Revenue Cycle Outsourcing Coordinator (Vendor Management)

Position Summary

Revenue Cycle Coordinator (Outsourcing) is responsible for monitoring and coordinating outsourcing initiatives, including ensuring compliance with agreements, monitoring vendor performance, and managing outstanding receivables referred to outside vendors and FPO outsourcing teams.

Responsibilities

Operations

• Coordinates revenue cycle vendor activities including the review of work effort reallocations, and monitoring vendor achievement in alignment with approved timetables.
• Monitors the priority matrix and ensures timely completion of key tasks, including, but not limited to, overturning denials and adjustments.
• Oversees the inflow of work to vendors to ensure assigned work is completed effectively and within the agreed-upon timelines as outlined in vendor agreements.
• Evaluate workflow and communication effectiveness to ensure departmental needs are met and revenue cycle vendor-related objectives are executed.
• Collaborates with vendors, internal teams, and departments to resolve discrepancies and conduct root cause analysis to promote continuous improvement of workflows, PnP, and SOPs.
• Assists in the creation and execution of onboarding and training activities under the direction of the Manager, including but not limited to conducting workshops and drafting materials such as job aids.
• Support the management of vendor system access and training.
• Assists with the review, audit, and preparation of vendor invoices for payment and submission for approval.
• Monitor work queue inventory, rates of collection, and potential backlog and make data-driven recommendations to leadership.
• Evaluates work queues to ensure the capture of appropriate activities and analyzes inflow for issues and trends. Partners with appropriate experts, such as IT, to bring issues to resolution.
• Utilizes technology to conduct reports, complete analysis, and conduct recurring audit of quality and quantity of work based on established key performance indicators and targets.
• Reviews vendor performance metrics and escalates issues to ensure alignment with established service level agreements.
• Prepares reports on referrals, contingency fees, and aging of receivables activities/operations (e.g. operational efficiencies).
• Prepares denial reports, highlights trends, and gathers relevant documentation.
• Reviews, understands, and communicates payer industry standards, policies, and other changes. Stays appraised of payer process changes.
• Serves as subject matter expert to support troubleshooting.

Strategic

• Collaborates with clinical departments and vendor(s) to establish effective communications to further the efficiency of the revenue cycle process.
• Contributes individually or as part of a team towards achieving established organizational goals across all Revenue Cycle units.
• Collects and evaluates data to identify trends and gaps across Revenue Cycle processes. Uses analysis to make recommendations for improvements and optimization.

People

• Provides guidance and onboarding support to vendors and new/junior staff.
• Fosters vendor professionalism and performance with training and feedback.
• Maintains a good working relationship with vendors, departmental partners, and CRO colleagues.
• Practices exceptional customer service in interactions with patients, physicians, department staff, and all stakeholders.

Compliance and Other

• Conforms to all applicable HIPAA, Billing Compliance, and safety policies and guidelines.
• Other tasks and duties as assigned with the scope of practice.

Please note: While this position is primarily remote, candidates must be in a Columbia University-approved telework state. There may be occasional requirements to visit the office for meetings or other business needs. Travel and accommodation costs associated with these visits will be the responsibility of the employee and will not be reimbursed by the company.

Minimum Qualifications

• Requires bachelor’s degree or equivalent in education and experience.
• Minimum of three (3) years related experience in a physician billing or third-party payor environment.
• An equivalent combination of education and experience may be considered.
• Demonstrated skills in revenue cycle in healthcare
• Excellent verbal and written communication skills.
• Intermediate to advanced level proficiency in Microsoft Office (Word & Excel) or similar software is required and an ability and willingness to learn new systems and programs.
• Must be a motivated individual with a positive and exceptional work ethic.
• Must successfully complete systems training requirements.

Preferred Qualifications

• Knowledge of Epic.
• Experience in overseeing vendors and inflow of work.
• In-depth understanding of revenue cycle analytics.

Competencies