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CDM Job Posting
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

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.

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.

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