Director of Revenue Cycle Management
19 hours ago
Garden City
New York Plastic Surgical Group (NYPSG) is seeking a strategic and experienced Director of Revenue Cycle Management to oversee end-to-end billing operations across our renowned multi-site cosmetic surgery, reconstructive, and med spa practice. In this key leadership role, you’ll manage billing, collections, authorizations, and provider credentialing functions while leading a high-performing team in a fast-paced, patient-focused environment. You’ll work closely with clinical and executive leadership to drive financial performance, ensure compliance, and optimize the patient financial experience. *Please note this role requites to be onsite in our Garden City, NY office 5 days per week. * RESPONSIBILITIES INCLUDE, BUT ARE NOT LIMITED TO PERFORMING THE FOLLOWING ACTIVITIES: Leadership & Strategic Oversight • Lead all Revenue Cycle Management functions, including Billing, Collections, Authorizations, and Credentialing, • Manage RCM operations across multiple office locations, including both on-site and remote teams, • Establish departmental goals, workflows, and KPIs to align with business objectives and compliance requirements, • Mentor, coach, and develop team members; provide training and ongoing performance evaluations, • Support recruitment and onboarding of revenue cycle staff; develop and maintain departmental training documentation Revenue Cycle Operations • Oversee claim submission, payment posting, denial management, and accounts receivable follow-up, • Ensure timely and accurate prior authorizations and insurance verification processes, • Monitor billing compliance and coding accuracy, in accordance with federal, state, and payer-specific regulations, • Manage payer communications and disputes, including coordination and submission of IDR cases when applicable, • Maintain accurate and current provider credentialing with all contracted insurers, • Oversee all physician and provider credentialing, including initial applications, recredentialing, and payer enrollment for surgeons, physician assistants, and other billable staff Technology & Process Optimization • Serve as liaison with EMR and billing system vendors to improve RCM tools and performance, • Implement process improvements to increase collections, reduce denials, and improve cash flow, • Develop and deliver regular performance reports, analysis, and dashboards for senior leadership Administrative & Cross-Functional Collaboration • Collaborate with physicians, clinical staff, and front-office teams to improve billing workflows and financial transparency, • Ensure accurate data entry of referring provider and PCP information into the EMR system, • Support the creation of spreadsheets, audit reports, and PowerPoint presentations for internal projects, • Develop job aids and tools for collectors, including credential access guides, authorization logs, and accounts receivable audits EDUCATIONAL REQUIREMENTS: • Bachelor’s Degree in Healthcare Administration, Business, or a related field required, • Master's Degree in Healthcare Administration, Business, or a related field preferred, • Certified Professional Coder (CPC) certification required QUALIFICATIONS AND EXPERIENCE: • Minimum 6-8 years progressive experience in healthcare revenue cycle management, with at least 4 years in a leadership role, • Strong working knowledge of the end-to-end revenue cycle, including health information, patient registration, coding, insurance verification, billing and claims processing, accounts receivable management, adjustments, remittance processing, and collections, • Deep understanding of prior authorizations, self-pay collections, Independent Dispute Resolution (IDR), and strategies for managing both payer-based and elective revenue streams, • Direct experience working with Medicare, Medicaid, commercial insurance plans, and Workers’ Compensation, • Experience in healthcare, surgical or specialty care setting is preferred, • Demonstrated leadership and team development capabilities, • Exceptional communication, organizational, and analytical skills Compensation: $150,000 - $180,000 Benefits & Perks: • Medical, Dental, and Vision Insurance, • Voluntary Aflac benefits, Pet Insurance & Discounts through PLUM and Working Advantage, • 401(k) Retirement Plan with employer contribution, • 19 Paid Time Off (PTO) and 8 paid holidays, • Employee Discounts on cosmetic and med spa services, • Wellness programs (Employee Assistance Program and discounted gym memberships), • Professional Development Support and training opportunities ABOUT US: New York Plastic Surgical Group, a division of Long Island Plastic Surgical Group, is the largest, longest-running academic plastic surgery group in the nation. Established in 1948, our practice has treated over half a million patients and developed many of the region's specialty centers including microsurgery, burn surgery, wound care, facial reanimation, peripheral nerve reconstruction, and cleft care. With 20+ surgeons and 10+ locations, we are proud to provide patients with over 75 years of medical innovation. In addition to offering a full spectrum of plastic surgery and injectable services to our patients, we are also committed to supporting our community by meeting the need for reconstructive care. Each year our practice hosts an annual Breast Cancer Summit to provide an overview of the latest developments in breast cancer care and reconstruction. When it comes to aesthetics, our surgeons are proud to oversee Deep Blue Med Spa, a comprehensive medical spa designed to provide patients with non-surgical aesthetic options clinically proven to rejuvenate, restore, and refresh. From relaxing and results-driven facials to laser treatments and skin tightening, our highly skilled physician assistants, nurse practitioners, and medical aestheticians offer services customized to meet the needs of every patient.