Highlights
In conjunction with other duties, the payor manager will contribute to day-to-day operations on all issues related to effective and efficient AR management and cash acceleration processes which may include analysis and trending, creating and delivering training, and assisting with implementation of new workflows. Manage the Revenue Realization associates in various duties, such as account management, communications with insurance providers, collections, adhere to payor guidelines, daily accounts receivable monitoring for payors who are trending low, and contract analysis.
Numbers & Facts
| Location | |
| Industry | Healthcare Services |
| Salary | $69,000–$86,250 Per Year |
| Company Size | 10,000 employees or more |
| Website | http://www.montefiore.org/ |
Description
City/State:
Tarrytown, New YorkGrant Funded:
NoDepartment:
Work Shift:
DayWork Days:
MON-FRIScheduled Hours:
8:30 AM-5 PMScheduled Daily Hours:
7.5 HOURSPay Range:
$69,000.00-$86,250.00The Revenue Realization Manager is responsible for leading the accounts receivables (AR) teams to appropriately follow-up on and bring to resolution AR under their scope. The manager collaborates with leaders and peers in Revenue Realization to identify strategies for performance improvement on a monthly as well as yearly basis. The manager is also responsible to maximize cash flow while maintaining and improving internal and external customer relations. In conjunction with other duties, the payor manager will contribute to day-to-day operations on all issues related to effective and efficient AR management and cash acceleration processes which may include analysis and trending, creating and delivering training, and assisting with implementation of new workflows.
The Payor Manager will also work interdependently with other departments to create reports regularly, and complete other duties as assigned. The Payer Manager is ultimately responsible for much of MMC's financial health as the staff he/she supervises, and their associated functions play a large role in reimbursement and cash flow.
List of Duties and Expectations:
- Implement a system to ensure that accounts are followed-up on a consistent basis based on the follow-up guidelines set in the HIS system.
- Manage the Revenue Realization associates in various duties, such as account management, communications with insurance providers, collections, adhere to payor guidelines, daily accounts receivable monitoring for payors who are trending low, and contract analysis.
- Managing staff performance by providing regular feedback, performance reviews, and one-on-one meetings.
- Reviewing financial hardship applications.
- Overseeing the on-boarding and training of staff.
- Efficiently managing customer needs in respect of billing and collections.
- Planning and structuring the department workflow and staffing.
- Manages RR team operations including all aspects of follow-up, payor communications, underpayment, denials, collections, and payment.
- Supervises and develops RR team members.
- Responsibilities include work allocation, training, and problem resolution; evaluating performance and making recommendations for action; motivating employees to achieve peak productivity and performance.
- Serves as the resident expert and "go to" person for all accounts receivable, denials and collections processes.
- Develops, reviews, and enhances operating policies and procedures to improve quality and efficiency.
- Analyzes actionable claims data, including revenue and volume, by service line, and payor.
- Ensures compliance with collections and billing regulations, relevant healthcare regulations and data privacy issues (e.g., HIPAA).
- Coordinates team member paid time off (PTO) in a manner that does not negatively impact necessary daily functions.
- Prepares and reviews periodic reports of performance metrics with the Revenue Realization director.
- Performs other miscellaneous job-related duties as assigned.
Bachelor’s Degree required, Master’s preferred.
5 years Healthcare business office experience (in areas such as accounts receivable, collections, billing, financial counseling etc.), preferred. Relevant work experience may substitute for educational requirements
Montefiore Health System, Inc. is an equal employment opportunity employer. Montefiore Health System, Inc. will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.
About Company
About Montefiore Medical Center
Commitment to Excellence
As the academic medical center and University Hospital for Albert Einstein College of Medicine, Montefiore Medical Center is nationally recognized for clinical excellence—breaking new ground in research, training the next generation of healthcare leaders, and delivering science-driven, patient-centered care.
Montefiore is ranked among the top hospitals nationally and regionally by U.S. News & World Report. For more than 100 years we have been innovating new treatments, new procedures and new approaches to patient care, producing stellar outcomes and raising the bar for medical centers in the region and around the world. As we build on this momentum, we continue to advance the practice of medicine and set the standard for excellence.
Enduring Mission and Distinguished History
The mission of Montefiore is to heal, to teach, to discover and to advance the health of the communities we serve.
