Director, Patient Accounts Level A - NYC Health + Hospitals : Job Details

About NYC Health + Hospitals

Queens Hospital Center is making good on its promise to the people of southeastern and central Queens to maximize both patient convenience and positive clinical outcomes. Residents of Queens can count on the delivery of quality medical care right in their own borough. In 2002 the hospital opened a state-of-the-art, 261-bed facility that includes the Queens Cancer Center, the first comprehensive cancer treatment center in the borough.

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:

1.Directs financial investigation activities of section relating to establishment of parties responsible for inpatient and outpatient bills.

2.Directs determination of status of third-party eligibility and coverage, preparation of third-party forms regarding approval, verification and pertinent data concerning eligibility status, and maintenance of documentation flow for third-party reimbursement.

3.Establishes and maintains section liaison activities with Admissions, Emergency, Outpatient Department, Nursing Units, Medical Record Sections, and other service departments concerning preparation, delivery and control of patient's charges and credits.

4.Directs review of adjustments, credits and payments to patients' accounts.

5.Directs periodic review of accounts to determine status of open accounts, by source of payment, and date of discharge and/or treatment. Establishes and directs mechanism for collection efforts of delinquent accounts. Refers delinquent accounts for write-off and accumulates data regarding third-party bad debt accounts.

6.Directs section activities for collection and control of cash receipts of patient's prepayments.

7.Maintains liaison with appropriate systems personnel for purposes of updating systems and procedures relating to changes in rates, medical data required, procedural changes and reviews work activity.

8.Develops, recommends and implements new procedures in various areas of Patient's Accounts section to improve effectiveness of operations.

9.Reviews and interprets policy and procedural changes with supervisory staff and recommends expansion and modification of existing programs and practices.

10.Prepares and recommends Personnel Service and Expenditure Budgets for the section.

11.Selects personnel and recommends appointments, personnel changes and placement.

12.Recommends, prepares, administers and evaluates training program for the unit.

13.Evaluates personnel performance, progress of work, and makes recommendations regarding placement, salary, reclassification, transfer, promotion, demotion, release and disciplinary action where appropriate in the implementation of Corporation's Personnel Rules and Regulations.

14.Assesses level of employee morale, recommends work performance standards, resolves employee complaints, provides supervisory leadership to attain effective productivity, and initiates action to accomplish objectives.

15.Directs the preparation of data, reports, surveys, and management information on billings, collections, accounts receivable and personnel activities and employee relations activities of the section. Prepares status reports, analyses and recommendations to obtain optimum utilization of total resources and to maximize reimbursements.

16.Monitoring KPIs: Track key performance indicators (KPIs) such as patient enrollment, billing accuracy, and cash collections to enhance revenue.

17.Denial Management: Oversee the management of insurance denials, ensuring timely follow-up and resolution to minimize revenue loss.

18.Technology Optimization: Utilize and optimize technology systems to streamline patient access and billing functions.

19.Compliance and Quality Assurance: Ensure all processes comply with healthcare regulations and standards, maintaining high-quality service delivery.

20.Patient Experience: Enhance the patient experience by ensuring smooth and efficient access to services, addressing any issues promptly.

Minimum Qualifications:

A Baccalaureate Degree from an accredited college or university with a major in Accounting, Finance, Business Administration or related field; and,

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,

Three years of experience as indicated in (2) in areas related to the management of patient's accounts or credits; or,

A satisfactory equivalent of experience, education and training.

Department Preferences:

Proficient in computer technology and knowledge of software such as Windows, Microsoft office, Epic, Billing, Managed Care billing protocol and others as applicable.

Prior third-party denial management, billing and collections, system analysts.

Able to work and communicate in a professional manner with all team members at all times. Maintain a conflict free work environment.

Supervisory Skills

Coaching Skills

Work Shifts

8:00 A.M- 4:00 P.M

How To Apply

If you wish to apply for this position, please apply online at employment.nychhc.org.

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