Healthcare Operations Manager
2 weeks ago
NYC Health + Hospitals seeks a highly skilled Healthcare Operations Manager to lead the Centralized Billing and Follow-up Unit within the Revenue Cycle Services team. The successful candidate will be responsible for managing the daily operational performance of the unit, reviewing accounts, correcting claim edits, and preparing claims for submission to payers.
Key Responsibilities:
- Provide overall supervision to the Outlier Unit staff
- Ensure unit's quality and timeliness of responses to IPRO and managed care plan requests
- Identify payors and their vendors denial trends to proactively address issues
- Document and track the progress of appeals and give detailed updates on the status of cases
- Stay current with guidelines specific to Outlier workflow from CMS and eMedNY
- Lead unit huddles, workgroups, and give feedback and insights on work processes
- Prepare and review reports on unit productivity
- Lead billing and follow-up special projects for revenue improvement
- Confirm timely follow-up with payers on unresolved issues
Requirements:
- A Baccalaureate degree from an accredited college or university with a major in accounting, finance, business administration, or related field
- Four (4) years of experience in accounting, finance, or business administration, with two (2) years in a responsible and managerial capacity in areas normally related to a hospital, medical center, or healthcare facility
- Two (2) years of experience in the management of patients' accounts or credits
What We Offer:
- 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
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