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Accounts Receivable Vendor Management Coordinator

6031908

Revenue Cycle Administration

Melville
992 North Village Avenue Rockville Centre, NY 11570

Full Time

Day shift

8:00 - 4:00

 

At Catholic Health, our primary focus is the way we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes – to every patient, every time.

 

We are committed to caring for Long Island. Be a part of our team of healthcare heroes.

 

Catholic Health is also proud to be voted one of Newsday's Top Places to Work on Long Island in 2018 and 2019 and Modern Healthcare's Best Place to work in both 2019 and 2020.

Catholic Health  is an integrated health care delivery system with some of the region's finest health and human services agencies. CHS includes six hospitals, three skilled nursing facilities, a regional home nursing service, hospice and a multiservice, community-based agency for persons with special needs. Under the sponsorship of the Diocese of Rockville Centre, CH serves hundreds of thousands of Long Islanders each year, providing care that extends from the beginning of life to helping people live their final years in comfort, grace and dignity.

Under the direction of the Director and/or Manager, the Accounts Receivable Vendor Management Coordinator facilitates and maintains relationship between Catholic Health System and A/R extended business office vendors holding them accountable to contractual agreements and obligations; and supports the Director and/or Manager in negotiating contracts and creating vendor standards and guidelines.

Responsibilities:

  • Responsible for the day to day management of multi-million insurance outsourced A/R portfolio (currently $72.5 M).
  • Works closely with the VP and Senior Leadership to research, develop and implement various strategic initiatives to mitigate risks for external vendors. Recommends process improvement and optimization.
  • Measures vendor performance by creating and maintaining scorecards and co-develops remediation plans when performance deviates from contractual performance standards.  Troubleshoots and acts as a point of escalation for issues arising internally and externally as a result of a vendor partnership
  • Understands emerging risks; develops, tests and implements new controls when required.   
  • Builds and maintains professional relationship with all assigned vendors. Acts as a liaison between CHS and third party vendors, helping to facilitate communications on AR issues with Managed Care carriers & with Senior Leadership related to barriers on vendor performance.
  • Coordinates with vendors to communicate issues and goals, fostering cooperation necessary to achieve desired results.
  • Conducts quality assessments to ensure appropriate actions are taken by vendor staff to ensure timely and accurate claim payments.. Identifies and communicates both positive and negative trends to the Director, participating in performance discussions as requested by the Director. 
  • Compiles and organizes statistical data related to vendor productivity and quality. Provides feedback to the vendor on performance, accounts receivables, and progress towards financial targets.  Identifies trends and recommends improvements to enhance workflows, training and advance productivity, and meet department goals. 
  • Reviews and authorizes high-dollar adjustments as requested by the vendors and provides feedback for denied requests. 
  • Facilitates A/R operations ensuring that aged accounts are reviewed and resolved timely with minimal losses.
  • Actively participates in payor meetings to communicate and resolve barriers to billing and reimbursement as identified and communicated by the vendors. 
  • Facilitates with case-specific Service Level Agreements and contractual negotiations as identified by the third-party vendor (e.g., single case agreements).  Ensures requests for single case agreements meet minimum thresholds for payment.
  • Adheres to all organizational policies and procedure.  
  • Validates contract language and makes recommendations to the same
  • Performs other duties as requested. 

Requirements:

Education: 

High School diploma. Bachelor's degree preferred.    

Experience:        

  • A minimum of three years' experience in healthcare reimbursement, healthcare customer service, or a related field.
  • Demonstrable understanding of Vendor Management and ability to read and understand contractual language.
  • Knowledge of healthcare accounts receivable and revenue cycle processes.
  • Experience with data analysis in healthcare required.

                                                                                                                                      

Licensure/Certification:   

Industry certification (AHIMA, HFMA, AAPC, etc.) preferred

Skills:                   

  • Strong computer skills and some experience in data analysis, as well as ability to build fluency in multiple healthcare technology and accounts receivable systems.
  • Strong knowledge of medical insurance and healthcare reimbursement, including knowledge of and adherence to HIPPA regulations, knowledge of third party operations, and knowledge of CPT, ICD 10 utilized in medical billing and medical billing terminology.
  • Ability to set priorities and work independently, exercising good judgment, and multi-task in a fast-paced service environment with patients, insurance carriers, and leadership.
  • Ability to comply with procedural guidelines and instructions and to solicit assistance when situations arise that deviate from the norm.
  • Excellent verbal and written communications skills in order to interact with all levels of customers both internal and external.
  • Excellent customer service skills to work effectively with insurance carriers, patients, leadership and colleagues.
  • Analytical problem-solving skills and an attention to detail.
  • Understanding of legal contracts 

At Catholic Health Services of Long Island your well-being comes first, with comprehensive compensation and benefits; our offerings go beyond the basics. In addition to multiple medical plans, life insurance, generous paid time off and flexible spending accounts, we also offer substantial tuition reimbursement, an employer funded pension plan and several savings plan options for your future.