The Director, Network Revenue Cycle is responsible for directing Patient Financial Services to include Billing, Collections, Customer services, Cash posting, Denial Management and Budget preparation. Responsible for continued improvement in workflows through education, training, auditing and positive reinforcement of appropriate working practices. The position will include management of Valhalla, Charity, Health Alliance and Mid Hudson Regional.
Analyze A/R and makes recommendations to patient accounts for effective collections on reimbursement based on the third party policies.
Monitors follow up activity on open receivables.
Monitors daily cash flow
Recommends department best practices for the purpose of maximizing revenues through policy and workflow reviews across all revenue cycle areas
Keeps abreast of billing regulatory changes and informs staff of new developments. Conducts in-service education sessions where applicable
Review vendor invoices to ensure compliance with agreements
Assists managed care department with negotiations and financial models
Assists with interviews, hiring, orientation, scheduling, goal setting, progressive discipline/termination and annual performance reviews in a timely manner.
Identifies and documents all system related issues. Monitors implementation/updating electronic billing systems.
Conducts detailed analysis and systems surveys of various WMC Health revenue cycle operations with a view toward applying automated information systems.
Knowledge of metrics, analytics, and data synthesis in healthcare revenue cycle management to identify trends, produce reliable forecasts and projections
Performs other related duties as assigned, including some travel to all locations.
Minimum of 5 years of management level healthcare finance experience in the areas of Revenue Cycle
Bachelor's degree in finance, business administration of related field, required.
WMCHealth is a 1,900-bed healthcare system headquartered in Valhalla, New York, with ten hospitals on eight 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 1, Level 2 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.