Job description

Billing Director

New York, NY • Fiscal Department

Posted on Career Page

Upper Manhattan Mental Health Center Inc

Description

EMMA L. BOWEN COMMUNITY SERVICE CENTER

Also known as

UPPER MANHATTAN MENTAL HEALTH CENTER, INC.

The Emma L. Bowen Community Service Center is seeking a Billing Director to join our team. This position is a terrific opportunity for someone to gain additional experience and make a difference in the lives of our clients.

For over 45 forty-five years, our organization has provided mental health and holistic services in northern Manhattan for families, children, adolescents, and other adults including the elderly in a supportive and caring environment. We also have an out-patient and residential substance abuse program as well as a Therapeutic Preschool for 3-5 year olds.

Upper Manhattan Mental Health Center is a Certified National Health Service Corps (NHSC) site.

For additional information about our organization and programs, please visit us on our website at www.bowencsc.org.

JOB DESCRIPTION

JOB SUMMARY

The Billing Director is responsible for performing analysis of government and overall billing operations for decision making purposes. Planning performance improvement initiatives for billing processes to increase claim efficiencies and lower denials. Additional duties and responsibilities of the Billing Director include but are not limited to: (1) personnel management, (2) billing and collections management, (3) policies and procedures development, (4) maximizing A/R collections.

JOB RESPONSIBILITIES

• Strategic planning, integration and alignment of billing processes and workflows across the scope Bowen Center services.
• Monitors budgets and identifies opportunities for increasing revenue and cost containment and ensuring compliance with policies;
• Expert Liaison with experience in implementing and maintaining billing, reimbursement and audit programs e.g., knowledge of CMS regulations);
• Ensures cash optimization and accounts receivable reduction activity is functioning to fullest capability.
• Expert in developing dashboards and metrics for financial results including measures of productivity, employee engagement and effectiveness in receivable management;
• Run an outstanding insurance pending list monthly to monitor unpaid claims.
• Work remittance advice (EOB’s) daily; review and appeal for errors in reimbursement and coding
• Maintaining proper records of requests for refunds from insurance companies
• Daily review of claim rejections and make the corrections into the PMS
• Keeping updated fee profiles from insurance companies
• Research and assist billing team members with coding issue and changes to referral/prior authorization system
• Verifies correct coding to ensure optimal and prompt payment.
• Attends training / meetings to keep abreast of changes in billing procedures.
• Reviewing denied claims and variety of departments within NYU Langone Health and with contracted payers and vendors;
• Ensures that department and vendors are maximizing reimbursement to efficiently lower A/R, and speed up revenue cycle;
• Collects/analyzes payer data to determine denial, underpayment, overpayment, and appeal trends for further review;
• Develops and enhances tracking mechanisms to monitor accounts as they flow through billing protocols;
• Report and analyze eligibility, authorization, billing, and claims processing inaccuracies to assist with implementing upstream solutions;
• Plan and organize performance improvement initiatives to increase claim billing efficiencies and lower denials;
• Executes data-mining and in-depth accounts receivable analysis;
• Investigating denied claims and outstanding patient invoices to ensure the provider receives payment
• Balancing sent claims and payments received to accurately record the Center’s monthly and quarterly earnings
• Educate Psychiatrists, Nurse Practitioners, and other providers for maximum reimbursement.
• Assist in the design and implementation of policies, procedures and workflow improvements for the billing & collection process
• Develops and monitors KPI’s

Qualifications

To qualify you must have a Bachelors Degree in healthcare related field, Accounting/Finance or a related field. Thorough understanding of reimbursement systems, and process improvement methodologies. Strong analytical, interpersonal and communication skills. Proactively support quality and performance improvement efforts within the organization and proactively contribute to meeting team goals. High level of analytical skills and dynamic communication skills (verbal and written) are required. Microsoft Excel and Word familiarity required.

• 7 years healthcare / insurance
• 5 years billing and coding (Required)
• insurance revenue cycle (Required)

REQUIREMENTS

• Certified Coding Specialist (CCS) or Certified Professional Code (CPC) required.
• RHIT, RHIA, CCDS or CDIP preferred.

Reports To: Chief Financial Officer

Job Type: Full-time

Pay: $85,000.00 - $90,000.00 per year

Benefits:

• Dental insurance
• Disability insurance
• Health insurance
• Life insurance
• Paid sick time
• Paid time off
• Vision insurance

Physical setting:

• Office

Schedule:

• 8 hour shift
• Monday to Friday

Ability to commute/relocate:

• New York, NY 10031: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Accounting: 1 year (Preferred)

Work Location: In person

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