Vendor and Project Management Analyst

Montefiore · $55,000 (stated in the posting)

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Job Summary

Responsible for analyzing vendor effectiveness by using Key Performance Indicators (KPI) to maximize cash collection and minimize cost.

Essential Functions

• C. Job Specific Contacts
  1. General Contacts: Contact with third party agencies (insurance companies). Correspond with other businesses, employers, physicians, hospital personnel, Third Party vendor representatives. Department heads and supervisors.
  
  2. Job Provides Direction to:
  
  D. Environment and Demands
  1. Environmental Demands: Business Office environment. Requires light physical effort on a regular basis, as in viewing CRT, frequent standing, walking, bending, stooping or reaching and/or occasional lifting of light items. Some minor physical inconvenience or discomfort routinely present in the work situation and occasional exposure to minor injury or other occupational hazards requiring Universal Precautions.
  
  2. Essential Physical and Cognitive Demands, Manual Dexterity: Requires light physical effort on a regular basis, like in viewing CRT, frequent standing, walking, bending, stooping or reaching and/or occasional lifting of light items (i.e., up to 20 lbs.). Some irregularity in scheduled hours because of compensated overtime requirements, including weekend and/or other shift rotation. Interaction with patients and public.
  
  Part I: Hospital-Wide Standards
  
  A. Organizational
  
  Demonstrates adherence to Montefiore Nyack Hospital “We Care” standards including:
  
  WORKING TOGETHER “I will commit to work together in a courteous, respectful manner. I will demonstrate a positive spirit of service with all employees with whom I interact.”
  
  C. JOB SPECIFIC COMPETENCIES:
  
  Demonstrates the technical/professional knowledge, skills and abilities necessary for the successful operations of the department including, where applicable, age specific competency. *
  
  1. Monitor the daily operations and workflow of vendors.
  
  2. Prepares vendor evaluations to monitor liquidity rate and vendor performance
  
  3. Identifies potential reimbursement issues and makes the necessary process improvements. Manages the processes associated with insurance, agency and patient account balances
  
  4. Maintains a working knowledge of third-party payer contracts and federal and state medical coverage programs. Keeps co-workers and staff informed about payer changes, etc.
  
  5. Serve as an operational resource for internal team members for expedited problem identification and resolution, provision of project (Data) specific updates and team interactions and deadlines
  
  6. Identifies key performance indicators for reporting purposes and helps to define best practice for departments through process improvement and development of reports.
  
  7. Monitor and report audit findings, trends, and key performance metrics to leadership.
  
  8. Escalate outstanding AR issues to Provider Relations of the various insurance companies through the escalation meetings.
  
  SECONDARY FUNCTIONS/COMPETENCIES
  
  9. Performs other duties and participates in other projects as assigned.
  
  
  * Document on addendum age specific competency.
  
  Part II: Employee Performance Standards:
  
  A. CUSTOMER SERVICE:
  
  1. Demonstrates personal excellence in customer service for both internal and external customers.
  
  2. Holds staff accountable for the delivery of excellent customer service.
  
  3. Participates in team efforts to increase the level of customer satisfaction.
  
  B. PERFORMANCE IMPROVEMENT:
  
  1. Demonstrates the ability to recognize an opportunity for improvement and to collect and assess data.
  
  2. Participate in Departmental/Hospital-wide activities which improve processes/outcomes.
  
  3. Utilizes resources to maintain and improve self knowledge and development and fosters the same for employees.
  
  4. Demonstrates compliance with licensure/certification requirements and the timeliness of their submission.
  
  C. BUDGET:
  
  1. Demonstrates ability to manage variances in the budget including Human Resource management and management of expenses.
  
  
  D. PROJECTS/ASSIGNMENTS:
  
  1. Completes projects/assignments within projected time frames and expectations.

Qualifications

• Bachelor Degree Required
• May substitute education with a minimum of four years of revenue cycle experience required in healthcare. Must be well versed in Word and Excel. Excellent communication skills. Ability to interact with multiple departments. Strong project management and problem-solving skills.
• Knowledge of Accounts Receivable, collection and reimbursement requirements and standard practices preferred. Knowledge of the current healthcare climate; including managed care developments, HIPAA standards and governmental program regulations preferred. Ability to work independently. Ability to analyze processes and procedures and make the necessary recommendations for improvements to management. Ability to communicate effectively both verbally and in writing. Knowledge of computer and billing software.

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