Assistant Director of Patient Billing, Bureau of Revenue

Position Summary

Reporting to the Director of Patient Billing, you will be assigned to supervise daily billing and accounting operations with a talented team of health insurance billers within the patient billing unit.

Responsibilities

• Directly report to the Director of Patient Billing.
• Oversee daily billing and collection activities for all (Article 28/36) and all other services provided by DOHMH.
• Identify and report all clinical documentation or billing inaccuracy to the Director of Patient Billing.
• Report directly to the Director on all issues related to potential claim audit risk(s).
• Provide support, billing guidance, and recommendations for claim resolution to the billing team.
• Validate timeliness and performance of claim processing in the billing unit to maximize revenue.
• Run monthly accounting analysis reports to identify claim processing and payment trends across all third-party health payers.
• Perform basic tasks of provider credentialing and managed care health plan network contracting.
• Meet regularly with team members to provide guidance and resolve potential issues.
• Complete and discuss annual Task and Standards and Performance Evaluations with team members.
• Communicate effectively with staff and other stakeholders across the agency.
• Document trends, results, and present findings in an organized manner.

Qualifications

• A baccalaureate degree from an accredited college or university, including or supplemented by 24 semester credits in accounting, including one course each in advanced accounting and auditing.
• OR a valid New York State Certified Public Accountant license.
• To be eligible for Assignment Level II: at least one year of experience as an Accountant - Assignment Level I or at least two years of satisfactory full-time professional accounting or auditing experience.

Preferred Skills

• 3-5 years of supervisory experience in the healthcare industry required.
• Experience with Article 28, 31, and 36 clinics billing preferred.
• Extensive knowledge of CPT-4, HCPCS, ICD-10 coding principles; (CPC) Certification preferred.
• Working knowledge of medical terminology, anatomy, and physiology preferred.
• Working knowledge and experience billing Medicare/Medicaid and other third-party health payers preferred.
• Prior billing experience in DT & C, FQHC, or Ambulatory Patient services areas a plus.
• Knowledge and experience with provider credentialing process using PECOS and other systems a plus.
• Knowledge of insurance verification and MCO authorization process preferred.
• Advanced proficiency in Microsoft Word and Excel required.
• Ability to multi-task and perform accounting computations required.
• Extensive knowledge of accounting and auditing experience required.
• Strong analytical and detail-oriented skills preferred.
• Must be a team player.

Benefits

• Premium-free health insurance plan saving employees over $10K annually (per a 2024 assessment).
• Additional health, fitness, and financial benefits may be available based on the position's associated union/benefit fund.
• Public sector defined benefit pension plan with steady monthly payments in retirement.
• Tax-deferred savings program.
• Robust Worksite Wellness Program offering resources and opportunities to keep you healthy.

Pay

$65,091.00 – $100,000.00

Schedule

Depending on your position, you may be able to work up to two days during the week from home. New York City residency is generally required within 90 days of appointment; however, City employees in certain titles who have worked for the City for 2 continuous years may also be eligible to reside in Nassau, Suffolk, Putnam, Westchester, Rockland, or Orange County.