Patients Accounts Manager

Patient Financial Counseling Manager

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.

9:00 A.M 5:00 P.M Standard Works 35

Purpose of Position: Under general supervision, assists in planning, organizing and supervising the daily operations of determining financial eligibility related to financial investigations, billing, and collection processes, as pertaining to patients' payment status, accounts receivable management, collections. Participates in implementation of policies, systems and procedures for staffing, personnel supervision, coordination, control, auditing and review of required activities to maximize the collection of inpatient and outpatient billings, in accordance with System policies and procedures. Serves as the principal assistant to Director of Patient Accounts and assumes full responsibility and authority in their absence.

SUMMARY OF ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Lead day-to-day operations for Accounts Receivable, Patient Billing, Revenue Integrity, and Cash Posting teams; set priorities, allocate resources, and ensure staffing adequacy.
• Develop, implement, and monitor policies, procedures, and internal controls to ensure accurate billing, posting, reconciliation, and compliance with federal, state, and payer regulations.
• Oversee timely and accurate cash posting for all payers, assuring correct application to patient accounts, reconciliation to bank deposits, and resolution of posting variances.
• Manage accounts receivable lifecycle: claim submission, denial management, appeals, patient statements, payment plans, and collections to minimize aging and write-offs.
• Direct revenue integrity activities: charge capture validation, coding and documentation review workflows, charge reconciliation, identify leakage, and implement corrective actions.
• Collaborate with coding/HIM, clinical departments, case management, and physician groups to resolve coding/documentation issues and improve charge accuracy.
• Establish and monitor KPIs (e.g., AR days, net collection rate, denial rate, clean claim rate, cash lag) and deliver monthly/quarterly performance reports to executive leadership.
• Lead revenue cycle system optimization: EHR billing workflows, charge-master governance, posting rules, ERA/EDI processing, and automation opportunities.
• Drive payer relations and contract issue resolution including complex payment posting, claim appeals, and retrospective audits.
• Develop training programs for revenue cycle staff to maintain skills, compliance, and service quality.
• Lead cross-functional projects (system upgrades, revenue recovery initiatives, regulatory implementations) and change management.
• Maintain readiness for internal and external audits; respond to audit requests and implement recommendations.

Minimum Qualifications:

1.Bachelor's degree from an accredited college or university in Accounting, Finance, Business Administration, Hospitality Management or a related discipline; and 2.Three (3) years of experience in accounting, finance or business administration; one (1) year of which must have been in a responsible supervisory or managerial capacity managing accounts or credits.

Department Preferences:

Computer literacy EPIC H2O Effective communication skills

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 Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts Loan Forgiveness Programs for eligible employees College tuition discounts and professional development opportunities College Savings Program Union Benefits for eligible titles Multiple employee discounts programs Commuter Benefits Programs