Under the direction of the Faculty Group Practice Central Billing Office (CBO), this position is responsible for oversight and management of revenue cycle operations and adherence to FGP policies and procedures in the Department. The Manager of Offshore Operations will have responsibility for directing the Faculty Group Practice (FGP) functions and revenue cycle performance of all offshore teams. The Manager will work closely with each functional team to ensure maximization of cash flow and efficient production. This is a challenging role for someone who thrives in a fast-paced, analytical and ever changing environment equipped with exceptional internal and external client interaction skills.
- Create and implement workflows and standard operating procedures related to revenue cycle functions including (but not limited to) coding, correspondence, claims, accounts receivable, and credits.
- Develop and direct adherence to specific pathways necessary to complete tasks related to key revenue cycle functions.
- Manage and review daily operational and production reports.
- Collaborates with and supports the CBO Operations team in monitoring quality assurance metrics for all vendors. Reviews and benchmarks results to industry standards and both internal and external teams.
- Collaborate with the CBO analytical team to design and direct the preparation of ad hoc reports to analyze specific operational and/or financial concerns, supporting project work and implementation.
- Collaborates with counterpart on the revenue cycle management team in action plan development, planning and adherence. Analyzes health of specialty and revenue location and offer mitigation plans.
- Collaborate with coders as needed to understand CPT and ICD-10 manuals, payer policy and procedure manuals, updates, and CMS publications to ensure billing staff is compliant with current policies and procedures.
- Perform analysis to identify problems with denials, coding, reimbursement, and other aspects of the revenue cycle and implement changes in conjunction with leadership
- Ensure that the activities of the professional billing teams are conducted in a manner that is consistent with overall department protocol, and are in compliance with Federal, State, and payer regulations, guidelines, and requirements.
- Participate in the development and updating scope of work and training documents for staff.
- Provide frequent feedback to staff on adoption of material and workflows outside of standard quality assurance program.
- Monitor team metrics and improvements.
- Participate in corrective actions in response to variances and trends.
- Identify change management needs.
- Assist with implementation of new systems/tools in conjunctions with IT, operations, and practices.
- Responsible for assembling project plans and teamwork assignments, directing and monitoring work efforts on a routine basis, identifying resource needs, performing quality review; and escalating functional, quality, timeline issues appropriately.
- Responsible for tracking key project milestones and adjusting project plans and/or resources as necessary.
- Coordinate communication with all areas of the enterprise that impact the scope, budget, risk, and resources (people/money) of the work effort being managed.
- Link operations side and IT side. Knows when to inform management and bring in other support.
- Share policies and procedures as needed.
- Requires 20% travel to domestic offices and quarterly international offsite vendor locations
Patient Experience & Access
- Drives consistency in every patient and colleague encounter by embodying the core principles of our FGP Service Strategy CARES (Connect, Align, Respond, Ensure, and Sign-Off)
- Greets patients warmly and professionally, stating name and role, and clearly communicates each step of the care/interaction as appropriate
- Works collaboratively with colleagues and site management to ensure a positive experience and timely resolution for all patient interactions and inquiries whether in person, by phone or via electronic messaging.
- Proactively anticipates patient needs, and participates in service recovery by applying the LEARN model (Listen, Empathize, Apologize, Resolve, Notify), and escalates to leadership as appropriate.
- Shares ideas or any observed areas of opportunity, to improve patient experience and patient access, with appropriate leadership. (i.e. ways to optimize provider schedules, how to minimize delays, increase employee engagement, etc.)
- Partners with Patient Access Center and Central Billing team members to support collaboration and promote a positive patient experience.
- Takes a proactive approach in ensuring that practice staff are fully versed in the Access Agreement gold standard principle
Minimum Qualifications:
To qualify you must have a Bachelors degree (or a High School Diploma and experience) with a minimum of 2 – 4 years of revenue cycle management or account management experience in a health care environment. Strong interpersonal communication and presentation skills, effectively presenting information to management, faculty practice groups and individuals. Excellent organizational and project management skills. Strong time management, attention to detail, and follow through. Well-developed research skills. Strong knowledge of revenue cycle process. Able to work in a fast-paced, continuously evolving environment. Ability to make sound and evaluative judgments; strong organizational, problem solving and analytical skills.
Light, accurate keyboarding skills required. Candidates must receive a score of 35 words per minute (wpm) or greater on the typing assessment that will be administered prior to onboarding.Basic knowledge of Excel required. Candidates are required to pass the Excel skills assessment prior to onboarding
Qualified candidates must be able to effectively communicate with all levels of the organization.
NYU Langone Florida provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you’ll feel good about devoting your time and your talents. At NYU Langone Health, we are committed to supporting our workforce and their loved ones with a comprehensive benefits and wellness package. Our offerings provide a robust support system for any stage of life, whether it’s developing your career, starting a family, or saving for retirement. The support employees receive goes beyond a standard benefit offering, where employees have access to financial security benefits, a generous time-off program and employee resources groups for peer support. Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care. The benefits and wellness package is designed to allow you to focus on what truly matters. Join us and experience the extensive resources and services designed to enhance your overall quality of life for you and your family.
NYU Langone Florida is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. We require applications to be completed online.
View Know Your Rights: Workplace discrimination is illegal.”
Salaries shown on independent jobs related websites reflect market averages and do not represent information obtained directly from NYU Langone. We invite and encourage each candidate to discuss salary/hourly specifics during the application and hiring process.