Head of Revenue Cycle Management

Key/Essential Functions & Responsibilities

• Responsible for overseeing all revenue from residential, day and clinical programs for YAI and its affiliate agencies in New York, New Jersey and California.
• Oversees the day-to-day operations of the revenue cycle, ensuring adherence to policies and procedures.
• Ensures the operating effectiveness of the revenue cycle from the point of service capture through cash collections.
• Conducts detailed assessments of all revenue cycle-related operational processes, procedures and systems, including all applicable regulatory/oversight agency, state, local or other billing, collection and/or reimbursement requirements across all states of operation and service lines and evaluates the effectiveness, determining opportunities to improve effectiveness, efficiency and cash flow.
• Leads the redesign and enhancement of revenue cycle operations, making recommendations for and prioritizing plans and implementation of the most impactful changes to drive overall efficiency, improvements and cash flow.
• Collaborates with senior leadership across the organization to scope and carry out process improvements including IT, Operations, Compliance and Finance.
• Directly supervises Finance and Operations teams responsible for billing and collections, providing guidance and monitoring staff productivity and performance using established metrics.
• Monitors accounts receivable and cash collections activity to ensure metrics are within benchmarks and initiates appropriate corrective measures, as needed.
• Ensures all billing systems are functional in categories such as dictionary files, data elements, interface and mapping, payor specificity, claims file transmission and electronic remittance posting.
• Works with accounting team and enables related accounting functions such as accounts receivable valuation, bad debt determinations, payments posting and reconciliation to bank statements.
• Stays abreast of relevant Federal and State regulations and government and commercial payor regulations for I/DD program billing across all states of operation, as well as medical services provided in clinic.
• Ensures handling of protected health information in a manner consistent with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and maintains knowledge of related requirements.
• Performs all other duties, as assigned.

Minimum Qualification Requirements including education, experience, licensure/certification, etc. and essential physical capabilities (e.g. lifting, assisting lifting, standing, etc.)

• Bachelor’s degree in Business, Accounting, Healthcare Administration or related field; an
• dTen (10) years of progressively responsible industry experience, including or supplemented by at least five (5) years of experience managing revenue cycle operations for a healthcare organization similar in size and implementing large-scale revenue cycle enhancements, including process optimization and automation; o
• rSatisfactory equivalent combination of education, experience and/or training
• .Knowledge of receivables software, billing platforms and Electronic Health Record (EHR) systems and thorough understanding of accounts receivables process
• .Strong written and oral communication skills, with the ability to build strong collaborative partnerships and relationships, effectively influencing at all levels across the organization
• .Detail oriented and highly organized with strong critical thinking and analytical skills
• .Strong planning, organizational and decision-making skills, including the ability to anticipate roadblocks and think strategically and analytically in a fast-paced and dynamic role
• .Advanced skills with Microsoft Office applications including Word, Excel and Outlook
• .Ability to report on-site to our Manhattan office at least three (3) days per week in accordance with the Agency’s Return to Office Policy