes. The Surgery Department at Maimonides has experts in all major specialties. Our Cardiac, Neuro, Orthopedic, Thoracic and Urologic surgery divisions are among the best in the nation, with superb Anesthesiology Services, advanced imaging technology and nextgeneration Operating Rooms. The accredited Maimonides Cancer Center is the only full-service center in Brooklyn, providing all treatment modalities and specialties. Our highly regarded Breast Center is home to a Breast Imaging Center of Excellence.

Maimonides is a state-designated Regional Perinatal Center, accepting high-risk maternity patients – a reflection of our expertise in Obstetrics and Neonatology. More babies are born at Maimonides than at any other hospital in New York State. The Children’s Hospital at Maimonides is the only one in Brooklyn and provides all major pediatric specialties. Care is provided in our modern Inpatient Unit, advanced Pediatric ICU, and accredited Pediatric Emergency Center.

Maimonides Medical Center is continuously enriching and expanding services to meet the growing needs of the residents of Brooklyn and the surrounding communities.

At Maimonides Medical Center, you will join a team of dedicated professionals engaged in the rewarding work of providing compassionate care to a diverse population. We are currently seeking an experienced Accounts Payable Manager in our Finance Department. This is an exciting leadership opportunity which allows you to:

Oversee the daily operations of the Accounts Payable department
Coordinate prompt and accurate payments to vendors
Maintain a daily system for cash disbursements for accurate cash flow decisions
Investigate and respond to vendor problems
Review accounts payable accruals to ensure accuracy
Act as liaison between accounts payable and other departments relating to disbursements
Assist with providing data for audits throughout the year and the year-end audit
Develop procedures to improve departmental operations and enhance efficiency and accuracy of data flow

To succeed at this position, you must possess:

Bachelor’s degree in Accounting or Finance or suitable combination of education and experience required
Minimum of 5 years of experience in accounts payable
2-3 year of supervisory experience required preferably in a hospital or medical setting
Proficiency with excel spreadsheets
Good verbal and written communication skills
Good interpersonal skills and ability to read and write English

Interested applicants should send their resume to:

Edmund P. Schmidt, III,
VP Financial Operations/Controller
eschmidt@maimonidesmed.org

Posted 02/03/2021

Assistant Controller

THE BEST CAREERS. Right here at Brooklyn’s Leading Hospital – The Best Care Right Here in Brooklyn.

Maimonides Medical Center is at the forefront of innovation in medical science and is the largest hospital in Brooklyn – the most populous borough in New York City. The Maimonides Heart & Vascular Institute ranks among the top 1% of hospitals in the US for heart attack and heart failure patient outcomes. The Surgery Department at Maimonides has experts in all major specialties. Our Cardiac, Neuro, Orthopedic, Thoracic and Urologic surgery divisions are among the best in the nation, with superb Anesthesiology Services, advanced imaging technology and next-generation Operating Rooms. The accredited Maimonides Cancer Center is the only full-service center in Brooklyn, providing all treatment modalities and specialties. Our highly regarded Breast Center is home to a Breast Imaging Center of Excellence.

Maimonides Medical Center is continuously enriching and expanding services to meet the growing needs of the residents of Brooklyn and the surrounding communities.

At Maimonides Medical Center, you will join a team of dedicated professionals engaged in the rewarding work of providing compassionate care to a diverse population. We are currently seeking an experienced Assistant Controller in our Finance Department. This is an exciting leadership opportunity which allows you to:

Oversee the daily operations of the Accounting & Accounts Payable departments
Devise and oversee the flow of data among financial systems and maintain communicate with the MIS department
Supervise, assist and provide technical support to the accounting staff
Ensure accounting functions are accurate and timely
Perform analytical reviews of financial data to ensure accuracy
Monitor accounting functions in Finance and between other departments
Assist in coordination of audits throughout the year and the year-end audit
Serve as Administrator for banking and treasury functions
Develop procedures to improve departmental operations and enhance efficiency and accuracy of data flow

To succeed at this position, you must possess:

Bachelor’s degree in Accounting required
Experience in healthcare, government, and not-for-profit accounting reporting and analysis process
5-7 years of accounting or financial management experience required including 5 years of experience in a not-for-profit hospital or healthcare facility
3-5 year of supervisory experience required
Proficiency with spreadsheets, databases and other accounting computer systems
Strong analytical abilities
Good verbal and written communication skills
Excellent project management and interpersonal skills and ability to read and write English

Interested applicants should send their resume to:

Edmund P. Schmidt, III,
VP Financial Operations/Controller
eschmidt@maimonidesmed.org

Posted 02/03/2021

Tax Managers and Tax Seniors

WithumSmith+Brown, P.C., is a forward-thinking, technology-driven advisory and accounting firm, helping clients to Be in a Position of Strength^SM in today’s modern business landscape. Withum empowers clients with innovative tools and solutions to address their accounting, tax and overall business management needs. Withum is a place where talent thrives. We recruit only the best and brightest people, with a genuine passion for the business.

Withum’s Healthcare Services Group is comprised of experts that have the depth and breadth of experience to fully understand the many challenges facing healthcare professionals today. The group provides advisory, audit and tax services to healthcare systems and hospitals, Federally qualified health centers and community health centers, medical groups, physician and dental practices, healthcare joint ventures and various other types of healthcare organizations.

The Tax Manager and Tax Senior roles will work exclusively with Withum’s Healthcare Services group providing tax compliance and tax consulting services to healthcare organizations You’ll be working with a team of seasoned, well-known CPAs and industry leaders who are focused on the Healthcare industry. In this position, you have an opportunity to work with a strong team focused on the healthcare industry and be provided with a path to Partnership.

