DescriptionThe Vice President Revenue Cycle Hospital Billing for the Mount Sinai Health System (MSHS) is accountable for Hospital Billing performance across the medical center. The Vice President will report to the Chief Revenue Officer of the MSHS.
The Vice President of Hospital Billing is a senior leader within the Revenue Cycle structure responsible for overseeing all hospital billing operations, ensuring accuracy, compliance, and efficiency in the billing process. This role drives strategic initiatives to optimize revenue capture, enhance patient financial experience, and strengthen organizational financial performance. The VP will serve as a key partner to clinical, financial, and operational leaders, aligning billing practices with organizational goals and regulatory requirements.
ResponsibilitiesPRINCIPAL DUTIES AND RESPONSIBILITIES:
- Provides strategic direction for hospital billing operations within the broader revenue cycle framework.
- Develop and execute initiatives to improve billing accuracy, timeliness, and compliance.
- Establish performance metrics and accountability structures to monitor and enhanced departmental outcomes.
- Oversee daily billing operations, including claims processing, denials, management and collections.
- Implement best practices and technology solutions to streamline workflows and reduce errors.
- Establishes and maintains strong working relationships with Revenue Cycle leaders, key stakeholders, and fosters a strong working relationship with key strategic partners.
- Maintains strong understanding of revenue performance metrics and payer mix and leads team in building plans to support operational departments to achieve best practice performance through strong analytical capabilities, process improvement identification, and technology enhancements.
- Ensure compliance with federal, state, and payer regulations, including HIPAA and CMS guidelines.
- Effectively collaborates with finance on month end revenue performance, identifying trends and opportunities for optimization.
- Drives initiatives to maximize net revenue through effective billing practices and denial prevention.
- Partner with finance teams to forecast monitor, and report on billing performance and revenue cycle KPIs.
- Leads efforts to reduce accounts receivable days and improve cash flow.
- Develops options, communicates, and builds support for recommendations to allow the organization to meet changing environment/regulatory requirements and to ensure the MSHS receives appropriate reimbursement for services provided.
- Leads development and implementation of consistent policies, procedures, and productivity standards to improve operations.
- Maintains strong customer relationships with key strategic partners.
- Ensures appropriate functional strategic partners are engaged throughout the process.
- Monitors and provides regular reporting to senior management on key performance metrics (e.g., actual versus expected results for financial targets)
- Brings developing issues and recommended actions to the attention of senior leadership and governance committees.
- Develops, maintains, and ensures compliance with standardized policies, processes, and programs throughout the MSHS.
- Oversees activities with Compliance to ensure communication, coordination, policies/protocols, and audits are monitored and effective.
- Develops a high-performing team as measured through the achievement of benchmark process outcomes, audit and compliance results, financial goals, and employee satisfaction.
- Stays current with government regulations regarding billing and charging requirements.
- Establish goals, objectives, and budgets for assigned areas, and monitors/manages to ensure achievement once approved.
- Ensures all HIPAA privacy and security standards are adhered to.
- Conforms to the established policies/ procedures/ processes/ Standards of Behavior and ensures assigned staff do so as well.
- Performs other duties as required by the CRO or other C-level officers.
ESSENTIAL FUNCTIONS OF POSITION:
- Ability to perform duties and responsibilities promptly and consistently with little direct supervision in planning and organizing his/her work.
- Ability to objectively appraise and analyze the qualifications and performance of others as well as the ability to plan and direct their activities.
- Ability to judge the appropriate action in response to changes, circumstances or problems.
- Ability to effectively manage change and be capable of implementing new courses of action.
MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:
- Deep knowledge of healthcare billing regulations, payer requirements, and compliance standards.
- Excellent interpersonal skills, experience with making presentations to, and dealing with senior management and other C-suite leaders.
- Proven track record of leading large teams and driving measurable improvements in billing performance.
- Strong leadership skills to motivate cross-departmental teams’ performance towards excellence using team concepts and consensus-building management styles.
- Advanced/ effective interpersonal, written/ verbal communication, and presentation skills, along with the ability to communicate complex finance concepts to others without a finance background.
- 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.
- Experience in revenue cycle technology platforms and emerging AI solutions.
- Ability to enlist cooperation and build teams committed to carrying out initiatives in environments that may be resistant to change and not under the incumbent’s direct authority.
- Strong analytical, communication, and leadership skills with the ability to influence across the organization.
- The ability to maintain a high level of positive energy/ creativity during periods of elevated work demands.
- Ability to prioritize multiple objectives in a rapidly changing environment and deliver quality outcomes.
- Ability to develop and maintain effective relationships at all levels throughout the organization.
- Strong leadership, communications, and analytical skills.
QualificationsExperience
- Minimum of 10 years of progressive leadership in hospital billing or revenue cycle management.
- Epic expertise strongly preferred.
- Deep knowledge of healthcare billing regulations, payer requirements, and compliance standards.
- Proven track record of leading large teams and driving measurable improvements in billing performance.
Education: Bachelor’s Degree Required; Master’s Preferred
WORKING CONDITIONS:
Normal corporate office environment in an academic health system.
Employer DescriptionStrength 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 Sinai’s 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 Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s 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. Newsweek’s “The World’s 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.
