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Direct  the development and implementation of electronic data interchange (EDI) and contract management systems within the hospital revenue cycle systems ensuring accurate billing of patient accounts and valuation of account receivables. Direct and implement EDI strategies, including eligibility verification, authorization, bill submission, electronic remittance advice and claims status and other HIPAA transaction standards; Direct and implement for health plan contract management systems to adjust gross revenue to expected reimbursement for accurate valuation of account receivables.
Maintain health plan fee schedules and reimbursement rates with Revenue Cycle systems; Sequences the contract configuration to ensure contractual hierarchy to prices the patient services for reimbursement by the health plan.




Bachelor's degree required.  10 years experience.

Certified Professional in Operating Rules Administration .(CPORA) Health IT Certification. EPIC Single Billing Office (SBO) Resolute/Prelude Super User


Department: Health Service Receivables Bargaining Unit: Non Union Campus: FORDHAM  Employment Status: Regular Full-Time Address: 1 Fordham Plaza, Bronx
Shift: Day Scheduled Hours: 8 AM-5:30 PM Req ID: 124321 


Montefiore is an equal employment opportunity employer. Montefiore 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. 


N/A; #GDMD; #LI-VK1 

To heal, to teach, to discover and to advance the health of the communities we serve.

To be a premier academic medical center that transforms health and enriches lives.

Define our philosophy of care, they shape our actions and motivate and inspire us to pursue excellence and achieve the goals we have set forth for the future. Our values include:

  • Humanity
  • Innovation
  • Teamwork
  • Diversity
  • Equity