Withum’s brand is a reflection of our people, our culture and our strength. Withum has become synonymous with teamwork and client service excellence. The cornerstone of our success can truly be accredited to the dedicated professionals who work here every day, whose mission is to help our clients grow and thrive – to be in a position of strength. But our commitment goes beyond our clients as we continue to live the Withum Way, promoting personal and professional growth for all team members, clients, and surrounding communities.

How You’ll Spend Your Time:

Coordination as part of the healthcare services group tax team on the preparation, review and filing of annual tax returns, including Forms 990; 1040, 1065; 1120; 1120-S and any applicable foreign filings (e.g. 5471, 926, FinCEN 114)
Various tax consulting special projects
Professional tax webinars and presentations to the healthcare industry
Day to day tax assistance to our healthcare industry clients
Support and coordination with our healthcare group’s audit and consulting teams
Contributing to the continued development of staff and the growth of the firm’s healthcare niche practice

The Kinds of People We Want to Talk to Have Many of The Following:

Bachelor’s degree in accounting, Masters of Science in Taxation if preferred
CPA License
At least 4 years of public accounting experience
General tax experience
Experience working with healthcare systems and hospitals is preferred but not required
Exceptional client service and communication skills with a demonstrated ability to develop and maintain outstanding client relationships
Ability to manage multiple engagements and competing projects
Strong leadership, training, and mentoring skills, coupled with excellent verbal, written, and presentation skills to represent the Firm well to client’s management
Excellent analytical, organizational, project management skills, strong attention to detail, and proven innovative problem solving skills

Withum will not discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran.

Posted 02/03/2021

Audit Managers and Audit Seniors

Looking to build a team at a firm with that encourages a work-life balance?

Withum’s Healthcare Services Group is comprised of experts that have the depth and breadth of experience to fully understand the many challenges facing healthcare professionals today. The group provides advisory, audit and tax services to healthcare systems and hospitals, Federally qualified health centers and community health centers; medical groups; physician and dental practices, healthcare joint ventures and various other types of healthcare organizations.

The Audit Manager and Audit Senior roles will work exclusively with Withum’s Healthcare Services group providing audit and attest services. You’ll be working with a team of seasoned, well-known CPAs and industry leaders who are focused on the Healthcare industry. In this position, you have an opportunity to build a strong team focused on the healthcare industry and be provided with a path to Partnership.

How You’ll Spend Your Time:

Lead or supervise the engagement team staff on the planning and execution of an audit, review or compilation engagement to effectively and efficiently provide world-class client service to healthcare systems and hospital clients
Oversee the day-to-day operations of the audit engagement from staffing, planning, risk assessment, fieldwork, financial reporting and the conclusion
Provide supervision and support to the engagement staff, seniors and supervisors and promote open communication to the engagement partner
Collaborate with engagement team seniors or supervisors and partners on client issue resolution and make recommendations for any legal, regulatory and accounting issues that arise during an audit engagement
Manage multiple engagements concurrently with various teams to efficiently meet client deadlines
Create and track engagement budgets to review for inefficiencies that may arise during the audit
Conduct constructive discussions with team members on their evaluations and providing counsel accordingly
Serve in professional development programs as an instructor or discussion leader

The Kinds of People We Want to Talk to Have Many of The Following:

Bachelor’s degree in accounting and CPA license
At least 5 years of public accounting experience, with experience leading multiple engagements and supervising staff
Experience auditing healthcare systems and hospitals is preferred but not required
Excellent analytical, technical, and auditing skills including familiarity with US GAAP
Exceptional client service and communication skills with a demonstrated ability to develop and maintain outstanding client relationships
Ability to manage multiple engagements and competing projects
Strong leadership, training, and mentoring skills, coupled with excellent verbal, written, and presentation skills to represent the Firm well to client’s management
Excellent analytical, organizational, project management skills, strong attention to detail, and proven innovative problem solving skills

Posted 02/03/2021

Senior Manager, Privacy

This role reports to the AVP, Chief Privacy Officer and is responsible for representing the Privacy Department in any and all meetings that require privacy consultation. The Senior Manager, Privacy is also responsible for participation in Enterprise Delivery Services initiatives that require privacy subject matter expertise, and when applicable, leading project teams that are responsible for implementing privacy requirements into business processes or systems.

Participates in the development, implementation and management of Healthfirst’s Privacy Program
Monitors Healthfirst compliance with its privacy obligations
Participates and/or leads teams that are implementing privacy requirements into business processes.
Provides reporting to business areas on status of assigned tasks/projects
Collaborates with Information Security and other risk assuring departments to identify and manage privacy risk within the organization
Support Corrective Action Plans and additional program components, such as training.
Additional duties as assigned.

Minimum Qualifications:

Must have a Bachelor’s degree from accredited institution
Must have a certification in related discipline, such as CIPP/US
8-10 years’ deep subject matter expertise in HIPAA privacy and other privacy regulation and working in progressively complex situations
Extensive knowledge of industry standards & leading practices regarding data access, use, disclosure, breach response, individual rights, and other aspects of HIPAA and the Health Information Technology for Economic & Clinical Health (HITECH) Act.
Strong influencing skills to establish collaborative relationships across all departments in order to deliver results
Excellent verbal and written communications and analytical skills
Strong organizational skills

Preferred Qualifications:

Experience reporting to leadership or Board of Directors
Demonstrated experience with information technology systems that house protected health information (PHI)
Please direct all applications to: https://careers.healthfirst.org/i/us/en/job/R008947/Senior-Manager-Privacy

Posted 02/03/2021

Position Summary

Reporting to the Director of Patient Financial Services, the Associate Director Patient Accounting Reporting and Analysis will manage the department’s reporting and analytical support staff. Candidates must possess a high degree of technical skill in revenue cycle or healthcare financial decision support and reporting and have significant knowledge and understanding of hospital facility billing and reimbursement. This position will actively develop and maintain dashboards, reports, reconciliations and worklists which support day to day operations, internal audit efforts, regulatory compliance and performance improvement initiatives. It is expected the incumbent will work to identify operational opportunities, quantify the scope and financial magnitude of such issues/opportunities and work to develop KPI’s and/or Benchmarks which ensure financial opportunities, remediation efforts and/or go-forward work flow re-engineering and throughput are optimized. Regularly partners with Revenue Cycle leaders, Stony Brook Information Technology. and Vendors in developing, executing and monitoring Revenue Cycle initiatives.

