Director

Company: Montefiore Health System
Location: Bronx
Posted on: February 23, 2021

Job Description:

At Montefiore, DOING MORE (sm) DOING MORE means building on a history of firsts to create the future of healthcare. For over 100 years, we've been pushing the boundaries of medicine with innovations such as the intravenous cardiac pacemaker and one of the nation's first pediatric kidney transplants. As we move forward, we seek professionals who want to join our team of leaders and trailblazers to advance the health of our communities in the Bronx, Westchester, and the Hudson Valley. Montefiore Health System consists of eleven hospitals; a primary and specialty care network of more than 180 locations across Westchester County, the lower Hudson Valley and the Bronx; an extended care facility; the Montefiore School of Nursing, and our Albert Einstein College of Medicine.Direct the development and implementation of electronic data interchange (EDI) and contract management systems within the hospital revenue cycle systems ensuring accurate billing of patient accounts and valuation of account receivables. Direct and implement EDI strategies, including eligibility verification, authorization, bill submission, electronic remittance advice and claims status and other HIPAA transaction standards; Direct and implement for health plan contract management systems to adjust gross revenue to expected reimbursement for accurate valuation of account receivables.Maintain health plan fee schedules and reimbursement rates with Revenue Cycle systems; Sequences the contract configuration to ensure contractual hierarchy to prices the patient services for reimbursement by the health plan.Education/skills* Bachelor's degree required. 10 years experience.* Certified Professional in Operating Rules Administration (CPORA) * Health IT Certification * EPIC Single Billing Office (SBO) Resolute/Prelude Super UserFor over a century, Montefiore Medical Center has been synonymous with quality healthcare. As the University Hospital for Albert Einstein College of Medicine, our mission has always been to heal, teach, discover and to advance the health of the communities we serve. Our advancements are only made possible by the high caliber of talent we employ.--Take your career to the next level by joining our team of professional caregivers. We are an equal opportunity employer.

Keywords: Montefiore Health System, New Rochelle , Director, Executive , Bronx, New York