Medicaid Revenue Cycle Director - Data-Driven Leadership

Heartshar

New York (NY)

On-site

USD 120,000 - 180,000

Full time

14 days+

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Benefits offered by this job

Health insurance
401(k) with employer match
Paid time off
EAP (Employee Assistance Program)
Flexible spending account

Job summary

HeartShare Human Services of New York seeks a Director of Billing to lead Medicaid revenue cycle, claim submission, denial management, and AR reconciliation across programs, driving accuracy, reimbursement, and compliance. You will partner with Fiscal, Program Operations, and Compliance, use Millin and analytics to monitor KPIs, optimize workflows, and mentor a billing team toward best practices.

Join a data-driven environment focused on continuous improvement, regulatory compliance, and

Qualifications

  • Bachelor's degree in Accounting, Finance, Healthcare Administration, or related field.
  • Minimum 7–10 years healthcare billing experience, including 3–5 years in a leadership role overseeing Medicaid billing operations.
  • Experience using Millin or comparable Medicaid billing platforms.
  • Advanced Excel skills (e.g., VLOOKUP, Pivot Tables).
  • Strong track record developing and monitoring billing KPIs and dashboards.
  • Deep knowledge of Medicaid regulations, submission protocols, rate structures, and payer requirements.

Responsibilities

  • Lead Medicaid revenue cycle including claim submission, rebilling, payment posting, denial management, and AR reconciliation.
  • Monitor aging AR and implement strategies to optimize collection timelines.
  • Develop and monitor billing KPIs and analytics dashboards.
  • Collaborate with IT and Fiscal to optimize the Millin system and reporting capabilities.
  • Ensure compliance with Medicaid regulations and coordinate internal/external audits.

Skills

Leadership
Data analytics
Advanced Excel
KPIs
Medicaid billing
Process improvement
Communication
Cross-functional collaboration

Education

Bachelor's degree in Accounting/Finance/Healthcare Administration

Tools

Millin billing system

Job description

HeartShare Human Services of New York seeks a Director of Billing to lead Medicaid revenue cycle, claim submission, denial management, and AR reconciliation across programs, driving accuracy, reimbursement, and compliance. You will partner with Fiscal, Program Operations, and Compliance, use Millin and analytics to monitor KPIs, optimize workflows, and mentor a billing team toward best practices.

Join a data-driven environment focused on continuous improvement, regulatory compliance, and

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