From its beginning in 1884, as a facility for the care of patients with tuberculosis and other chronic illnesses, to the new millennium, Montefiore has been at the forefront of patient care, research and education and steadfast commitment to its community.
Our Services
We provide coordinated, compassionate and leading-edge care designed to reach people when and where they need it most. Through highly integrated teams of physicians, nurses, social workers, mental health professionals and other caregivers, we have created an innovative, seamless system of care focused around the patient.
Notable Centers of Excellence
At the intersection of Einstein science and Montefiore medicine is our commitment to scientific inquiry. This commitment has resulted in the creation of the Montefiore-Einstein Centers of Excellence in cancer care, cardiovascular services, transplantation and children’s health, where nationally recognized investigators and multidisciplinary clinical teams collaborate to develop and deliver advanced, innovative care.
Advanced Specialty and Surgical Care
We offer advanced, multidisciplinary care across specialties, delivering one standard of excellence for all. Our interventions are designed to help patients understand and manage their illness, advocate for their health, access the right treatments and receive the vital social support they need to flourish. On multiple fronts, Montefiore is developing more effective and less invasive approaches to complex problems from procedures to repair diseased hearts, protocols to treat complex cancers and medical devices designed to meet the needs of growing children.
Primary Care
With nearly 50 primary care locations throughout the New York metropolitan area, we are focusing on accessible, patient-centered primary and preventive care provided by leading physicians in the areas of family and internal medicine, pediatrics, obstetrics and gynecology, and a team of experts in nursing, health education, nutrition and pharmacy.
Providing Care Without Walls
Montefiore combines its deep commitment to the community with nationally-renowned expertise to reach people in locations easiest for them. Through Montefiore’s School Health Program (MSHP), Primary Care at Home programs, mobile medical and dental health vans and health education initiatives, Montefiore provides primary care services in non-traditional settings.
Through the formation of highly integrated teams of physicians, nurses, social workers, mental health professionals, care managers and other caregivers, we provide care around the patient, when and where they need it.
Research and Education
Montefiore's partnership with Einstein advances clinical and translational research to accelerate the pace at which new discoveries become the treatments and therapies that benefit patients. Together, the two institutions are among 38 academic medical centers nationwide to be awarded a prestigious Clinical and Translational Science Award (CTSA) by the National Institutes of Health.
The second-largest medical residency program in the country, with 1,251 residents and fellows across 89 programs, Montefiore provides the doctors of tomorrow a unique opportunity for education and training in one of the most diverse urban areas in the country — one where the population is global, the disease burden is high, and the need for quality care is great.
The partnership is further strengthened by the dual appointments of faculty and physicians across both organizations—enhancing synergies and collaborations for research, teaching and patient care.
Comprehensive Care Management
Since 1996, Montefiore has developed advanced models of care management to help patients, especially those with chronic diseases such as diabetes, heart failure and mental illness, achieve better health and improved wellbeing in a cost effective way. Montefiore goes beyond fragmented fee-for-service payments, assuming total responsibility for the quality and costs of care for some of our sickest patients.
Through CMO, Montefiore Care Management, we use a global prepayment or similar strategies to manage care for 200,000 individuals over the continuum, including hospital care, rehabilitation, outpatient care, professional services, home care, mental health counseling, community-based services, remote patient monitoring and many other programs.
Our leadership in coordinating care across multiple settings has earned us federal recognition from the Centers for Medicare and Medicaid Services as a Pioneer Accountable Care Organization. Montefiore's ACO is one of only 32 organizations in the nation, as well as the only one in New York State, to operate under this new model of providing Medicare beneficiaries with higher quality care, while reducing expenditures through enhanced care coordination.
Learn More
- Mission, Vision and Values – Montefiore’s unique path of growth into the future and the clinical excellence and outstanding customer care that will get us there.
- History and Milestones – Proud traditions guiding our mission and the moments that helped shape Montefiore into a premier academic medical center.
- Commitment to the Community – Community health, education and neighborhood development.
- Leadership – Executives and clinical chairs leading Montefiore’s advancements.
- Physicians – Widely acclaimed medical professionals and specialists who provide our patients with the highest standards of care.
- Nursing Staff – Highly competent and compassionate professionals committed to improving the health of their patients.
- Ways to Give – Philanthropic opportunities and other ways to support Montefiore Medical Center.