Associate Director A/R Operations

The Clinical Revenue Office (CRO) Associate Director of A/R Operations is responsible for overseeing all aspects of CRO operations and accounts receivable for the corresponding CRO departments across all payer types. This includes managing an active A/R of $100 million and above, representing more than a dozen clinical departments and 2 million claims per year. Responsibilities include directing a staff of 50+ representatives across various A/R management and insurance verification functions. In addition, directing and managing 5 managerial/supervisory employees will be part of daily responsibilities. Overall responsibilities include developing reports A/R analysis, development of follow-up strategies utilizing internal software tools, training staff on software tools, and management of assigned staff to ensure compliance, productivity, and collection benchmarks are established and met. The Associate Director also provides analytic support, problem solving, and communication with staff and client departments on all matters pertaining to physician revenue cycle needs.


JOB FUNCTIONS:

1. Develops and maintains excellent working relationships with Columbia University Departments. Serves as liaison between CRO and clinical departments in the coordination of activities.
2. Initiates steps to evaluate and improve customer satisfaction as appropriate.
3. Directly supervises billing office management staff assigned.
4. Assists with performance evaluation and merit increases, promotions, and disciplinary actions.
5. Participates in development of departmental objectives and staff selection and training.
6. Develops reports from data warehouse and IDX database that is to be used for obtaining payment from payers and analysis on an ongoing basis by payer as needed.
7. Develops reports as needed to help in modeling revenue projections.
8. Participates in payer negotiations for settlements on receivables.
9. Prepares analysis as requested by Director to aid in financial analysis of activity and budgets.
10. Develops guidelines for prioritizing work activities, evaluating effectiveness and modification.
11. Ensures patients and visitors are treated courteously and properly directed. 
12. Maintains and develops as needed written departmental accounts receivable and collection policies and procedures.
13. Assists in developing and monitoring internal accounting and operational controls.
14. Ensures that various fiscal deadlines are met and appropriate data are provided.
15. Follows up with departments to ensure adherence to policies and procedures.
16. Prepares appropriate reports for department leadership.
17. Advises the Director and/or Managers on matters pertinent to the successful operation of CRO operations and participates in periodic program evaluation. Recommends enhancements.
18. Participates in the development of operational policies. Reviews department processes, procedures, and protocols.
19. Represents the CRO on committees, task forces, and work groups. Negotiates workable compromise solutions to complex problems between the CRO and other departments, outside vendors, etc.
20. Keeps apprised of rules and regulations affecting reimbursement. Stays current through appropriate journals and personal contacts of such developments in the industry as may increase the effectiveness of operations.
21. Performs other duties and responsibilities as assigned by the Director of the CRO.
22. Conforms to all applicable HIPPA, Billing Compliance, and safety policies and guidelines.
QUALIFICATIONS:

Required:
• BA/BS in Business Administration, Health Services Administration, or related field required.
• Minimum of 7 years’ supervisory/management experience in a physician billing or third-party payer environment emphasizing reporting systems.
• Demonstrated skills in A/R management, problem assessment, and resolution and collaborative problem solving in complex, interdisciplinary settings.
• Ability to work collaboratively with a culturally diverse staff and patient/family population, strong customer service skills, demonstrating tact and sensitivity in stressful situations.
• IDX system experience; knowledge of electronic billing systems; knowledge of office machines, including personal computers, and an ability and willingness to learn new systems and programs. 
• Proficiency in health insurance billing, collections, and eligibility as it pertains to commercial and managed care, and self-pay reimbursement concepts and overall operational impact.
• Ability to work independently and follow through and handle multiple tasks simultaneously.
• Ability to communicate effectively in both oral and written form. This position requires the ability to interact positively, constructively, and effectively with employees, professional staff, community representatives, and carriers.
• Must be motivated individual with positive and exceptional work ethic.
• Knowledge of Microsoft Office suite, including Excel and Access.
• Excellent analytical and problem-solving skills.
• Ability to educate and train all levels of professional staff.
 
All applicants should apply at:
https://jobs.columbia.edu/applicants/Central?quickFind=110124

Columbia University is an affirmative action/equal opportunity employer.