A minimum of three years' experience in healthcare reimbursement, healthcare customer service, or a related field.
Demonstrable understanding of Vendor Management and ability to read and understand contractual language.
Knowledge of healthcare accounts receivable and revenue cycle processes.
Experience with data analysis in healthcare required.
Licensure/Certification:
Industry certification (AHIMA, HFMA, AAPC, etc.) preferred
Strong computer skills and some experience in data analysis, as well as ability to build fluency in multiple healthcare technology and accounts receivable systems.
Strong knowledge of medical insurance and healthcare reimbursement, including knowledge of and adherence to HIPPA regulations, knowledge of third party operations, and knowledge of CPT, ICD 10 utilized in medical billing and medical billing terminology.
Ability to set priorities and work independently, exercising good judgment, and multi-task in a fast-paced service environment with patients, insurance carriers, and leadership.
Ability to comply with procedural guidelines and instructions and to solicit assistance when situations arise that deviate from the norm.
Excellent verbal and written communications skills in order to interact with all levels of customers both internal and external.
Excellent customer service skills to work effectively with insurance carriers, patients, leadership and colleagues.
Analytical problem-solving skills and an attention to detail.
Understanding of legal/ vendor contracts
Knowledge of escalation procedures when vendor is not performing according to contract/service level agreements
Create/maintain vendor scorecards for executive management
Salary Range: $80,000 - $90,000
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
Benefits
Health insurance
Additional Information
It's fun to work in a company where people truly BELIEVE in what they're doing!
We're committed to bringing passion and customer focus to the business.
Day Shift - 7.5 Hours (United States of America) Under the direction of the Director and/or AVP, the Accounts Receivable Vendor Manager facilitates and maintains relationships between RUMC and A/R extended business office vendors holding them accountable to contractual agreements and obligations; and supports the Director and/or AVP in negotiating contracts and creating vendor standards and guidelines.
Primary Responsibilities:
Responsible for the day-to-day management of multi-million insurance outsourced A/R portfolio
Works closely with the Director, AVP and Senior Leadership to research, develop and implement various strategic initiatives to mitigate risks for external vendors. Recommends process improvement and optimization.
Measures vendor performance benchmarks/ KPIs and SLA's by creating and maintaining scorecards and co-develops remediation plans when performance deviates from contractual performance standards.
Understands emerging risks; develops, tests and implements new controls when required.
Maintains database of vendors and monitors their system and hospital-specific activities via quantitative and qualitative scorecard.
Builds and maintains professional relationship with all assigned vendors. Understands and articulates to the Senior Leadership any issues related to vendor performance.
Serves as a point of contact, as assigned, for third party vendor-related issues, including denials, adjustments, insurance issues, and other insurance related vendors.
Performs root cause analysis to identify areas where the process may not be working effectively or efficiently and drives improvement in the overall revenue cycle process.
Coordinates with vendors to communicate issues and goals, fostering cooperation necessary to achieve desired results.
Adheres to all organizational policies and procedure.
Assists with Service Level Agreement and Contractual negotiations
Validates contract language and makes recommendations to the same
Performs other duties as requested
Job duties listed in this document are intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities, or requirements. Other duties may be assigned in addition to those listed in the "Performance Responsibilities" section.
Rumcsi · Richmond University Medical Center (staten Island, Ny)