Revenue Cycle Director jobs in Poughkeepsie, NY

Revenue Cycle Director directs and oversees the overall policies, objectives, and initiatives of an organization's revenue cycle activities to optimize the patient financial interaction along the care continuum. Reviews, designs, and implements processes surrounding admissions, pricing, billing, third party payer relationships, compliance, collections, and other financial analyses to ensure that clinical revenue cycle is effective and properly utilized. Being a Revenue Cycle Director tracks numerous metrics related to the patient engagement cycle including record coding error rates and billing turnaround times to develop sound revenue cycle analysis and reporting. Manages relations with payers and providers to generate high reimbursement rates and a low level of denials. Additionally, Revenue Cycle Director requires a bachelor's degree. Typically reports to top management. The Revenue Cycle Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Revenue Cycle Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)

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REVENUE CYCLE SPECIALIST II
  • THE INSTITUTE FOR FAMILY HEALTH
  • New Paltz, NY OTHER
  • Job Details

    Job Location:    New Paltz Family Health Center - New Paltz, NY
    Position Type:    Full Time
    Education Level:    4 Year Degree
    Salary Range:    $22.00 - $22.00 Hourly
    Travel Percentage:    Negligible
    Job Shift:    Day
    Job Category:    Admin - Clerical

    Description

    SUMMARY:

    The Revenue Cycle Specialist II is cognizant of the philosophy, standards, objectives and policies of the Department and the Organization. This position requires advanced working knowledge of medical accounts receivable billing and collections. Must demonstrate the ability to complete work in designated area of accounts receivable with measurable results. Staff in this position is required to meet standards and goals within their designated area of accounts receivable.

    Designated areas of responsibility include but are not limited to the following:

    1. Self-pay/Sliding Fee

    2. Managed Care Plans

    3. Medicaid

    4. Medicare

    5. Commercial Plans

    6. Payment/denial posting

    RESPONSIBILITIES:

    • Ability to perform clerical/technical/service/administrative tasks.
    • Ability to identify, analyze, and research denial patterns.
    • Maintains complete understanding of assigned area of accounts receivable.
    • Able to identify and resolve credit balances.
    • Assures collections of designated accounts receivable are accomplished through proper follow-up and adherence to existing policies and procedures for that area.
    • Reviews all correspondence on a daily basis for denials and short paid claims.
    • Reviews and processes all Explanation of Benefits for designated accounts.
    • May be tasked to post payments and denials for designated accounts upon receipt.
    • Performs work queue activities according to designated account receivable area’s policies and procedures. This is a method whereby designated accounts will be worked on a daily basis. A minimum number of accounts worked to be determined by management.
    • Performs corrections as required based on information found on Error Reports, various work queues or other methods as assigned. This includes both internal and external errors and is to be reviewed and corrected on a daily or weekly basis.
    • Communicates to management information related to changes required for designated area to facilitate the collection of accounts receivable.
    • Works Aged Accounts Receivable on a daily/weekly basis to ensure that designated accounts are processed timely and work queues are kept current according to the standards set by the department. This will be done via various work queues and reports.
    • Verifies and performs data entry of patients’ personal/insurance information as needed to assist in payment of debt for designated accounts.
    • Responds to incoming telephone, mail and email inquiries from patients, providers and payers regarding outstanding balance.
    • Interacts with other departments, insurance companies, medical professionals and patients’ on daily basis.
    • Recognizes issues relating to provider credentialing and payer contracts and communicates such information in a timely manner to their manager for escalation.
    • Maintains familiarity with the Institute fee schedules as well as CPT and ICD-10 coding and keeps up to date on annual changes.
    • Maintains patient/employee confidentiality in the management of protected information
    • May be responsible for Claim Printing/Reviewing of printed claim forms for accuracy to ensure claims are paid timely.
    • May be responsible for the submission of electronic claim and/or patient statement files depending on designated accounts receivable.
    • May post charges as assigned for sites without automatic entry of electronic encounters.
    • May be asked to participate in new staff orientation programs to familiarize them with coding and billing procedures and policy updates as deemed necessary.
    • May be asked to assist with special projects.
    • Participates in the department’s performance improvement activities.
    • Maintains patient/employee confidentiality in the management of information.
    • Observes the Health Care System’s compliance policies.
    • Participates in the development of other staff members as needed.

    Qualifications


    SKILLS:

    • Experience with collections, commercial insurance, billing, medical terminology, CPT, ICD-10
    • Typing/keyboarding and data entry skills
    • Experience creating and maintaining Excel spreadsheets
    • Strong customer service skills
    • Effective in taking action with being told (self-motivated, take initiative).
    • Ability to maintain cooperative, friendly and mutually supportive work environment: a “team” player
    • Ability to maintain congenial, professional, courteous, and respectful attitude in dealing with co-workers, payers, patients, and outside community
    • Excellent verbal and written communication skills
    • Ability to deal calmly with individuals under stress

    QUALITIFICATIONS:

    • HS Diploma or GED required
    • Associates Degree in Business, Accounting, or Healthcare preferred
    • Medical Billing & Coding or Medical Administrative Assistant Certification
    • Minimum of two (2) years of medical billing and/or collections experience or one (1) full year IFH experience as a Revenue Cycle Specialist I required
    • Knowledge of CPT and ICD-10 Coding required
  • 1 Month Ago

