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Overview: The Door is an unparalleled model for youth development, offering a comprehensive range of integrated services within a single site for nearly 10,000 New York City youth each year. Our mission is to empower young adults to reach their full potential by providing comprehensive youth development services in a diverse and caring environment. At The Door, youth can access health care and education, mental health counseling and crisis assistance, legal assistance, college preparation services, career development, housing supports, arts, sports and recreational activities, and nutritious meals – all for free and under one roof. By providing participants with our suite of integrated services, we seek to provide any motivated young person with the tools, resources, and opportunities needed to successfully transition to adulthood.

We are seeking an experienced Revenue Cycle Manager to work within our Adolescent Health Center to support the growth of the Center while collaborating with The Door’s program and finance leadership to identify areas of improvement, revenue opportunities and expansion of services and to coordinate revenue cycle management activities for the agency. This position will apply principles of accounting to analyze financial information, prepare financial reports to be presented to senior management and the board, maintain credentialing for managed care plans and new providers, use analytical tools to track revenue cycle data and develop and implement policies and procedures to ensure efficiency of the revenue cycle.

Responsibilities:

  • Collaborate with management and clinical teams in establishing and maintaining key performance indicators for revenue cycle operations
  • Support leadership and staff in identifying opportunities, defining priorities, establishing deadlines, and resolving any revenue cycle challenges
  • Prepare and maintain credentialing documents/files for managed care plans, new providers upon hire, and annually for existing providers
  • Review, analyze, and manage FQHC performance metrics, quality measures, and continuous quality improvement activities related to the revenue cycle process
  • Utilize statistical data and other analytical tools to track revenue cycle data through the entire lifecycle, including but not limited: tracking accounts receivables over 30-60-90+ days; determine and resolve root cause for denied claims
  • Apply strong verbal and written communication skills to build and foster relationships with managed care plans, regulatory agencies, internal stakeholders, and external partners, in support of maintaining a streamlined and efficient revenue cycle process
  • Prepare for and assist with various audits and reviews for the health center, managed care plans, and regulatory agencies, including but not limited to Center for Medicare and Medicaid Services (CMS) and New York State Department of Health, Office of the Medicaid Inspector General
  • In collaboration with other managers, develop, implement, and update policies and procedures to ensure efficient and optimal revenue cycle management
  • Prepare reports and/or presentations on monthly, quarterly, and annual basis, for team huddles, staff meetings, board reports, grant reports, and other forums, as needed
  • Evaluate the effectiveness and support of information technology applications to support operations
  • Ensure the development and delivery of required staff training. Evaluate and develop staff based on job-specific competencies; evaluate how staff resources are allocated to support business activities and revenue cycle initiatives
  • Other duties as assigned

Qualifications:

  • Bachelor’s Degree (four year college or University) and three years related experience
  • Medical billing and coding certification preferred; experience with FQHC billing desired
  • Extensive experience in ICD and CPT coding, claims management
  • Understanding of CMS and NYS Medicaid compliance, standards and policies required
  • Minimum of three years of supervisory experience in a federally qualified health center, ambulatory healthcare setting and/or multi-disciplinary practice, and preferably serving adolescents
  • Knowledge of computer systems and applications including: eClinicalWorks, Microsoft Office (Word, Excel, PowerPoint) and billing software system/clearinghouse
  • Excellent customer service and interpersonal skills, including effective written and verbal communication
  • Demonstrated leadership, including effective decision-making and problem-solving experience
  • Knowledge of and ability to apply positive youth development principles to working with young people
  • Ability to manage multiple tasks in a busy clinical environment
  • Ability to exercise initiative and manage time efficiently.
  • Proficiency in Spanish, Mandarin, or French preferred

Salary: Commensurate with experience, plus generous benefits package
Hours: 35 hours per week
Contact: PLEASE SEND RESUME, COVER LETTER, AND ALL ADDITIONAL DOCUMENTS AS A PDF TO APPLY