City/State: Nyack, New York Department: Patient Financial Services
Work Shift
Day Work Days: MON-FRI Scheduled Hours: 8 AM-4:30 PM Scheduled Daily Hours: 8 HOURS Hours Per Pay Period: 40 Pay Rate/Range: $55,000+
Job Summary
Responsible for analyzing vendor effectiveness by using Key Performance Indicators (KPI) to maximize cash collection and minimize cost.
Essential Functions
C. Job Specific Contacts 1. General Contacts: Contact with third party agencies (insurance companies). Correspond with other businesses, employers, physicians, hospital personnel, Third Party vendor representatives. Department heads and supervisors. 2. Job Provides Direction to: D. Environment and Demands 1. Environmental Demands: Business Office environment. Requires light physical effort on a regular basis, as in viewing CRT, frequent standing, walking, bending, stooping or reaching and/or occasional lifting of light items. Some minor physical inconvenience or discomfort routinely present in the work situation and occasional exposure to minor injury or other occupational hazards requiring Universal Precautions. 2. Essential Physical and Cognitive Demands, Manual Dexterity: Requires light physical effort on a regular basis, like in viewing CRT, frequent standing, walking, bending, stooping or reaching and/or occasional lifting of light items (i.e., up to 20 lbs.). Some irregularity in scheduled hours because of compensated overtime requirements, including weekend and/or other shift rotation. Interaction with patients and public. Part I: Hospital-Wide Standards A. Organizational Demonstrates adherence to Montefiore Nyack Hospital “We Care” standards including: WORKING TOGETHER “I will commit to work together in a courteous, respectful manner. I will demonstrate a positive spirit of service with all employees with whom I interact.” C. JOB SPECIFIC COMPETENCIES: Demonstrates the technical/professional knowledge, skills and abilities necessary for the successful operations of the department including, where applicable, age specific competency. * 1. Monitor the daily operations and workflow of vendors. 2. Prepares vendor evaluations to monitor liquidity rate and vendor performance 3. Identifies potential reimbursement issues and makes the necessary process improvements. Manages the processes associated with insurance, agency and patient account balances 4. Maintains a working knowledge of third-party payer contracts and federal and state medical coverage programs. Keeps co-workers and staff informed about payer changes, etc. 5. Serve as an operational resource for internal team members for expedited problem identification and resolution, provision of project (Data) specific updates and team interactions and deadlines 6. Identifies key performance indicators for reporting purposes and helps to define best practice for departments through process improvement and development of reports. 7. Monitor and report audit findings, trends, and key performance metrics to leadership. 8. Escalate outstanding AR issues to Provider Relations of the various insurance companies through the escalation meetings. SECONDARY FUNCTIONS/COMPETENCIES 9. Performs other duties and participates in other projects as assigned. * Document on addendum age specific competency. Part II: Employee Performance Standards: A. CUSTOMER SERVICE: 1. Demonstrates personal excellence in customer service for both internal and external customers. 2. Holds staff accountable for the delivery of excellent customer service. 3. Participates in team efforts to increase the level of customer satisfaction. B. PERFORMANCE IMPROVEMENT: 1. Demonstrates the ability to recognize an opportunity for improvement and to collect and assess data. 2. Participate in Departmental/Hospital-wide activities which improve processes/outcomes. 3. Utilizes resources to maintain and improve self knowledge and development and fosters the same for employees. 4. Demonstrates compliance with licensure/certification requirements and the timeliness of their submission. C. BUDGET: 1. Demonstrates ability to manage variances in the budget including Human Resource management and management of expenses. D. PROJECTS/ASSIGNMENTS: 1. Completes projects/assignments within projected time frames and expectations.
Qualifications
Bachelor Degree Required May substitute education with a minimum of four years of revenue cycle experience required in healthcare. Must be well versed in Word and Excel. Excellent communication skills. Ability to interact with multiple departments. Strong project management and problem-solving skills. Knowledge of Accounts Receivable, collection and reimbursement requirements and standard practices preferred. Knowledge of the current healthcare climate; including managed care developments, HIPAA standards and governmental program regulations preferred. Ability to work independently. Ability to analyze processes and procedures and make the necessary recommendations for improvements to management. Ability to communicate effectively both verbally and in writing. Knowledge of computer and billing software. Montefiore Nyack Hospital is an equal employment opportunity employer. Montefiore Nyack Hospital will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law. If you’re a skilled healthcare professional who values teamwork and excellence in patient care, then Montefiore Nyack Hospital could be your perfect match. As part of the Montefiore Health System, we offer the quality of a premier academic medical center and the caring of a community hospital. We’re committed to the health and well-being of Rockland County’s residents and our team members, and offer flexible opportunities for per diem, part-time and full-time employment. Team members benefit from: Robust compensation package, including competitive pay, medical benefits, tuition reimbursement and more Outstanding professional staff The clinical excellence of the Montefiore Health System Opportunities for growth through training and continuing education Equal Opportunity Employment Zero tolerance policy for discrimination, harassment and abuse Fair employment practices, including equal treatment in hiring, promotion and compensation WE CARE code of conduct for all team members ust 35 miles from New York City, Rockland County offers friendly communities, natural beauty, outdoor pursuits, convenient shopping and easy access to New York City. While Rockland County has plenty to offer, both the mountains and the beach are within a few hours’ drive. Rockland is an area full of history and has a vibrant arts scene with museums, theaters, music venues, cultural events and festivals. Learn more about cultural events in Rockland County. With over 3,000 acres of parks, Rockland County is a Preserve America Community protecting open spaces and uncluttered skylines. The county offers trails, dog runs, historic landmarks, water activities, golf and horseback trails. Learn more about outdoor activities in Rockland County. One of the top dining areas in the Hudson Valley, Rockland County features award-winning chefs and a growing craft beverage scene. Shopping options range from independent boutiques in quaint downtowns to the Palisades Center mall, a four-level shopping experience. Learn more about dining and shopping in Rockland County. Safe, thriving communities with outstanding schools and healthcare make Rockland County ideal for both professionals and families. Whether you’re growing your family and looking for good schools and family-friendly neighborhoods or growing your career and looking for higher education opportunities close to home, Rockland County has what you need.