Manager Patient Accounting- Insurance/Benefits Verification- Corporate 42nd Street- Full-Time- Dayss

Manager Patient Accounting- Insurance/Benefits Verification- Corporate 42nd Street- Full-Time- Days

The RCM-Manager of Insurance/Benefits Verification for the Mount Sinai Health System (MSHS) and the Icahn School of Medicine at Mount Sinai (ISMMS) (which includes the MSHS and the Faculty Practice Plan) assumes complete accountability/responsibility for the direction and management of the insurance/benefit verification teams and supports staff in all areas assigned during hours of operation. Oversees the day-to-day operations, which includes but is not limited to ensuring accuracy and completeness of registration, insurance, and guarantor information, as well as compliance with all regulations pertaining to the process. This role ensures that all team members are equipped with the necessary knowledge and skills to maximize revenue, ensure regulatory compliance, and enhance the patient financial experience. Establishes a culture of service excellence, focusing on patient, provider and colleague satisfaction and engagement. Works collaboratively with clinical and provider staff to foster excellence in a manner that ensures patient quality and safety.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Operational Excellence

1. Needs Assessment and Gap Analysis: Conduct regular skills assessments to identify knowledge gaps and training priorities across teams and establish mechanisms for increased training and skill development.
2. Regulatory Compliance: Proactively stay informed of and integrate all relevant federal, state, and payer-specific guidelines and compliance regulations (e.g., HIPAA, Medicare, Medicaid) into all standard operating practices.
3. Training: Assign, monitor, and collaborate on developing a variety of learning pathways, including online modules, hands-on workshops, and mentorship programs, to accommodate diverse learning styles and schedules.
4. Performance Monitoring and Evaluation: Monitor performance metrics and data to track productivity and performance against industry best practice benchmarks. Hold staff accountable to targeted performance / productivity.
5. Collaboration and Stakeholder Engagement: Build strong, collaborative relationships with RCM leaders, IT, finance, and clinical department heads to ensure alignment of operational performance and system-wide priorities.
6. Team Leadership: Hire, train, mentor, and provide guidance to team(s), fostering a culture of continuous learning and subject-matter expertise.
7. System Optimization: Work with RCM systems (e.g., Epic, Cerner) and IT teams to ensure standard work is aligned with system functionalities and to identify opportunities for workflow and performance improvements.
8. Documentation and Reporting: Utilize all dashboards, reports and other materials to prepare reporting on team performance for senior leadership on activities, outcomes, and progress toward goals.

Leadership & Collaboration

1. Build, develop, and mentor a high-performing RCM operations team, fostering a culture of accountability, innovation, and continuous improvement.
2. Collaborate cross-functionally with clinical, operational, IT, and finance teams to align RCM initiatives with organizational goals.
3. Champion Mount Sinais values of integrity, excellence, teamwork, and patient-centered care in all activities.

Essential Functions of Position

1. Maintain strong understanding of revenue cycle metrics and payers.
2. Provide insight to processes to enhance analytical capabilities, process improvement identification, and technology enhancements.
3. Maintain strong understanding of various system functionalities and lead team(s) in identifying and implementing improvements for performance, workflow, and cost-to-collect reduction.
4. Build effective, collaborative relationships with key stakeholders across departments.
5. Resourceful in creating or fine-tuning the processes necessary to complete the work along with the ability to organize people and activities.
6. Establish and maintain strong working relationships with revenue cycle leaders, key stakeholders, and foster a strong working relationship with key strategic partners.
7. Provide leadership and guidance over processes that result in effective, efficient, standardized, and compliant practices.
8. Serve as subject-matter expert in payer rules, requirements, use of portals, and other operational requirements to secure revenue, and ensure standard work follows best practice.
9. Ensure compliance with all HIPAA privacy and security standards.
10. Conform to the established policies/ procedures/ processes/ Standards of Behavior.
11. Performs other duties as required.

MINIMUM KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED :

1. Demonstrated success in a large not-for-profit/academic health system facility or multi-entity revenue cycle environment.
2. Deep familiarity with financial clearance functions within revenue cycle. Ideally across Hospital Billing (HB) and Professional Billing (PB) spectrums.
3. Excellent interpersonal skills and experience working with management and other leaders, along with the ability to communicate concepts to others in meaningful ways.
4. Strong leadership skills to motivate teams performance towards excellence using team concepts and consensus-building management styles.
5. Demonstrated ability to engage in positive, powerful persuasion with individuals or groups with diverse opinions and/ or agendas, leading to outcomes that meet identified goals.
6. Ability to enlist cooperation and build teams committed to carrying out initiatives in environments that may be resistant to change and not under the incumbents direct authority.
7. The ability to maintain a high level of positive energy and creativity during periods of elevated work demands.
8. Ability to prioritize multiple objectives in a rapidly changing environment and deliver quality outcomes.
9. Ability to develop and maintain effective relationships at all levels throughout the organization.

Education Requirements

• Bachelors Degree; or
• High School Diploma/GED + Direct relevant experience in lieu of college degree (4+ years overseeing financial clearance functions).

Experience Requirements

• Minimum of 5 years directly related experience.
• Minimum of 3 years of progressive leadership experience in physician practice or revenue cycle operations within a hospital or large health system.
• Proven ability to motivate teams and deliver consistent best practice performance.
• Experience working in Epic preferred.

Strength through Unity and Inclusion

The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinais unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.

At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history.

About the Mount Sinai Health System:

Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Reports Best Childrens Hospitals ranks Mount Sinai Kravis Children's Hospital among the countrys best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweeks The Worlds Best Smart Hospitals ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.

Equal Opportunity Employer

The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.

Compensation

The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $62440.53 - $97790 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.