Revenue Cycle Manager (Outsourcing)

• Job Type: Officer of Administration
• Regular/Temporary: Regular
• Hours Per Week: 35
• Standard Work Schedule: Core business hours Monday-Friday, schedules vary
• Building: 3 Columbus Circle, New York, NY 10019
• Salary Range: $95,000.00- $110,000.00

The compensation range listed in this job posting reflects the market rate for the New York City Metropolitan area. Actual compensation may vary depending on the geographic location of the candidate, in accordance with local labor market conditions.

Position Summary

The Revenue Cycle Manager (Outsourcing) is responsible for direct oversight of the outstanding receivables that have been referred to an outside vendor and the FPO outsourcing team. The Manager is responsible for units and vendor performance, work quality, efficiency, and compliance with policies and regulations.

Responsibilities

Operations

• Manages the outsourcing unit for CUIMC, including the College of Dental Medicine (CDM), and leads a team of four Outsourcing Coordinators. Oversees and monitors daily operational workflows, work queues, and related programs to ensure optimal efficiency and effective resource utilization. Continuously evaluates the need for new tasks, functions, or process improvements. Ensures adherence to established workpriority matrices and monitors workqueue inventory to confirm timely followup on accounts. Proactively identifies potential backlogs and advises Directors on appropriate mitigation strategies.
• The role involves supervising and assisting outsourcing coordinators in managing vendor performance, productivity, and quality, as well as monitoring staff performance within the outsourcing unit. It includes developing guidelines for prioritizing work activities and optimizing work queues. The position also entails evaluating the effectiveness of workflows and implementing quality control measures and audits to ensure compliance and operational efficiency.
• Supports vendor negotiation activities and coordinates the purchase order process. Reviews, audits, and prepare vendor invoices for approval and payment.
• Manages vendor system access and training, ensuring appropriate onboarding, ongoing education, and compliance with institutional standards.
• Conducts analysis and provides reporting to Directors on referrals, contingency fees, receivables aging, and other operational metrics to identify efficiencies, trends, and opportunities for improvement.
• Maintains and updates policies and procedures, ensuring they are clearly communicated, understood, and consistently followed by both internal staff and external vendor partners.
• Serves as the primary liaison between departmental leadership and the billing vendor on all revenue cycle and accounts receivable-related matters.
• Oversees special projects and escalated issues, providing resolution for highercomplexity items raised by vendor(s) or internal staff.
• Regularly evaluates workqueues to ensure they accurately capture required activities, analyzes inflow for issues and trends, and collaborates with management and departments such as IT to resolve systemic issues. Reviews, understands, and communicates payer industry standards, policies, and other changes. Stays apprised of payer process changes.
• Serves as the subject matter expert responsible for troubleshooting, analyzing, and performing resolution management for accounts receivables.
• Implement approved quality and audit control measures to achieve compliance and optimum efficiency.
• Reviews denial reports for trends and research denials. Identifies root cause and prepares issues for escalation.
• Conducts regularly scheduled vendor meetings offering new paths, procedures, and approaches to account resolution to maximize opportunities for performance and process improvement.

Strategic

• Works collaboratively with clinical departments and vendor(s) to establish effective communications to further the efficiency of the revenue cycle process.
• Serves as an individual or team contributor towards achieving established organizational goals across all Revenue Cycle units.
• Collects and evaluates data to identify trends and gaps across Revenue Cycle processes. Uses analysis to make recommendations for improvements and optimization. Participates in improvement/optimization initiatives.
• Develops and maintains a good working relationship with all vendors, departmental management, and CRO management. Promotes a customer service orientation in interactions with patients, physicians, department staff, and external organizations through personal example.

People

• Direct oversight of assigned personnel and vendors. Manages and mentors vendors to onboard and train staff.
• Promotes staff and vendor professionalism and performance with training and feedback. Promotes a culture of collaboration, facilitating continuous process improvement and professional development.
• Oversee team performance, ensuring productivity and quality benchmarks are consistently achieved.
• Evaluates staff performance and takes corrective action in accordance with departmental HR guidelines. Review staff productivity and quality measures. Administer improvement plans as required.
• Lead regular team meetings to discuss updates, address challenges, and reinforce best practices.
• Evaluates vendor performance and takes corrective action in accordance with the service agreement. Review vendor productivity and quality measures. Administer improvement plans as required.

Compliance and Other

• As a member of the management team, performs other tasks, assumes additional management or supervisory responsibilities within the Revenue Cycle Department as assigned.
• Represents the FPO on committees, task forces, and work groups as assigned.
• Conforms to all applicable HIPAA, Billing Compliance, and safety policies and guidelines.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

Please note: While this position is primarily remote, candidates must be in a Columbia University-approved telework state. There may be occasional requirements to visit the office for meetings or other business needs. Travel and accommodation costs associated with these visits will be the responsibility of the employee and will not be reimbursed by the company.

Minimum Qualifications

• Requires a bachelor's degree or equivalent in education and experience.
• Minimum of 4 years' related experience in a physician billing or third-party payor environment.
• An equivalent combination of education and experience may be considered.
• Demonstrated intermediate skills in problem assessment, resolution, and collaborative problem solving in complex and interdisciplinary settings, including strong proficiency in healthcare and payer guidelines as it pertains to insurance verification.
• Ability to work collaboratively with a culturally diverse staff and patient/family population, strong customer service skills, demonstrating tact and sensitivity in stressful situations.
• Ability to work independently and follow-through and handle multiple tasks simultaneously.
• Excellent verbal and written communication skills.
• Intermediate to advanced level proficiency of Microsoft Office (Word & Excel) or similar software is required, and an ability and willingness to learn new systems and programs.
• Must be a motivated individual with a positive and exceptional work ethic.
• Demonstrated intermediate proficiency in health insurance eligibility as it pertains to Medicare and Medicaid regulations, insurance, and managed care reimbursement concepts and overall operational impact.
• Must successfully complete systems training requirements.

Preferred Qualifications

• At least 2 years of direct supervisory experience is preferred.
• Knowledge of Epic and GE/IDX billing systems is preferred.

Competencies

Patient Facing Competencies

Minimum Proficiency Level

Accountability & Self-Management

Level 3 - Intermediate

Adaptability to Change & Learning Agility

Level 3 - Intermediate

Communication

Level 3 - Intermediate

Customer Service & Patient Centered

Level 3 - Intermediate

Emotional Intelligence

Level 3 - Intermediate

Problem Solving & Decision Making

Level 3 - Intermediate

Productivity & Time Management

Level 3 - Intermediate

Teamwork & Collaboration

Level 3 - Intermediate

Quality, Patient & Workplace Safety

Level 3 - Intermediate

Leadership Competencies

Minimum Proficiency Level

Business Acumen & Vision Driver

Level 1 - Introductory

Performance Management

Level 2 - Basic

Innovation & Organizational Development

Level 1 - Introductory

Equal Opportunity Employer / Disability / Veteran

Columbia University is committed to the hiring of qualified local residents.