Job Description

City/State:

Cornwall, New York

Department:

Patient Financial Services Leadership

Work Shift:

Day

Work Days:

MON-FRI

Scheduled Hours:

8 AM-4 PM

Scheduled Daily Hours:

7.5 HOURS

Pay Rate/Range:

$80,000 - $90,000

Sign-On Bonus:

N/A

Job Summary

The Revenue Cycle Vendor Manager is responsible for the overall direction, coordination, oversight, and evaluation of vendors utilized by the Revenue Cycle Department, with a primary focus on hospital billing operations. This role serves as the central point of contact for all vendor-related operational activities, escalated issues, and performance management initiatives. The position oversees vendor productivity, compliance, quality outcomes, and financial performance to ensure alignment with organizational goals, contractual service level agreements (SLAs), and revenue cycle best practices. Responsibilities include monitoring key performance indicators (KPIs), facilitating workflow optimization, managing vendor relationships, overseeing outsourcing initiatives, and supporting continuous process improvement efforts across the revenue cycle. This role collaborates closely with internal operational leaders, information technology teams, and external business process outsourcing partners to maximize reimbursement, reduce denials, improve operational efficiency, and ensure regulatory compliance. The Revenue Cycle Vendor Manager also supports vendor onboarding, training, system access management, invoice reconciliation, contract oversight, and departmental operational planning.

Essential Functions

• Vendor Management and Oversight • Manage relationships with revenue cycle vendors and serve as the primary organizational point of contact for assigned vendor partnerships. • Oversee vendor performance, productivity, quality, and compliance with established SLAs, contractual obligations, and operational expectations. • Monitor vendor KPIs, including billing performance, denial rates, turnaround times, collection activity, account resolution, and reimbursement trends. • Conduct routine vendor performance reviews and meetings to discuss operational outcomes, escalated issues, and improvement initiatives. • Identify vendor performance gaps, operational risks, and workflow inefficiencies, and implement corrective action plans as needed. • Review vendor account activity to ensure timely follow-up, accurate account documentation, and adherence to departmental procedures. • Facilitate vendor onboarding, training, and workflow standardization to promote operational consistency and accurate system utilization. • Ensure vendors comply with organizational policies, HIPAA regulations, payer requirements, billing compliance standards, and contractual terms. • Manage vendor system access, including onboarding requests, access audits, role monitoring, and termination of access when appropriate. • Support and monitor outsourced revenue cycle initiatives, including follow-up, denial management, accounts receivable resolution, and contingency fee arrangements.
• Operational Coordination • Coordinate vendor work allocation activities and monitor completion of assigned tasks according to approved timelines and operational priorities. • Complete all vendor associated claim updates, rebills and closeouts as necessary in a timely manner. • Monitor work queue inventories, collection trends, aging accounts receivable, and potential backlogs, making data-driven recommendations to leadership. • Evaluate workflow effectiveness and communication processes between vendors, departments, and operational teams. • Collaborate with internal departments, information technology, and vendors to resolve operational issues and conduct root cause analyses. • Troubleshoot system, workflow, and communication issues affecting vendor operations and reimbursement performance. • Prepare operational reports related to denials, collections, referrals, contingency fees, aging accounts receivable, productivity, and operational efficiencies. • Analyze payer trends, reimbursement changes, denial patterns, and industry updates to support operational improvements. • Serve as a subject matter expert for vendor-related workflows, escalation management, and operational troubleshooting.
• Additional Duties • Perform additional duties and special projects as assigned. • Demonstrate flexibility and adaptability in response to evolving operational and departmental needs.
• Financial and Contract Management • Review vendor invoices for accuracy, contractual compliance, and alignment with approved budgets. • Monitor vendor expenditures and assist leadership with budget planning, cost containment, and revenue enhancement initiatives. • Track invoice submissions to ensure timely receipt and follow up with vendors regarding missing or delayed invoices. • Participate in vendor reconciliations, due diligence reviews, site visits, and audit activities.
• Strategic and Process Improvement • Identify opportunities for process optimization, workflow improvement, and operational efficiencies across revenue cycle operations. • Collaborate with leadership and operational stakeholders to develop and implement strategic initiatives that improve reimbursement and reduce denials. • Research healthcare market trends, vendor technologies, and service enhancements to support organizational innovation and operational advancement. • Promote process standardization and best practices across vendors and internal operational teams. • Collect, analyze, and interpret operational and financial data to identify trends, gaps, and improvement opportunities.

Qualifications

• Bachelor Degree Bachelor’s Degree in business administration or related field required. Ability to read, write, and communicate in English.
• Five (5) years of recent patient billing experience, including at least two (2) years in a management role. Extensive knowledge of billing and medical terminology. Demonstrates strong financial aptitude. Must be detail oriented and have excellent follow-through skills. Must be proficient in Microsoft Excel.

Montefiore St. Luke's Cornwall is an equal employment opportunity employer. Montefiore St. Luke's Cornwall will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.