The Associate Director of Reporting and Analysis and staff will be responsible for operational reporting and reconciliations and analysis including, but not limited to the following departmental functions and/or systems:

Accounts Receivable Management (Invision Patient Accounting and Contract Management; Optum Payment Integrity Compass, MS SQL Server) – service line, payer and aging level A/R trending and analysis, identification of “at-risk” receivables, over/underpayment trends and analysis, and claims follow up productivity (quantitative and qualitative)
Claims and Denials Management (SSI, Tracker Pro, Optum Payment Integrity Compass) including reconciliation of billing volumes, clean claims rates, detailed edit and error reporting, claims error root cause analysis, claim error resolution timeframes, payer electronic claim acceptance/error rates, denials tracking, and appeals outcomes.
Cash Management
Bad Debt/Charity Care/Financial Assistance including write-offs, recoveries and assistance granted.

Qualifications

Required Qualifications:

B.S. Accounting, Finance, Health Information Management, Computer Science or related field.
Minimum six years’ experience in healthcare revenue cycle, accounting, finance or decision support for an Inpatient Acute Care Facility or Health System with two or more in a supervisory role.
Experience in planning, leading, directing and managing projects.
Demonstrated experience with healthcare reimbursement and facility claims analysis (DRG, APC, APG, Managed Care Contracts, UB-04, 837i, 835)
Proficient with SQL.
Familiarity with CPT, HCPCs and ICD-10 coding principles
Advanced MSOffice experience including relational database experience may include Power Pivot or Power Query.
Excellent written and verbal communication skills.

Preferred Qualifications:

Master’s Degree or Professional Licensure
Programming experience with VBA, EMUE, Boston Workstation and/or other Scripting/Automation tools/languages.
Experience with Robotic Process Automation for Revenue Cycle (RPA) implementation.
Experience implementing Patient Accounting systems.
Knowledge of Cerner Invision Patient Accounting system configuration and master files.
Experience reporting from healthcare decision support, patient accounting, contract management and/or claims scrubber systems.
Experience utilizing SAP Business Objects/Crystal Reports.
Experience utilizing visualization software (Tableau, MS Power BI, etc.)
Proficient utilizing MS SQL Server Management Studio to write queries, create tables/views and write stored procedures
Proficient utilizing MS Visual Studio to create and maintain SSIS packages

Special Notes: This position will remain posted until filled or for 90 days max.

An initial review of all applicants will occur two weeks from the posting date. For full consideration, applications must be received before the initial review date (which is within two weeks of the posting date). If within the initial review no candidate was selected to fill the position posted, additional applications will be considered for the posted position; however, the posting will close once a finalist is identified, and at minimal, two weeks after the initial posting date. Please note, that if no candidate were identified and hired within 90 days from initial posting, the posting would close for review, and possibly reposted at a later date.

Stony Brook Medicine is a smoke free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises.

All Hospital positions are subject to changes in pass days and shifts as necessary. This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.

The selected candidate must successfully clear a background investigation. Prior to start date, the selected candidate must meet the following requirements: Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine’s Employee Health Services (The hiring department will be responsible for any fee incurred for examination), submit (3) written references, and provide a copy of any required New York State license(s)/certificate(s). Please be advised that failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer.

The best ideas in medicine start with the best people. At Stony Brook Medicine, our highest calling is to put the power of ideas to work in our patients’ lives. Stony Brook Medicine integrates and elevates all of our health-related initiatives: education, research and patient care. Stony Brook Medicine is Long Island’s premier academic medical center. With 603 beds, we serve as the region’s only tertiary care center and Level 1 Trauma Center, and are home to the Stony Brook Heart Institute, Stony Brook Cancer Center, Stony Brook Children’s Hospital, Stony Brook Neurosciences Institute, and Stony Brook Digestive Disorders Institute. We also encompass Suffolk County’s only Level 4 Regional Perinatal Center, state-designated AIDS Center, state-designated Comprehensive Psychiatric Emergency Program, state-designated Burn Center, the Christopher Pendergast ALS Center of Excellence, and Kidney Transplant Center. It is home of the nation’s first Pediatric Multiple Sclerosis Center.

This function/position has been designated as “essential.” This means that when the Hospital is faced with an institutional emergency, employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities.

Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation. If such information has been requested from you before such time, please contact the Governor’s Office of Employee Relations at (518) 474-6988 or via email at info@goer.ny.gov.

IF YOU NEED A DISABILITY-RELATED ACCOMMODATION, PLEASE CALL THE UNIVERSITY HUMAN RESOURCE SERVICES DEPARTMENT AT (631) 632-6161 OR THE UNIVERSITY HOSPITAL HUMAN RESOURCES DEPARTMENT AT (631) 444-4700.
IN ACCORDANCE WITH THE TITLE II CRIME AWARENESS AND SECURITY ACT, A COPY OF OUR CRIME STATISTICS IS AVAILABLE UPON REQUEST BY CALLING (631) 632-6350. IT CAN ALSO BE VIEWED ON-LINE AT THE UNIVERSITY POLICE WEBSITE AT http://www.stonybrook.edu/police

Posted 06/23/2020

Position Summary

At Stony Brook Medicine, the Charge Description Master Analyst is responsible for the development, implementation, maintenance, review and audit of the Hospital Charge Description Master to optimize revenue generation and maintain compliance with State, Federal and third party payer regulations and requirements across the health system.

