Director of Patient Accounts - Level A
Apply NowCompany: NYC Health + Hospitals
Location: New York, NY 10025
Description:
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.
Work Shifts
9:00 A.M - 5:00 P.M
Job Description
Purpose of Position:
Under direction, plans, organizes and directs all functions of patients' accounts relating to accounts receivable control, billings, collections and eligibility determination. Implements policies, systems and procedures relating to staffing, supervision of personnel, coordination, control, audit. Ensures department is aligned with goals established by the System and maximizes reimbursement for both inpatient services, outpatient services, in accordance with System policies, guidelines and processes.
Essential Duties and Responsibilities:
1. Directs financial investigation to identify parties responsible for inpatient and outpatient bills.
2.Directs the assessment of third-party eligibility status, verification of coverage, preparation of third-party approval forms documentation of eligibility data, and maintenance of documentation flow for third-party reimbursement.
3.Coordinates liaison activities with various units, including Admissions, Emergency, Outpatient, Nursing, Medical Record, and other services to manage patient's accounts transactions for preparation, delivery and control.
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 or treatment; establishes and directs mechanism for collection efforts of delinquent accounts. Refers delinquent accounts for write-off, accumulates data regarding third-party bad debt accounts.
6.Directs all activities for collection and control of cash receipts of patients prepayments.
7.Serves as a liaison with other units to ensure processes and procedures are up to date relating to changes in rates, medical data required, procedural changes; reviews work activities.
8.Develops, recommends and implements new procedures to improve operations efficiency.
9.Reviews policy and procedural changes with supervisory staff; recommending improvements to programs and practices.
10.Recommends, prepares, administers, evaluates training programs.
11.Evaluates personnel performance, progress of work; makes recommendations regarding placement.
12.Recommends work performance standards, resolves employee complaints, provides supervisory leadership to attain effective productivity; initiates action to accomplish objectives.
13.Directs the preparation of data, reports, surveys, and management information on billings, collections, accounts receivable and all employee relations activities. Prepares status reports, analyses; provides recommendations to obtain optimum utilization of total resources and to maximize reimbursements.
Minimum Qualifications
Qualification Requirements:
1. Bachelor's degree from an accredited college or university in Accounting, Finance, Business Administration, Hospitality Management or a related discipline; and
2. Five (5) years of experience in accounting, finance or business administration; two (2) years of which must have been in a responsible supervisory or managerial capacity managing accounts or credits.
NYC Health and Hospitals offers a competitive benefits package that includes:
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.
Work Shifts
9:00 A.M - 5:00 P.M
Job Description
Purpose of Position:
Under direction, plans, organizes and directs all functions of patients' accounts relating to accounts receivable control, billings, collections and eligibility determination. Implements policies, systems and procedures relating to staffing, supervision of personnel, coordination, control, audit. Ensures department is aligned with goals established by the System and maximizes reimbursement for both inpatient services, outpatient services, in accordance with System policies, guidelines and processes.
Essential Duties and Responsibilities:
1. Directs financial investigation to identify parties responsible for inpatient and outpatient bills.
2.Directs the assessment of third-party eligibility status, verification of coverage, preparation of third-party approval forms documentation of eligibility data, and maintenance of documentation flow for third-party reimbursement.
3.Coordinates liaison activities with various units, including Admissions, Emergency, Outpatient, Nursing, Medical Record, and other services to manage patient's accounts transactions for preparation, delivery and control.
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 or treatment; establishes and directs mechanism for collection efforts of delinquent accounts. Refers delinquent accounts for write-off, accumulates data regarding third-party bad debt accounts.
6.Directs all activities for collection and control of cash receipts of patients prepayments.
7.Serves as a liaison with other units to ensure processes and procedures are up to date relating to changes in rates, medical data required, procedural changes; reviews work activities.
8.Develops, recommends and implements new procedures to improve operations efficiency.
9.Reviews policy and procedural changes with supervisory staff; recommending improvements to programs and practices.
10.Recommends, prepares, administers, evaluates training programs.
11.Evaluates personnel performance, progress of work; makes recommendations regarding placement.
12.Recommends work performance standards, resolves employee complaints, provides supervisory leadership to attain effective productivity; initiates action to accomplish objectives.
13.Directs the preparation of data, reports, surveys, and management information on billings, collections, accounts receivable and all employee relations activities. Prepares status reports, analyses; provides recommendations to obtain optimum utilization of total resources and to maximize reimbursements.
Minimum Qualifications
Qualification Requirements:
1. Bachelor's degree from an accredited college or university in Accounting, Finance, Business Administration, Hospitality Management or a related discipline; and
2. Five (5) years of experience in accounting, finance or business administration; two (2) years of which must have been in a responsible supervisory or managerial capacity managing accounts or credits.
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