Patients Accounts Manager

Duties & Responsibilities
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 recommend

Minimum Qualifications
A Baccalaureate degree from an accredited college or university with a major in accounting, finance, business administration, or related field; and ,

Four (4) years of experience in accounting, finance or business administration of which two (2) years must have been in a responsible and managerial capacity in areas normally related to a hospital, medical center or health care facility; and ,

Two (2) years of experience as indicated in Item #2 in areas related to the management of patients� accounts or credits; or

A satisfactory equivalent combination of experience, education and training.

Department Preferences
Computer literacy
EPIC H2O
Effective communication skills

Benefits
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