It is expected the incumbent will be a CDM software (Craneware) super-user. Qualified candidate will have the ability to perform retrospective and concurrent charge capture audits utilizing both software tools and/or E.M.R. and documentation review.

Duties of a Charge Description Master Analyst may include the following but are not limited to:

Provide charging advice, support and education to Hospital departments, affiliates and other stakeholders
Utilization of coding guidelines, billing and payment regulations, and third party contracts, as well as the Hospital inventory management system, electronic medical record and departmental documentation programs
Continually interact with Hospital department staff to ensure that all chargeable procedures, treatments, supplies and implants are appropriately charged
Engage with service department staff and affiliates to develop and maintain audit programs which reconcile services performed to charges captured
Work with Information Technology and service departments to develop testing and monitoring strategies to support the implementation of new charge capture systems and methodologies
Utilize the hospital’s charge master maintenance software (Craneware) to maintain the integrity of the charge master and ensure adherence to hospital policy with respect to pricing and materiality
Perform retrospective and concurrent charge capture audits utilizing both software tools and/or E.M.R. and documentation review
May assist in the resolution of pre-billing charging issues and post-payment charge related denials
Assist in system configuration and maintenance
Act to support service departments and interfacing with vendor technical support as needed
May assist in the resolution of pre-billing charging issues and post-payment charge related denials
Other duties as assigned

Qualifications

Required Qualifications:

Bachelor’s degree in Nursing, Accounting/Finance, Health Information Management, Health Administration, Computer Science or related field and at least 3 years of experience in charge master maintenance, analysis, audit or review
OR Associates degree in Nursing, Accounting/Finance, Health Information Management, Health Administration, Computer Science or related field plus relevant professional certification or licensure (CCS, CCS-P, CPC, CCDS, RHIA or RHIT certification) and at least 5 years of experience in charge master maintenance, analysis, audit or review.
Working knowledge of CPT, HCPCs and ICD-10 coding principles.
Proficient in Microsoft Excel.
Excellent written and verbal communication skills.

Preferred Qualifications:

Bachelor’s degree in Nursing, Accounting/Finance, Health Information Management, Health Administration, Computer Science and CCS, CCS-P, CPC, CCDS, RHIA or RHIT certification.
Experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare and New York Medicaid reimbursement methodologies.
Knowledge of other governmental and third party payer reimbursement methodologies.
Proficiency in the use of Craneware Active Charge Master Toolkit, Pharmacy Chargelink, Supplies Chargelink and/or Bill Analyzer.
Experience in Revenue Cycle Operational areas including: coding, revenue integrity, patient accounting and/or reimbursement.
Operating Room supply-chain, procurement experience.
Healthcare delivery, operations or administration experience in an Academic Medical Center.

Special Notes:

This position will remain posted until filled or for 90 days max.

Stony Brook Medicine is a smoke free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises.

All Hospital positions are subject to changes in pass days and shifts as necessary. This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.

Posted 06/23/2020

Position Summary

At Stony Brook Medicine, the Senior Research Financial Analyst, under the supervision of the Revenue Cycle Management Office’s Supervising Finance Analyst, will play a vital role supporting Stony Brook Medicine’s commitment to research.

The incumbent will verify research charges identified in protocol submissions by reviewing research protocols, informed consents, budget and other associated documents. Hospital services not accounted for in the research budget will be reviewed with the Principle Investigator and/or Study Coordinator to ensure adequate funding is available to reimburse the Hospital. The incumbent should have experience in the clinical care of patients, interpreting Federal and State regulations specific to performing research on human subjects, reading and interpreting research protocols to identify tests and procedures related to research versus standard of care, and functional experience in Hospital billing and reimbursement for clinical care and research-related tests and procedures. The incumbent will functions as a resource and educator for Investigators, Study Coordinators and research staff on clinical research billing and reimbursement.

Duties of a Senior Research Financial Analyst may include the following but are not limited to:

Review research protocols to identify all tests and procedures requiring Hospital resources.
Discuss discrepancies between submitted research budget and tests and procedures described in the protocol narrative, informed consent and other associated documents with Principle Investigator and/or Study Coordinator and research staff to ensure the research budget accounts for all Hospital services required.
Function as a resource and educator for Investigators, Study Coordinators and research staff on clinical research billing and reimbursement.
Assists with developing budgets ensuring accurate inclusion of patient care services and research related procedures, tests and supplies when needed.
Advise Investigators and/or Study Coordinators on need to establish research and clinical care encounters and importance of assigning charges correctly to each from compliance, reimbursement and audit perspectives.
Establish and maintains effective working relationships with investigators, study coordinators, Clinical Trials Office and research, Finance and Patient Accounts staff.
Maintains log of charges related to protocols.
Assists Patient Accounts with resolving billing issues related to research.
Assists with ad hoc audits and billing questions to ensure compliance with federal, state, and institutional policies governing clinical research finance.
Maintains current knowledge of Hospital charge policies and applies them to research reviews

Qualifications

Required Qualifications:

Nursing degree.
Minimum 3 years of clinical experience.
Knowledge of governmental and third party payer reimbursement methodologies for standard clinical care and research-related tests and procedures.
Working knowledge of CPT, HCPCs and ICD-10 coding principles.
Demonstrated excellent written and verbal communication skills
Proficiency with Microsoft applications including Outlook, Excel, and Word.
Ability to work with minimal supervision and function independently on a daily basis.

