Assistant Director of Patient Billing, Bureau of Revenue

Accountant II-40510 – Open to candidates who are permanent or to those who have successfully filed for the PROMOTION TO ACCOUNTANT Exam No. 6500 within the filing period From: January 7, 2026, To: January 27, 2026. THE TEST DATE: Multiple-choice testing is expected to begin on Wednesday, March 11, 2026.

The Bureau of Revenue within the Division of Finance is seeking to hire an Assistant Director of Patient Billing. The Finance Division at DOHMH has central responsibility and authority for all the finance, contracting, procurement, payroll, and revenue functions of the nation's largest local health department. DOHMH has approximately 7,000 employees and serves the nation's largest city of 8.8 million New Yorkers.

Position Summary:
Reporting to the Director of patient billing you will be assigned to supervise daily billing and accounting operation with a talented team of health insurance billers within the patient billing unit.

Job Duties and Responsibilities:
Directly reports to the director of patient billing.
Oversee daily billing and collection activities for all (Article 28/36) and all other services provided by DOHMH.
Identify and report all clinical documentation or billing inaccuracy to the director of patient billing.
Report directly to the director on all issues related to a potential claim audit risk(s).
Provide support and billing guidance and recommendations for claim resolution to billing team.
Validates timeliness and performance of claim processing in the billing unit to maximize revenue.
Run monthly accounting analysis reports to identify claim processing and payment trends across all third-party health payers.
Perform basic task of provider credentialing and managed care health plan network contracting.
Meet regularly with team members to provide guidance and resolve any potential issues.
Complete and discuss annual Task and Standards and Performance Evaluations with team members.
Ability to communicate effectively with staff and other stakeholders across the agency.
Document trends, results and present findings in an organized manner. Ability to communicate effectively with staff and other stakeholders across the agency.

PREFERRED SKILLS:
-3-5 Years of supervisory experience in the healthcare industry required.

-Experience with Article 28, 31, and 36 clinics billing Preferred.

-Extensive knowledge of CPT-4, HCPCS, ICD-10 coding principles, (CPC) Certification preferred.

-Working knowledge of medical terminology, anatomy and physiology preferred

-Working Knowledge and experience billing Medicare/Medicaid and other third-party health payers preferred.

-Prior billing experience in DT & C, FQHC or Ambulatory Patient services areas + plus.

-Knowledge and experience with provider credentialing process using PECOS and other systems a plus.

-Knowledge of insurance verification and MCO authorization process preferred.

-Advanced proficiency in Microsoft Word and Excel required.

-Ability to multi-task and perform accounting computations is required.

-Extensive knowledge of accounting and auditing experience are required.

-Strong analytical and detailed oriented skills preferred.

-Must be a team player.

Why you should work for us:

- Loan Forgiveness: As a prospective employee of the City of New York, you may be eligible for federal/state loan forgiveness and repayment assistance programs that lessen your payments or even fully forgive your full balance. For more information, please visit the U.S. Department of Education’s website (https://studentaid.gov/pslf/)
- Benefits: City employees are entitled to unmatched benefits such as:
o a premium-free health insurance plan that saves employees over $10K annually, per a 2024 assessment.
o additional health, fitness, and financial benefits may be available based on the position’s associated union/benefit fund.
o a public sector defined benefit pension plan with steady monthly payments in retirement.
o a tax-deferred savings program and
o a robust Worksite Wellness Program that offers resources and opportunities to keep you healthy while serving New Yorkers.
- Work From Home Policy: Depending on your position, you may be able to work up to two days during the week from home.
- Job Security - you could enjoy more job security compared to private sector employment and be able to contribute to making NYC a healthy place to live and work.

Established in 1805, the New York City Department of Health and Mental Hygiene (NYC Health Department) is the oldest and largest health department in the U.S., dedicated to protecting and improving the health of NYC. Our mission is to safeguard the health of every resident and cultivate a city where everyone, regardless of age, background, or location, can achieve their optimal health. We provide a wide array of programs and services focused on food and nutrition, anti-tobacco support, chronic disease prevention, HIV/AIDS treatment, family and child health, environmental health, mental health, and social justice initiatives. As the primary population health strategist and policy authority for NYC, with a rich history of public health initiatives and scientific advancements, from addressing the 1822 yellow fever outbreak to the COVID-19 pandemic, we serve as a global leader in public health innovation and expertise.

Come join us and help to continue our efforts in making a difference in the lives of all New Yorkers!

The NYC Health Department is an inclusive equal opportunity employer committed to providing access and reasonable accommodation to all individuals. To request reasonable accommodation to participate in the job application or interview process, contact Sye-Eun Ahn, Director of the Office of Equal Employment Opportunity, at [email protected] or 347-396-6549.

ACCOUNTANT - 40510

1. A baccalaureate degree from an accredited college or university, accredited by regional, national, professional or specialized agencies recognized as accrediting bodies by the U.S. Secretary of Education and by the Council for Higher Education Accreditation (CHEA), including or supplemented by 24 semester credits in accounting, including one course each in advanced accounting and auditing; or
2. A valid New York State Certified Public Accountant license.
To be eligible for placement in Assignment Level II individuals must have, in addition to meeting the minimum requirements, at least one year of experience as an Accountant - Assignment Level I or at least two years of satisfactory full-time professional accounting or auditing experience.

The City of New York is an inclusive equal opportunity employer committed to recruiting and retaining a diverse workforce and providing a work environment that is free from discrimination and harassment based upon any legally protected status or protected characteristic, including but not limited to an individual's sex, race, color, ethnicity, national origin, age, religion, disability, sexual orientation, veteran status, gender identity, or pregnancy.