Job Description

Director of Revenue Engagement(Medicine) Patient Financial Services-Corporate 42nd Street -Full-Time Days

The Director of Revenue Engagement acts as a critical liaison between Hospitals, Ambulatory Care Sites, and Physician-Based Practices (PBP) and Revenue Cycle Management (RCM) operations. This role is responsible for reviewing, assessing, and optimizing processes across the entire revenue cycle-including registration, pre-authorization, coding, billing, collections, reimbursement, and financial analysis-to drive revenue performance, cash collections, and regulatory compliance. This position requires strong leadership, analytical acumen, and deep expertise in both professional and hospital billing processes.

Responsibilities

Revenue Cycle Strategy & Optimization
• Evaluate and improve end-to-end revenue cycle functions, from patient scheduling and registration through to final payment and resolution of accounts.
• Monitor key performance indicators (KPIs) and implement strategies to enhance efficiency, reduce denials, and increase collections.
• Collaborate closely with operational leadership across Hospitals, Ambulatory Care Settings, PBP, RCM, and other Mount Sinai divisions to improve revenue cycle performance.
• Partner with hospital leadership, ambulatory leadership, department/institute/service line leaders, providers and practice staff to promote engagement and alignment with RCM goals.

Stakeholder Collaboration
• Develop strong, collaborative relationships with cross-functional stakeholders including DTP, Human Performance, Managed Care, Finance, and clinical departments.
• Work with finance and managed care teams to improve registration, coding, and billing accuracy and performance.
• Support clinical leaders and administrators by providing education on revenue cycle best practices and insurance verification procedures.

Denials Management & Process Improvement
• Investigate denial trends and develop innovative solutions to reduce occurrences and improve resolution.
• Drive adoption of best practices, process improvements, and technology enhancements to improve performance and compliance.

Data Analysis & Reporting
• Analyze revenue data to identify trends, gaps, and opportunities for improvement.
• Provide regular financial and operational reports to senior leadership, including analysis of actual vs. expected performance metrics.
• Present actionable insights and recommendations to leadership and governance committees.

Technology & System Integration
• Collaborate with IT and system vendors to ensure optimal performance of revenue cycle systems and seamless integration with other platforms.

Compliance & Risk Management
• Ensure adherence to federal and state billing and coding regulations, including HIPAA, CMS, DOH/OMH, and payer requirements.
• Implement internal policies and controls to minimize revenue cycle risk and maintain compliance.
• Stay current on regulatory changes and guide necessary updates to internal processes.

Team Leadership
• Lead, mentor, and support revenue cycle and engagement staff.
• Provide training and career development opportunities to foster team growth and effectiveness.

Qualifications

? Bachelor?s degree in Healthcare Administration, Business Administration, Finance, or related field required; Master?s degree preferred.
? Minimum 5 years of progressive experience in healthcare revenue cycle management.
? Proven success in optimizing revenue cycle operations and reducing denials.
? Expertise in authorization, registration, billing, coding, reimbursement methodologies, and regulatory compliance.
? Deep understanding of insurance plans and payer reimbursement.
? Strong analytical, problem-solving, and financial reporting skills.
? Excellent leadership, communication, and stakeholder engagement abilities.
? Proficiency with revenue cycle software and Microsoft Office tools.
? Deep understanding of professional practice, hospital, and ambulatory operations.
? Strong customer service orientation with a commitment to service excellence.

Non-Bargaining Unit, 518 - PFS 633 Third Avenue - MSH, Mount Sinai Hospital