Preferred Qualifications:

Medical degree
Clinical Research budget review experience.
Experience in using myResearch.com

Special Notes: This position will remain posted until filled or for 90 days max.

Stony Brook Medicine is a smoke free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises.

All Hospital positions are subject to changes in pass days and shifts as necessary. This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.

Posted 06/23/2020

Aetna

Morgan Consulting Resources is an executive search firm focusing on the Healthcare Industry for 20 years. We have been retained by Catholic Health to conduct the search for the Director of Government Reimbursement & Managed Care. This is an outstanding opportunity to join a mission-driven organization with a strong leadership team and a long-standing reputation guided by their mission and values to serve patients, providers, and the community in the development of innovative programs. The position is based in Buffalo, NY.

About the Organization:

Catholic Health was founded in 1998 and is a non-profit healthcare system that provides care to patients through our network to Western New Yorkers. As one of the largest health systems in the region, we serve hundreds of thousands of patients across our network. Catholic Health is committed to making a difference in the communities we serve.

The network includes:

Hospitals
Home Care
Long-term Care Facilities
Clinician Offices
Health Centers
Ancillary Providers

Mission: We are called to reveal the healing love of Jesus to those in need.

Catholic Health’s mission is the driving force behind all that we do, and we are dedicated to delivering high-quality, compassionate, and affordable health services to all, with special care given to those who are poor and disadvantaged. A shared accountability for mission ensures the effectiveness of the mission at all levels.

For more information about the organization, please visit: https://www.chsbuffalo.org.

About the Position:

The Director of Government Reimbursement & Managed Care reports to the Vice President, Payer Strategy & Population Health Management, and will be responsible for the appropriate capturing of Government revenue across the entire Catholic Health system. The Director is responsible for coordinating, completing, and timely filing of all cost reports and all Medicare and Medicaid rate reviews for acute, long term care, and home care. The Director develops and executes managed care strategies, negotiates contract rates, and provisions for all Catholic Health entities in conjunction with Catholic Medical Partners.

The ideal candidate will be an experienced leader with a deep background in government reimbursement and cost reporting and managed care contracting in a hospital or similar setting in the state of New York. The ideal candidate will lead collaboratively by combining the individual strengths of a diverse team and uniting around Catholic Health goals while creating a results-oriented environment of personal pride and accountability. Those best suited for this role will understand the operational needs of the department and organization. The successful candidate must possess the experience and credibility to work collaboratively with key stakeholders at the federal, state, and county levels.

Sample Goals/Major Projects:

Support efforts in the transition to a new Electronic Health Records system (EPIC)
Lead the COVID-19 government support program initiative
Maximize the achievement of the 340B Drug Pricing Program objectives

Direct Reports: (4) Manager Reimbursement, Manager of Acute and Ancillary Network Contracting, Professional and Alternative Payment Network Contracting Analyst, Senior Reimbursement Analyst.

Position Qualifications:

Education and Experience:

Bachelor’s Degree required; Master’s Degree or CPA preferred
Seven (7) years in Healthcare Reimbursement
Supervisory Experience

Knowledge, Skills, and Abilities:

Knowledgeable of Federal and State Healthcare reimbursement and financial analysis
Extensive use of Excel including Pivot Tables, VLookup, and Macros
Use of PowerPoint
Strong knowledge of financial management
Good strategic planning, analytical, and organization skills
Demonstrated ability to work well in a team setting
Strong written and verbal communication skills
Strong interpersonal and leadership skills
Comfort in working in a matrix environment
Ability to work independently

About Buffalo:

Buffalo is the second-largest city in New York and the largest in Western New York. “The City of Light” is located on the Eastern Shore of Lake Erie, the head of the Niagara River. Like most Great Lake cities, Buffalo has a humid continental climate and is rarely the snowiest in all of New York. Buffalo is a very affordable and beautiful place to live. Buffalo is going through a revival with a lot of great options for entertainment. From concerts and events at the Riverfront to neighborhoods with great restaurants and shops, there is always something to do in Buffalo. Delaware Park was recently named as one of the top public spaces in America. The city has a strong arts community and many historical sites. Buffalo is an excellent place for people of all ages and families.

Catholic Health offers a competitive salary and compensation package. If you or someone you know has the qualifications we seek, I’d love to set up a time to talk. Thank you for your time and consideration.

A complete position description can be found on our website at www.morganconsulting.com.

Please contact Kim Phillips at kim@morganconsulting.com.

Posted 05/12/2020

Position Summary

Reporting to the Director of Patient Financial Services, the Associate Director of PFS Reporting and Analysis will manage the department’s reporting and analytical support staff. This includes staff tasked with reviewing, tracking and resolving Managed Care payment variances, the Denials and Appeals Unit as well as the Cash Management and Reconciliation group. Candidates must have significant knowledge and understanding of hospital facility billing and reimbursement and also possess a high degree of technical acumen in revenue cycle or healthcare financial decision support and reporting, This position will actively develop and maintain dashboards, reports, reconciliations and worklists which support day to day operations, internal audit efforts, regulatory compliance, performance improvement initiatives and project management. It is expected the incumbent will work both independently and collaboratively to identify operational opportunities, issues, inefficiencies, gaps and/or bottle necks; quantify the scope and financial magnitude of issues/opportunities and work with all levels of the PFS team to develop KPI’s and/or Benchmarks which ensure financial opportunities, remediation efforts and/or go-forward work flow re-engineering and throughput are optimized. Regularly partners with the PFS Management Team including the Associate Director Patient Accounting Operations and SB I.T. and Vendors in developing and executing Revenue Cycle initiatives. Direct Reports will include the Managed Care Revenue Realization Manager and the Cash Posting Manager.

