Mount Sinai Health System Jobs

Job Description

Reporting to the Faculty Practice Administrator, the Revenue Cycle Manager is responsible for converting operational data into comprehensive and concise user reports in support of Revenue Cycle operations for the Icahn Mount Sinai School of Medicine’s Elmhurst and Queens, Faculty Practice Groups, ensuring transparent translation of the stakeholders’ requirements into reporting deliverables. Responsibilities include but are not limited to, establishing and maintaining procedures to maximize charge capture, billing, accounts receivable follow up, resolution of edits and claim denials all within the constraints of payor timely filling guidelines. Serves as liaison between external business relationships to maintain the Faculty Practice Groups (FPG) revenue cycle business needs and mission.

Qualifications

Bachelor's Degree, Master's preferred

Comprehensive knowledge of Government and Third-Party Payors

5 years Revenue Cycle Supervisory experience

Certified Professional Coder (CPC) or any other Professional Billing Certifications, preferred

EPIC PB Revenue Cycle, ERM and Reporting

Strong Excel skills

Microsoft Business

Excellent written and oral communication skills

Exceptional attention to detail and accuracy

Responsibilities

Coordinates the development of ad hoc user reports to target charge capture, denials and critical issues focusing on resolution. Proactively build and develop problem audit reports for revenue enhancement.

Create and review reports for all medical specialty departments then perform a deep dive analysis to reduce controllable rejections by applies knowledge of coding, including use of billable CPTs, diagnosis codes, modifiers, place of service codes and other claim codes to identify root cause for denial specific to each modality.

Meet with Directors of Service and their physicians, along with the billing vendor, to discuss all key performance indicators for their department.

Helps to identify data elements required to produce meaningful reports. Extracts, collates, and refines data from one or more sources including Epic Workbench reports, Epic Cubes reporting, Epic Slicer Dicer and SAP Business Objects

Generate and reconcile reports from Epic to ensure all charges are captured. Work with managers and coding staff to ensure to prioritizing daily workflow to ensure the timely submission of claims. Follow up with and billing vendor to identify the outliers and make sure they are processed for billing.

Work with the management team and various payors on special claims projects, by creating reports for submission based on the payors required templets.

Work closely with the billing vendor to create and analyze comparative reports in all areas of the revenue cycle to help improve processes and maximize collections. Identify areas for improvement in Accounts Receivable management. Review any claim rejections and/or denials to ensure timely payment of claims.

Work with the FPG staff and billing vendor to quickly identify and correct any edits generated from the billing platform, coding staff, clearinghouse or Accounts Receivable team.

Work with H+H staff to manage and verify that all required pre-authorizations and approvals are obtained. Assist patients with any professional billing issues and resolve complaints as necessary.

Manage the daily operations of the Faculty Practice 1A. Ensure that the practice runs smoothly, paying particular attention to patient satisfaction and maximization of revenue.

Keeps abreast of state and federal regulations governing reimbursement of all physician services. Maintains the privacy and confidentiality of patient information.

About Us

Strength through Unity and Inclusion

The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual. This includes advocating for equitable policies, addressing barriers that limit potential, and standing in solidarity with colleagues who face unfair treatment.

At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history.

About the Mount Sinai Health System:

Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.

Equal Opportunity Employer Minorities/Women/Disabled/Veterans

The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.

Compensation Statement

Mount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $78884 - $130447.23 Annually. Actual salaries depend on a variety of factors, including experience, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.