• Director of Operations and Revenue Cycle - UPA Administration - Newark, NJ

    Barnabas Health Newark, NJ 07101

    Job #1977219544

  • Director of Operations and Revenue Cycle - UPA Administration - Newark, NJ
    Req #: ~~~
    Category: Leadership
    Status: Full-Time
    Shift: Day
    Facility: Barnabas Health Medical Group
    Location:

    Upa Administration, Newark, Newark, NJ 07103

    The Director of Operations is responsible and accountable for the leadership and ongoing operations of University Physician Associates of New Jersey, Inc (UPA) and the physician revenue cycle of Rutgers New Jersey Medical School. This position will ensure optimal coordination of the following components: process improvement of day-to-day operations, physician credentialing, charge entry, coding, billing, collections, denials management and billing compliance.

    Essential Duties & Responsibilities include the following:
    • Collaborating with UPA and Rutgers NJMS management in the development of performance goals and long-term operational plans
    • Defining, implementing, and revising operational policies and guidelines for the organization
    • Developing and executing new growth directives
    • Working with the human resources department to create job descriptions, hire competent personnel and oversee employee training programs
    • Provides direction and oversight of Revenue Cycle Operations, including but not limited to credentialing, charge capture, billing, claim follow-up and collections, payment application, and denials management
    • Develop strategies across all functional departments to exceed cash collections, reduce days in AR, and reduce denial and adjustment rates
    • Build and maintain relationships with all department heads, external partners, and vendors to make decisions regarding operational activity and strategic goals
    • Tracks and monitors key revenue cycle performance indicators; reports key findings to appropriate leadership and stakeholders across the organization
    • Ensures systems and processes are in place to ensure compliance with contract requirements around submission of claims; including service provision/documentation, established fee schedules, credentialing, and site enrollments
    • Partners with the Managed Care Team to manage payer contracts and support payer relationships
    • Provides oversight, in collaboration with financial leadership, on the general ledger close as it relates to revenue, accounts receivable and billing
    • Ensure internal controls, policies and procedures are consistent state and federal law, compliance plans and HIPAA
    • Provides and/or supports project management of Epic EHR implementation and other Revenue Cycle Management Initiatives
    • Monitors collections to established goals to maximize cash flow and to monitor claim submission to provide ongoing process assessment and resolution
    • Oversees the analysis and recording of revenue adjustments, write offs and denial activity; provides reporting on trends to management along with suggestions to mitigate future write offs and denied claims
    • Oversees client support services
    • Other duties as assigned.
    Job Requirements:
    • Bachelor s Degree in Finance, Accounting or other related field required.
    • Master s Degree preferred.
    • Minimum of five (5) years progressive experience within physician healthcare receivables management in a complex academic medical center or multi-hospital system.
    • Experience with Epic Resolute PB preferred.
    • Certified Professional Coder (CPC) certification, preferred.

    Equal Opportunity Employer

    Additional Information:

    RWJBarnabas Health is the most comprehensive health care delivery system in New Jersey, with a service area covering five million people. The system includes eleven acute care hospitals Clara Maass Medical Center in Belleville, Community Medical Center in Toms River, Jersey City Medical Center in Jersey City, Monmouth Medical Center in Long Branch, Monmouth Medical Center Southern Campus in Lakewood, Newark Beth Israel Medical Center in Newark, RWJUH- New Brunswick, RWJUH- Somerset in Somerville, RWJUH- Hamilton, RWJUH- Rahway and Saint Barnabas Medical Center in Livingston; three acute care children s hospitals and a leading pediatric rehabilitation hospital (Children s Specialized Hospital), a freestanding 100-bed behavioral health center, trauma centers, a satellite emergency department, ambulatory care centers, geriatric centers, the state s largest behavioral health network, comprehensive home care and hospice programs, fitness and wellness centers, retail pharmacy services, a medical group, multi-site imaging centers and an accountable care organization.

    RWJBarnabas Health Medical Group is a multispecialty group practice comprised of highly trained and experienced world class primary and specialty care physicians. RWJBarnabas Health Medical Group physicians provide compassionate and innovative cutting-edge care for people at every stage of life at easily accessible facilities conveniently located throughout New Jersey. Backed by the vast continuum of resources of RWJBarnabas Health, the largest not-for-profit integrated health care delivery system in New Jersey and one of the largest in the nation, our dedicated physicians and expertly trained supporting staff continuously strive for clinical excellence.

    We offer a great work environment, competitive rates and excellent benefits, including:

    • Medical/Dental/Vision plans
    • 401 (k)
    • PTO
    • Short & Long Term Disability
    • Basic Life & Accidental Death Insurance
    • Tuition Reimbursement
    • Health Care/Dependent Care Flexible Spending Accounts

    Equal Opportunity Employer

    RWJBarnabas Health is an Equal Opportunity Employer

    Company Description:

    How do you build a healthier New Jersey? Every day at RWJBarnabas Health, extraordinary people like you come together to shape the answer. In our newly-integrated network of busy urban medical centers, acclaimed teaching and research facilities, and state-of-the-art community hospitals, we’re delivering world-class care to more than 5 million people across the Garden State — and redefining the career expectations of every member of our team.

    We’re proud to be one of New Jersey’s premier employers, with a strong financial foundation and an outstanding national reputation for excellence in health care. At the same time, we feel like an extended family: A dynamic collection of diverse and passionate individuals with unique skills, deep roots in the communities we serve, and a shared belief that we’re better together.

    We know that the best way to serve our state is to build the strongest team in the country. We’re doing that by creating a compelling matrix organization that offers the unrivaled flexibility to explore opportunities across the entirety of our network — so you can make the choices that will position you to grow and thrive for years to come.

    How do you build a better future? By focusing on quality of life. Great relationships. Community focus. And tremendous opportunities for lifelong learning and professional growth. Take a closer look at RWJ Barnabas Health, and you’ll sAdvertisement