Duties of an Associate Director of PFS Reporting and Analysis may include the following but are not limited to:

Accounts Receivable Management (Invision Patient Accounting and Contract Management; Optum Payment Integrity Compass, MS SQL Server) – service line, payer and aging level A/R trending and analysis, identification of “at-risk” receivables, over/underpayment trends and analysis, and claims follow up productivity (quantitative and qualitative)
Claims and Denials Management (SSI, Tracker Pro) including reconciliation of billing volumes, clean claims rates, detailed edit and error reporting, claims error root cause analysis, claim error resolution timeframes, payer electronic claim acceptance/error rates, denials tracking, and appeals outcomes.
Cash Management including reconciliation and reporting of deposits, manual and electronic postings and kick-outs, accelerated and unposted cash
Bad Debt/Charity Care/Financial Assistance including write-offs, recoveries and assistance granted.

Qualifications

Required Qualifications:

B.S. Accounting, Finance, Health Information Management, Computer Science or related field.
Minimum six years’ experience in healthcare revenue cycle, accounting, finance or decision support for an Inpatient Acute Care Facility or Health System with two or more in a supervisory role.
Experience in planning, leading, directing and managing projects.
Demonstrated experience with healthcare reimbursement and facility claims analysis (DRG, APC, APG, Managed Care Contracts, UB-04, 837i, 835)
Proficient with SQL.
Familiarity with CPT, HCPCs and ICD-10 coding principles
Advanced MSOffice experience including relational database experience may include Power Pivot or Power Query.
Excellent written and verbal communication skills.

Preferred Qualifications:

Master’s Degree or Professional Licensure
Programming experience with VBA, EMUE, Boston Workstation and/or other Scripting/Automation tools/languages.
Knowledge of Cerner Invision Patient Accounting system configuration and master files.
Experience reporting from healthcare decision support, patient accounting, contract management and/or claims scrubber systems.
Experience utilizing SAP Business Objects/Crystal Reports.
Experience utilizing data visualization software (Tableau, MS Power BI, etc.)
Highly proficient utilizing MS SQL Server Management Studio to write queries, create tables/views and write stored procedures
Proficient utilizing MS Visual Studio to create and maintain SSIS packages

Special Notes:

This position will remain posted until filled or for 90 days max.

Stony Brook Medicine is a smoke free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises.

All Hospital positions are subject to changes in pass days and shifts as necessary. This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.

To Apply please click this link stonybrooku.taleo.net

Posted 03/07/2020

Finance Manager – Northwell Health, Inc.

Job Description

You will be involved with preparing and reviewing various portions of both internal and external financial reporting. You will be heavily involved with Northwell’s OMB Uniform Guidance audit related to federal grants, including the preparation of the Schedule of Expenditures of Federal Awards and working with the Grant Management Office with regard to maintaining compliance with federal grant requirements. In addition, you will be involved with assisting to meetNorthwell’s various external reporting requirements, which may include the preparation and issuance of quarterly financial statements and Management’s Discussion and Analysis documents, the preparation of annual audited financial statements and related disclosures for both Northwell and its various pension plans, and other required filings. You may also be responsible for managing staff and performing and reviewing various monthly internal accounting, including monthly financial statements, variance analyses, account analysis, etc.

Responsibilities include

Assists with monitoring continuing compliance with federal grant awards
Maintains routine records related to federal grant awards
Prepares the Schedule of Expenditures of Federal Awards for the OMB Uniform Guidance audit annually and serves as main Finance contact with external auditors related to this audit
Assists with the preparation of externally issued financial statements and GAAP-required footnote disclosures quarterly
Assists with the preparation of pension plan financial statements annually
Assists in the coordination and managing of financial statement and pension plan financial statement audits
Performs realization analyses of accounts receivable
Coordinates with various locations and departments for compiling financial statement data
Oversees and assists with the preparation of monthly internal financial statements and analysis. Provides variance explanation to administration, as necessary.
Maintains responsibility for the general ledger, journal entries made to the general ledger, including reviewing and/or posting entries
Prepares account analysis regarding certain general ledger accounts on a timely basis
Performs ad hoc analyses on an as need basis
Assists in the management and supervision of staff and oversees quality of work. Contributes to performance evaluations

Qualifications

Bachelor’s Degree in Accounting required
Minimum of five (5) years financial and accounting experience, including prior supervisory experience, required
Grant audit/accounting experience or experience with either preparing or auditing information for OMB Uniform Guidance audits required
Knowledge of Generally Accepted Accounting Principles (GAAP) required
Proficiency in Microsoft Excel required

Interested candidates should apply via the link below:

nshs.taleo.net

Posted 02/12/2020

Accounts Payable Manager

Our Client, an independent multi-site, multispecialty medical group in New York State, is seeking to hire an Accounts Payable Manager. The Accounts Payable Manager will oversee the daily operations of the Accounts Payable team, as well as assuring that vendor payments are handled in an accurate and timely manner in accordance with the group’s policies and procedures.

Responsibilities:

Supervision and development of a staff of 5-7 individuals.
Resolve and vendor payment issues.
Understand the AP impact to the financial statements, and prepare journal entries when needed.
Report daily cash disbursements for all companies to Treasury departmentand reconcile the cash disbursements on a weekly basis with the general ledger.
Download data, and/or generate report to perform analysis when needed.
Develop accounting policies and procedures.
Review Balance sheet and prepare journal entry for month end and annual general ledger close.

