Patients Accounts Manager

NYC Health + Hospitals; New York (NY); On-site; USD 90,000 - 140,000; Full time

Job summary

NYC Health + Hospitals/Metropolitan in East Harlem seeks a seasoned finance professional to lead patient accounts and billing operations within the hospital's finance team. The role focuses on supervising contracts, eligibility for government programs, and driving process improvements to ensure accurate reimbursement while maintaining compliance.

Qualifications include a bachelor's degree in accounting/finance/business administration, four years in accounting/finance with two in hospital

Qualifications

• Bachelor's degree in accounting, finance, business administration, or related field.
• Four years of experience in accounting, finance, or business administration, with two years in a hospital setting.
• Two years in patient accounts management or credits; equivalent combination acceptable.

Responsibilities

• Supervises contracts and eligibility for City, State and Federal programs (e.g., Medicare/Medicaid).
• Oversees billing and collections, third-party forms, and documentation flow for reimbursement.
• Coordinates with Admissions, Nursing, Medical Records and other departments on charges and credits.
• Reviews adjustments, credits and payments to patient accounts; monitors aging and write-offs.
• Oversees cash receipts for patient pre-payments and related processes.
• Assists in updates to procedures for rate changes and billing activity reviews.
• Participates in staff scheduling, staffing plans and department organizational changes.

Job description

Marketing Statement

NYC Health + Hospitals/Metropolitan is the community hospital of choice for residents of East Harlem, northern Manhattan, and neighboring communities. The hospital provides culturally-sensitive care in a welcoming and hospitable setting, emphasizing primary care medicine and utilizing the latest advances in medical science. Metropolitan delivers high quality health services with compassion, dignity, and respect to all, without exception. Since its founding in 1875, the hospital has been affiliated with New York Medical College, representing the oldest partnership between a hospital and a private medical school in the United States. Metropolitan is a part of the NYC Health + Hospitals, the largest municipal hospital and health care system in the country.

Marketing Statement

NYC Health + Hospitals/Metropolitan is the community hospital of choice for residents of East Harlem, northern Manhattan, and neighboring communities. The hospital provides culturally-sensitive care in a welcoming and hospitable setting, emphasizing primary care medicine and utilizing the latest advances in medical science. Metropolitan delivers high quality health services with compassion, dignity, and respect to all, without exception. Since its founding in 1875, the hospital has been affiliated with New York Medical College, representing the oldest partnership between a hospital and a private medical school in the United States. Metropolitan is a part of the NYC Health + Hospitals, the largest municipal hospital and health care system in the country.

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

• Supervises and coordinates the activities for the establishment and maintenance of contracts with patients or parties responsible for inpatient and outpatient billings, as well as investigating and communicating eligibility requirements for City, State and Federal programs (i.e. Medicare/Medicaid).
• Supervises and coordinates the activities of the billing and collection in accordance with policies, guidelines, and processes established by the System including preparation of third-party forms for billing, follow-up of collection cycle procedures, and maintenance of documentation flow for reimbursement.
• Participates in establishing and maintaining liaison activities with Admissions, Emergency and Clinic Department, Nursing Stations, Medical Record Units, and other service departments concerning preparation, delivery, and control of patients' charges and credits.
• Participates in the review and evaluation process of adjustments, credits and payments to patients' accounts.
• Participates in periodic reviews of account aging processes to determine the status of open accounts based on source of payment, date of discharge and/or treatment, and in referral of delinquent accounts for write-off and accumulation of data on third-party bad debt accounts.
• Supervises and coordinates activities for collection and control of cash receipts for patients' pre-payments.
• Collaborates with system personnel to update systems and procedures for rate changes, required medical data, procedural changes and billing activity reviews.
• Participates in the development, recommendation and implementation of new procedures to improve efficiency and investigation procedures.
• Participates in the review and interpretation of policy and procedural changes with supervisory staff and recommends expansion and modification of existing programs and practices to meet operational requirements and financial objectives.
• Participates in directing and reviewing work scheduling and office routines, including distribution of work and daily assignments.
• Recommends staffing plans, organizational structure adjustments and departmental personnel changes.
• Participates in the selection, appointment, changes, and placement activities for all personnel.

Minimum Qualifications

A Baccalaureate degree from an accredited college or university with a major in accounting, finance, business administration, or related field; and ,

Four (4) years of experience in accounting, finance or business administration of which two (2) years must have been in a responsible and managerial capacity in areas normally related to a hospital, medical center or health care facility; and ,

Two (2) years of experience as indicated in Item #2 in areas related to the management of patients accounts or credits; or

A satisfactory equivalent combination of experience, education and training.

Department Preferences