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Senior Revenue Operations Analyst
  • Dotdash Meredith
  • Liberty, NY FULL_TIME
  • Job TitleSenior Revenue Operations AnalystJob DescriptionI. Job Summary | Major goals and objectives.The Senior Revenue, Operations Analyst will focus on maximizing yield, reaching client KPIs, and de...
  • 6 Days Ago

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Experienced Sales/Revenue Associate
  • YO1
  • monticello, NY FULL_TIME
  • We are looking to hire a Sales /Reservation Associate , a modern newly built Hotel with all updated amenities .. The position is based in New York State within Sullivan County close to Monticello. if ...
  • 9 Days Ago

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Asst. Sales/Revenue Manager
  • YO1
  • monticello, NY FULL_TIME
  • We are looking to hire a Sales Manager/Reservation Manager , a modern newly built Hotel with all updated amenities .. The position is based in New York State within Sullivan County close to Monticello...
  • 9 Days Ago

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Sales/Revenue Manager -Immediate
  • YO1
  • monticello, NY FULL_TIME
  • We are looking to hire a Sales Manager/Reservation Manager , a modern newly built Hotel with all updated amenities .. The position is based in New York State within Sullivan County close to Monticello...
  • 9 Days Ago

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Sales/Revenue Manager (2)
  • YO1
  • monticello, NY FULL_TIME
  • We are looking to hire a Sales Manager/Reservation Manager , a modern newly built Hotel with all updated amenities .. The position is based in New York State within Sullivan County close to Monticello...
  • 10 Days Ago

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0 Revenue Cycle Director jobs found in Poughkeepsie, NY area

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Fast Track Financial Services Partner
  • New York Life - Robert Rice
  • New Windsor, NY
  • Our mission is to provide financial security and peace of mind through our insurance, annuity, and investment solutions....
  • 3/28/2024 12:00:00 AM

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Maintenance Manager - Beverage (high speed fillers)
  • Preston Harris Group
  • Poughkeepsie, NY
  • Job Description Job Description Job description Maintenance Manager Poughkeepsie, New York- Area · Full-time permanent (...
  • 3/28/2024 12:00:00 AM

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AMENDED - Internal Revenue Agent (Tax Computation Specialist - Examiner) 12 MONTH ROSTER
  • Department Of The Treasury
  • New Windsor, NY
  • Duties WHAT IS THE LARGE BUSINESS & INTERNATIONAL (LB&I) DIVISION? A description of the business units can be found at: ...
  • 3/27/2024 12:00:00 AM

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Internal Revenue Agent / Senior Revenue Agent (Examiner)-12 Month Roster AMENDED
  • Department Of The Treasury
  • New Windsor, NY
  • Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL DIVISION? A description of the business units can be found at: https...
  • 3/27/2024 12:00:00 AM

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Supervisory Internal Revenue Agent 12 month Roster
  • Department Of The Treasury
  • New Windsor, NY
  • Duties WHAT IS THE LBI - Large Business and InternationalDIVISION? A description of the business units can be found at: ...
  • 3/27/2024 12:00:00 AM

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Branch Manager I - Peekskill, NY
  • Trustco
  • Peekskill, NY
  • EEO Statement: We are an equal employment opportunity employer. All qualified applicants will receive consideration for ...
  • 3/27/2024 12:00:00 AM

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Director of Financial Reporting
  • JCW Group
  • Stamford, CT
  • JCW is currently recruiting on behalf of a global specialty insurer with a growing US presence. As a senior member of th...
  • 3/25/2024 12:00:00 AM

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Finance Director
  • Fiero Group
  • Brewster, NY
  • About Fiero Group:Fiero Group is at the forefront of importing and manufacturing authentic Italian brick ovens, renowned...
  • 3/24/2024 12:00:00 AM

Poughkeepsie (/pəˈkɪpsi/ pə-KIP-see), officially the City of Poughkeepsie, is a city in the state of New York, United States, which is the county seat of Dutchess County. As of the 2010 census it had a population of 32,736. Poughkeepsie is in the Hudson Valley midway between New York City and Albany, and is part of the New York metropolitan area. The name derives from a word in the Wappinger language, roughly U-puku-ipi-sing, meaning "the reed-covered lodge by the little-water place", referring to a spring or stream feeding into the Hudson River south of the present downtown area. Poughkeepsie...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Revenue Cycle Director jobs
$150,929 to $203,798
Poughkeepsie, New York area prices
were up 1.5% from a year ago

Revenue Cycle Director in Jamestown, NY
Revenue cycle professionals are expected to protect patient confidentiality while appropriately coding medical diagnoses and procedures for billing purposes.
December 06, 2019
Revenue Cycle Director in Topeka, KS
Richter’s culture calls for superior customer service, excellent understanding of best practices in Revenue Cycle, great working relationships with coworkers and a commitment to team problem solving and solutions.
December 06, 2019
Revenue Cycle Director in Salem, OR
This Revenue Cycle Director will direct the performance, in conjunction and counsel with the CEO, of the revenue cycle activities of the in-house billing and collections team (including but not limited to insurance billing, collections, and contracting, as well as patient billing, collections and financial counseling).
January 11, 2020