Requirements:

Bachelor’s Degree in Accounting preferred.
5+ years of experience with account payableand general accounting required
Strong leadership and mentorship skills.
Ability to prioritize and multitask.
Deadline and detail-oriented.

In order to be considered for this role please send your resume to Lea Tal at LTal@talhealthcare.com with Accounts Payable Manager (5719) in the subject line of the email.

Posted 02/19/2020

Assistant Director of Finance

Our client, a world class medical system in New York City, is hiring an Assistant Director of Finance. The Assistant Director of Financewill assist with directing all financial reporting and budgeting of the multiple location department in order to provide senior leadership with accurate financial and operational information for the Hospital to manage their strategic objectives and support their decision making.

Responsibilities:

Interact with various Hospital personnel regarding financial issues and analysis regarding budgeting, opportunity/risk analysis, volume analysis and financial forecasting
Oversee the management and preparation of the annual operating and capital budgets and all reporting surrounding such budget
Works with department managers in developing their budget objectives
Engage in revenue recognition activities including accurate and timely reporting of revenue cycle activities and reporting of account receivable balances
Oversee the preparation of budget analyses including financial key performance indicators and performance measurements utilizing volume statistics and decision support tools
Respond to financial analysis requests of senior management
Oversee financial modeling for changes managed care reimbursement rates and contract changes with payors, working closely with the department of managed care
Oversee preparation of business plans and analysis related to physician staff
Oversee financial modeling and analysis in support of Medication Pricing Committee
Provide recommendations to the Committee on medication pricing strategy
Ensure revenue and A/R are accurately stated in financial reports. Collaborates with management in revenue cycle operations on revenue cycle metrics and initiatives
Oversee the analysis and interpretation of monthly financial results
Oversee the preparations of detailed information for cancer center managers, administration, and senior leadership on a weekly, biweekly, and monthly basis
In conjunction with supply chain management leadership, provide director level oversight of the Supply Chain department
Oversees all processes and procedures relating to financial reporting operations

Educational Requirements:

Bachelors Degree in Finance/Accounting required, CPA preferred
Minimum of 7 years finance experience in accounting, budgeting, and financial analysis, preferably in a healthcare setting

Desired Skills:

Knowledge of recording/reporting of Revenue Cycle activities
Strong problem solving and analytical abilities
Ability to coordinate and manage multiple priorities in a changing environment
Professional finance staff supervision experience

In order to be considered for this role please send your resume to Lea Tal at LTal@talhealthcare.com with Asst. Director of Finance (5783) in the subject line of the email.

Posted 02/19/2020

Vice President of Physician Revenue Cycle

Our client, a well-established network of accredited hospital based medical groups is seeking to hire a Vice President of Physician Revenue Cycle. The Vice President of Physician Revenue Cycle is responsible and accountable for the strategic planning, leadership and ongoing continuous quality and process improvement for the physician revenue cycle of the Health Medical Group.

Responsibilities:

Oversee the Revenue Cycle team in planning, coordinating and executing policies, procedures and strategies within the department
Provide direction and oversight of the Revenue Cycle Operations, including but not limited to credentialing, charge capture, billing, claim follow-up and collections, payment application, and denials management
Ensure optimal coordination of the following components: physician credentialing, charge entry, coding, billing, collections, denials management and billing compliance
Direct strategic development, implementation, and support for their respective programs/applications while implementing technology to advance the revenue cycle management
Collaborateand partner with Senior Leadership and other stakeholders to achieve strategic objectives through successful implementation/completion of strategic initiatives
Ensures systems and processes are in place to maintain and support the use of the EHR
Ensures integrity of the EHR and related processes to minimize organizational risk
Oversees the analysis and logging of revenue adjustments, write offs and denial activity
Monitors and reports monthly to management; providing analysis of trends in aged balances across divisions, customers, and programs as well compared to trends in the industry
Monitors collections to established goals to maximize cash flow and to monitor claim submission to provide ongoing process assessment and resolution

Requirements:

Bachelor’sdegreerequired; Master’s degree preferred
Minimum of seven (5+) years proven, progressive experience in physician healthcare receivables management in a complex academic medical center or multi-hospital system with 1000 or more physicians
Proven experience in Physician Revenue cycle
Certified Professional Coder (CPC) certification, preferred
Travel to other offices and Corporate facilities required on a regular basis

In order to be considered for this role please send your resume to Lea Tal at LTal@talhealthcare.com with VP of Revenue Cycle (5852) in the subject line of the email.

Posted 02/19/2020

Chief Financial Officer

Our client, a growing federally qualified health center, is seeking to hire a Chief Financial Officer. The Chief Financial Officer will be responsible for overseeing all fiscal and fiduciary responsibilities for the organization, ensuring timely and accurate financial reporting and budget processes, conducting strategic analysis of business performance and forecasting, and providing oversight of finance.

Responsibilities:

Maintain financial records and safeguard the health center’s assets
Ensure compliance with all applicable laws and regulations
Lead the finance/fiscal team and work to ensure consistency across functions
Act as liaison to Board of Directors, presenting financial information on a monthly basis
Oversee billing to third parties and collection efforts of receivables
Manage budget and cash flow

Requirements:

Bachelor’s degree required; Master’s degree preferred
Seasoned in FQHC regulations
10+ years’ of supervisory experience, including 3+ years’ in healthcare administration

In order to be considered for this role please send your resume to Lea Tal at LTal@talhealthcare.com with Chief Financial Officer (5866) in the subject line of the email.

