Essen Health Care · 15 hours ago
Billing Manager, Care Management
Bronx, NY, US
Full-time
Onsite
Senior Level
5+ years expEssen Health Care is the largest privately held multispecialty medical group in the Bronx, providing high-quality medical care to vulnerable residents. The Billing Manager will oversee billing operations for Health Home and Care Management programs, ensuring compliance and optimizing revenue cycle processes.
Health CareMedical
Responsibilities
Oversee all Health Home and Care Management billing operations at the corporate level
Ensure timely and accurate submission of claims in accordance with NYS Medicaid Health Home and Care Management regulations
Manage end-to-end revenue cycle processes including charge capture, claims submission, payment posting, reconciliations, and denial management
Monitor billing performance and implement strategies to improve collections and reduce aging AR
Ensure compliance with NYS DOH, Medicaid Managed Care, and Health Home billing guidelines
Stay current on regulatory changes impacting Health Home and Care Management billing
Conduct regular audits to ensure documentation supports billed services
Partner with Compliance and Clinical teams to address gaps and corrective action plans
Track and report key revenue cycle metrics including: Days in AR, Denial rates, Collection rates, Billing volume and revenue trends
Prepare monthly billing and revenue reports for executive leadership
Identify opportunities for process improvement and revenue optimization
Develop standardized workflows and training materials for Health Home billing processes
Foster a culture of accountability, accuracy, and continuous improvement
Work closely with Care Management Operations, Clinical Leadership, IT, Finance, and Compliance teams
Support onboarding of new Care Management partners and programs from a billing and revenue cycle perspective
Serve as subject matter expert for Health Home billing questions and escalations
Implement scalable billing workflows to support program growth
Partner with IT to optimize billing systems, reporting tools, and data integrity
Lead initiatives to automate billing processes where possible
Qualification
Required
5–7+ years of healthcare billing or revenue cycle management experience
Strong knowledge of NYS Medicaid Health Home billing and Care Management reimbursement models
Proven experience managing billing teams and corporate-level billing operations
Experience with claims systems, EMRs, and billing platforms
Strong analytical, organizational, and problem-solving skills
Excellent communication and leadership abilities
Bachelor's degree required
Preferred
Experience in population health, care management, or value-based care billing
Knowledge of NYC/Bronx healthcare payer landscape
Experience scaling billing operations across multi-site or multi-program environments
Familiarity with regulatory audits and compliance reporting
Company
Essen Health Care
Essen Health Care is a premiere healthcare network in New York with over 400 providers across Manhattan, Bronx, Queens, Staten Island, Long Island and Westchester County.
501-1000 employees
H1B Sponsorship
Essen Health Care has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (12)
2024 (34)
2023 (12)
2022 (12)
2021 (49)
2020 (25)
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Kain Capital
2024-04-30Private Equity
Leadership Team
Durga Dhanikonda
Chief Information Security & Technology Officer (CISO & CTO)
Ranjan Munjal
Chief Financial Officer
Recent News
Company data provided by crunchbase