Head of Revenue Cycle Management

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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; and

• Ten (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; or

• Satisfactory 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.

Preferred Qualification Requirements (desired requirements beyond MQRs above)

• n/a

Compensation

$215,000 - $235,000 depending on skills and experience

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or status as a Vietnam or disabled veteran. YAI is an Equal Opportunity Employer.

To ensure fairness, safeguard transparency, and promote an equitable workforce environment, YAI Network prohibits the practice of nepotism in the workforce and hiring process.