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Business Manager

Overview: University Settlement is one of New York City's most dynamic social justice institutions, with an impressive legacy as the first settlement house in the nation. For 130 years, University Settlement has been an anchor in the low-income and immigrant communities where we work, offering pioneering programs in early childhood care and education, youth development, eviction prevention, literacy, theater and visual arts, senior services, and mental health. Each year, we engage over 40,000 New Yorkers through our network of 30 sites in Manhattan and Brooklyn. Our mission is to empower residents by building on their strengths through comprehensive, quality services that meet the current needs of the community; innovation that anticipates future needs; and advocacy to improve the community as a whole.

 

Responsibilities:          

  • Collaborate with management and clinical teams in establishing and maintaining key performance indicators for revenue cycle operations
  • Support leadership and staff in identifying opportunities, defining priorities, establishing deadlines, and resolving any revenue cycle challenges
  • Prepare and maintain credentialing documents/files for managed care plans, new providers, and annually for existing providers
  • Utilize statistical data and other analytical tools to track revenue cycle data through the entire lifecycle, including but not limited: tracking accounts receivables over 30-60-90+ days; determine and resolve root cause for denied claims
  • Work closely with the Billing Department (third party vendor)  in developing and maintaining a streamline process for coding, reconciling and submitting claims accurately and timely
  • Identify new revenue sources
  • Perform weekly claims reconciliation for submission to the Billing Department
  • Apply strong verbal and written communication skills to build and foster relationships with managed care plans, regulatory agencies, internal stakeholders, and external partners, in support of maintaining a streamlined and efficient revenue cycle process
  • Prepare reports and/or presentations on monthly, quarterly, and annual basis, for team huddles, staff meetings, board reports, grant reports, and other forums, as needed
  • Oversees patient enrollment in Medicaid/entitlement programs
  • Serve as a liaison with the Finance Department
  • Monitors and oversees central scheduling for multiple practitioners.  Makes recommendations for appointment availability (access) for improved productivity, efficiency and effectiveness
  • Participates in program evaluation and expansion initiatives and prepares and reviews management reports in compliance with city, state, and federal regulatory requirements. 
  • Ensure proper maintenance of administrative office areas, including office equipment (in coordination with IT, Finance and vendors), and public spaces in the health center (in coordination with the Facilities Department).
  • Attend all relevant meetings, trainings, workshops and outside events
  • Handle any appropriate responsibilities and functions as assigned by Director

Qualifications

  • Bachelor's Degree (four-years college or University) and three years related experience
  • MPA or MBA with one year of related experience preferred
  • Medical billing and coding certification preferred; experience with Article 31/Medicaid billing desired
  • Extensive experience in ICD and CPT coding, claims management
  • Understanding of CMS and NYS Medicaid compliance, standards and policies required 
  • Knowledge of computer systems and applications including: eClinicalWorks, Microsoft Office (Word, Excel, PowerPoint) and billing software system/clearinghouse
  • Excellent customer service and interpersonal skills, including effective written and verbal communication
  • Demonstrated leadership, including effective decision-making and problem-solving experience
  • Ability to manage multiple tasks in a busy clinical environment
  • Ability to exercise initiative and manage time efficiently.
  • Must be self-efficient at all times and must be willing to work well with staff at all times
  • Good communication and organizational skills

Hours:   35 hours per week, flexible schedule

Salary: 60k to 75k, plus generous benefits

Contact: Submit cover letter, resume, and all additional documents to APPLY

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