Assistant Director of Hospital Billing

Marketing Statement NYC Health + Hospitals is the largest public health care system in the United States. We provide essential outpatient, inpatient and home-based services to more than one million New Yorkers every year across the city’s five boroughs. Our large health system consists of ambulatory centers, acute care centers, post-acute care/long-term care, rehabilitation programs, Home Care, and Correctional Health Services. Our diverse workforce is uniquely focused on empowering New Yorkers.

At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.

Duties & Responsibilities

• Operational expert on Professional Billing operations for H+H Teaching Elective Amendment hospitals
• Includes billing, denial and follow-up activities.
• Directly manage vendors responsible for professional coding and billing
• Addressing billing and follow-up actions timely and efficiently and ensure workqueues are maintained
• Monitor denials for trends in payer actions and develop strategies to avoid denials and takebacks
• Monitor claims volume and cash posting to ensure accounts receivable is accurate
• Identify patterns in claims not paid or denied and address with payers
• Address credits and underpayments and work with Epic systems teams to automate interventions
• Coordinate with Managed Care on increases and changes to payer contracted rates and issues with improper claims denials
• Coordinate Central Office initiative with hospital-based teams working on professional billing revenue initiatives

Minimum Qualifications

• Master’s Degree from an accredited college or university in Accounting, Finance, Business or Public Administration or a related discipline; and two (2) years of progressively responsible professional and administrative experience in receivables and payables, collections, accounting systems and procedures, reporting systems or other related experience, one (1) year of which must have been in a managerial or supervisory capacity; or
• Bachelor’s Degree from an accredited college or university in a discipline listed in 1 above or a related discipline; and three (3) years of experience described in 1 above, one (1) year of which must have been in a managerial or supervisory capacity.

Department Preferences

• 5 years of large healthcare system billing operations with multiple office locations
• Professional billing operations
• Epic
• Hospital revenue cycle

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