Patients' Account Director - Level A , Revenue Cycle Admin

Empower Every New Yorker - Without Exception - to Live the Healthiest Life Possible

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, without exception, to live the healthiest life possible.

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.

Job Description

The Specialty Billing and Follow-up Unit Director will manage new Revenue Cycle Services (RCS) operations of assigned workflows. The position will serve as the system leader for claiming functions associated with; Medicaid outliers, No Surprise Act, Independent Dispute Resolution, Out of State Medicaid, Express Care, cross facility accounts, Express Care and other assigned claim types

General tasks and responsibilities will include:

• Revenue Cycle Services Patient Accounting Director with responsibility for the unit conducting billing and follow-up on assigned claim types. This includes pre-billing workflow; edit efficiency, timely filing, denials, claims testing, claim scrubbing, and all associated workflow
• Ensure units assigned work queues are addressed timely and accurately
• Conduct quality reviews of assigned claims - review for denial rates and timely filing edits
• Identifies and implements improvement projects to ensure clean billing
• Identify and address root causes impacting collectability of assigned claims
• Work with Epic, EITS and hospitals to identify and correct edits and stop bills applied inappropriately or omitted that impact timely filing
• Implement workflow reconfiguration as needed resulting from state, federal and payer actions that impacting hospital claiming
• Develop a close partnership with EITS to make changes to claims configurations, edits and operation of Epic to ensure claims are sent as required
• Development of reporting, benchmarking and trending of KPIs, on assigned workflows. Develop clear team goals and objectives to improve outcomes
• Standardize and document optimal Patient Accounting workflow, thresholds for actions and performance standards.
• All other duties, as needed.

Minimum Qualifications
1. A Baccalaureate Degree from an accredited college or university with a major in Accounting, Finance, Business Administration or related field; and,
2. Six years of experience in accounting, finance or business administration, two years of which must have been in a responsible supervisory or managerial capacity in areas normally related to a

hospital, medical center or health care facility; and,
3. Three years of experience as indicated in (2) in areas related to the management of patient's accounts or credits; or,
4. A satisfactory equivalent of experience, education and training.

If applying online, please include your cover letter in the same file attachment with your uploaded resume.

NYC Health and Hospitals offers a competitive benefits package that includes:

• Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
• Retirement Savings and Pension Plans
• Loan Forgiveness Programs for eligible employees
• Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
• College tuition discounts and professional development opportunities
• Multiple employee discounts programs