Director of Revenue Engagement-Surgery-Patient Financial Services-Corporate 42nd Street -Full-Time Days

Responsibilities

• Evaluate and improve end-to-end revenue cycle functions, from patient scheduling and registration through to final payment and resolution of accounts.
• Monitor key performance indicators (KPIs) and implement strategies to enhance efficiency, reduce denials, and increase collections.
• Collaborate closely with operational leadership across Hospitals, Ambulatory Care Settings, PBP, RCM, and other Mount Sinai divisions to improve revenue cycle performance.
• Partner with hospital leadership, ambulatory leadership, department/institute/service line leaders, providers and practice staff to promote engagement and alignment with RCM goals.
• Develop strong, collaborative relationships with cross-functional stakeholders including DTP, Human Performance, Managed Care, Finance, and clinical departments.
• Work with finance and managed care teams to improve registration, coding, and billing accuracy and performance.
• Support clinical leaders and administrators by providing education on revenue cycle best practices and insurance verification procedures.
• Investigate denial trends and develop innovative solutions to reduce occurrences and improve resolution.
• Drive adoption of best practices, process improvements, and technology enhancements to improve performance and compliance.
• Analyze revenue data to identify trends, gaps, and opportunities for improvement.
• Provide regular financial and operational reports to senior leadership, including analysis of actual vs. expected performance metrics.
• Present actionable insights and recommendations to leadership and governance committees.
• Collaborate with IT and system vendors to ensure optimal performance of revenue cycle systems and seamless integration with other platforms.
• Ensure adherence to federal and state billing and coding regulations, including HIPAA, CMS, DOH/OMH, and payer requirements.
• Implement internal policies and controls to minimize revenue cycle risk and maintain compliance.
• Stay current on regulatory changes and guide necessary updates to internal processes.
• Lead, mentor, and support revenue cycle and engagement staff.
• Provide training and career development opportunities to foster team growth and effectiveness.

Qualifications

• Bachelor’s degree in Healthcare Administration, Business Administration, Finance, or related field required; Master’s degree preferred.
• Minimum 5 years of progressive experience in healthcare revenue cycle management.
• Proven success in optimizing revenue cycle operations and reducing denials.
• Expertise in authorization, registration, billing, coding, reimbursement methodologies, and regulatory compliance.
• Deep understanding of insurance plans and payer reimbursement.
• Strong analytical, problem-solving, and financial reporting skills.
• Excellent leadership, communication, and stakeholder engagement abilities.
• Proficiency with revenue cycle software and Microsoft Office tools.
• Deep understanding of professional practice, hospital, and ambulatory operations.
• Strong customer service orientation with a commitment to service excellence.