Westchester Medical Center Health Network

Job Summary:

Large Academic teaching facility seeks professional individual with good verbal and written communication skills to manage the department of Patient Accounts at our Valhalla campus. This individual will be responsible to help develop, plan, organize and implement current and future strategies to bill patients, process payments, minimize bad debt, improve cash flow and manage the overall health of the provider’s receivables. Also responsible for assisting in managing the day-to-day activities of the Medical Center as they relate to revenue cycle functions which include but are not limited to billing, collections, accounts receivables and customer service/collections for patients. This position is responsible for achievement of all productivity and quality goals of the facility for the revenue cycle areas managed. Experience and success in managing departments in the revenue cycle area through achievement of all productivity and quality goals is required.

Responsibilities:

Recommends and implements appropriate training programs that will further enhance and improve the technical competencies of the staff.
Assists in the preparation of monthly management reports providing key revenue and operational metrics and analysis.
Assists with cash management projections and forecasting activities. Assists in optimizing financial systems and processes resulting in more efficient financial processes and controls to ensure the highest level of data integrity and accuracy.
Ability to efficiently and proactively manage others. With a strong ability to communicate well verbally and in writing with internal departments and insurance vendors.
Ability to create and implement effective schedules for staff while achieving all production and quality goals.
Demonstrated project management skills.
Implementation and supervision of policies and procedures ensuring accuracy of data on all documents and bills to third party billing companies, Medicare and Medicaid, as well as insurance denial review as appropriate.
Ability to multi-task in a fast and high pressure environment.
Ability to field and address concerns and questions.
Stringent adherence to all HIPAA laws.
The positions require a thorough knowledge of the necessary practices and procedures for Facility Billing, Insurance Verifications, Third Party Insurance coverage, Medicaid and Medicare eligibility, Insurance denial review and overturn procedures.
Develop AR and statistical reports to share KPI data, denials, cash trends, etc

Qualifications/Requirements:

Experience:

Minimum of 5 years of management experience
Prior experience working within an Academic Medical Center or multi hospital experience
Thorough knowledge of healthcare revenue cycle operations, concepts, and policies and their impact throughout the organization, with an in-depth understanding of related functions and issues, including coding, registration, billing, reimbursements, aging accounts, contractual adjustments, and charge capture
Thorough knowledge of metrics, analytics, and data synthesis in healthcare revenue cycle management to identify trends, produce reliable forecasts and projections
Thorough knowledge of information technology specific to healthcare revenue cycle management and related functions, including software, hardware, tools, techniques, and systems Invision/Millennium experience a plus
Prior experience as a Patient Accounting Manager
Demonstrated experience developing staff competencies, facilitating workflow improvements, and organizing multi-departmental operations. In-depth abilities in resource management.
Personnel management experience in hiring, training, mentoring, coaching and corrective action
Experience working with labor unions
Project Management experience with emphasis on patient accounting system development Experience developing strategic plans in the patient accounting

Education:

Bachelor’s Degree in Finance or related field of study preferred

Contact:

Vanessa Mackay

Vice President, Revenue Cycle

Westchester Medical Center

Taylor Pavilion Suite D245|100 Woods Road | Valhalla, NY 10595

Office: 914-493-2855

Cell: 914-703-5862

Email: Vanessa.Mackay@WMCHealth.org

Posted 02/19/2020

NYU Langone Health – Job Description

August 18, 2020

Applicants must apply directly online HERE.

The Assistant Director of Finance Operations is a key member of the Finance Hospital Operations team who reports to the Finance Site Leader (Director) at NYU Langone Hospital – Brooklyn. This position has many responsibilities as a liaison between financial reporting and central budget departments and the daily operations group within the hospital. This role is responsible for providing financial analytics and narratives on operational activity to the Finance Site Leader and Executive Leadership. Assists with the supervision of the overall Finance Hospital Operations function for Brooklyn. Works within the department and as a part of the hospital management team to operationalize the goals and objectives established by Executive Leadership.

Job Responsibilities:

Responsible for preparation of the Clinical Mission Financial Analytics that are provided as support to Financial Reporting for month-end close. This package includes in-depth analytics to identify operational factors attributed to volume, revenue, and expense variances.
Coordinates with Department and Executive Leadership in development of strategic business plans and resource request proposals to the NYU Langone-Brooklyn Position Control Committee, ensuring accuracy of volume, expense and revenue assumptions. Coordinates with department on implementing staffing strategies that will reduce cost and improve efficiency.
This position utilizes EPSi Decision Support System and PeopleSoft Financials to prepare ad-hoc analyses providing critical data to Hospital Executive Leadership to aid development of strategic initiatives.
Provides support to Department VPs and Directors in monitoring monthly expenses, ensuring adherence to budgeted targets and the goals of the institution.
Provides end-user support to Department Leadership in management and use of PeopleSoft Financials and PeopleSoft HCM.
Responsible for collaboration with Data Management to ensure that system dictionaries and information is up-to-date.
Work with the Finance team to streamline internal financial reports and reporting processes to deliver more efficient, more effective, and more useful reports and analysis
Supports the Finance Site Leader in the annual budget process as a Clinical and Operational liaison, providing departmental leadership the tools and support necessary to meet established targets for the Operating Budget.
Individual will be required to assume other duties as assigned.

Qualifications:

Four-year college degree in Accounting, Finance or Business Administration required. Master’s degree preferred.
At least 7 years minimum experience in a healthcare facility.
Experience in general ledger and cost accounting methodologies, and budgeting systems is required.
Experience working with other system-wide employees outside of one’s individual department, with particular emphasis on interaction with hospital finance & department operational managers is required.
Ability to manage multiple tasks & responsibilities concurrently, as well as meeting deadlines while documenting work flows clearly & precisely.
Excellent communication skills, both written and oral.
Expert in data analytics tools such as Excel and Tableau.
Proficiency in Word, and other Microsoft Office Applications.
Knowledge of Hospital Cost Accounting and Financial Reporting Systems.