Job Board

See all job listings

Billing Specialist

Community Access

Description

JOB POSTING

Community Access, Inc. (CA), founded in 1974, is a progressive not-for-profit organization that expands opportunities for people living with mental health concerns to recover from trauma and discrimination through affordable housing, training, advocacy and healing-focused services. We are built upon the simple truth that people are experts in their own lives. Our programs are spread across 20 locations and include over 1000 units of supportive housing in three boroughs, the Howie The Harp Advocacy Center, ThriveAtWork, Blueprint Supported Education, East Village Access—a PROS program, and a peer-driven Crisis Respite Center.

We are currently seeking qualified candidates for the position of
BILLING SPECIALIST
to work in our Health Division located in Manhattan at 2 Washington St.

This is a full time position paying between $24.38 - $26.44 hourly with an excellent benefits package.

Position Overview
The Billing Specialist is responsible for managing the billing process of Community Access’ Medicaid, Medicare and Medicaid Managed Care services, including: Overseeing the initiation and completion of contracting and credentialing requirements with payers including Managed Care Organization (MCOs), Medicaid, Medicare and third party insurance; Maintaining account receivable reports and coordinates claim-denial appeals in communication with program and finance staff. Resolving and following up on tracking errors such as overlapping segments, invalid RE codes, and retroactive Medicaid payments for Health Home Care Management program; Managing billing activities to meet goal of 90%-95% paid claims across all programs and services; Identifying and reporting client payer-information to staff so that EHR data corrections and facilitated; Creating and modifying systems for organizing and recording billing activities including claims sent, claims paid, claims denied, follow-up, collection and appeals activities and outcomes; Participating in revenue cycle processes to improve billing lags, collections and revenue; Submitting monthly billing reports including program specific reports and dashboards, to program management, fiscal staff and quality improvement team; Gathering and submitting information required to ensure timely contracting and re-credentialing with all payers to avoid any loss of billing privileges and revenue; Coordinating MC relations and functions as primary liaison.

Qualifications:
Qualified candidates must have an understanding, appreciation, and commitment to the philosophy and mission of Community Access. Minimum of a high school diploma or equivalent (GED/TASC), medical billing specialist preferred; Behavioral Health revenue cycle management experience required; Strong project management, quantitative and analytical skills particularly in projecting and monitoring payer revenue; At least two (2) years relevant experience; Experience in Behavioral Health setting, preferred; Demonstrated ability to provide exceptional customer service, with a higher level of professionalism; Effective written and oral communication skills; Computer proficiency in Microsoft Word, Excel, strong emphasis on Excel; Familiar with various billing platforms for MCOs, Medicaid and Medicare including but not limited to eMedNY, clearinghouses, MCO portals, ClaimShuttle, etc.

Bilingual candidates are encouraged to apply.

Interested candidates should apply via www.communityaccess.org/jobs.

Community Access is an Equal Opportunity Employer. M/F/D/V.

Women, People of Color and Members of the LGBT community are strongly encouraged to apply.

CA is committed to the hiring of at least 51% consumer staff, in all of its departments and programs, and at all levels of management.

www.communityaccess.org

Salary

This is a full time position paying between $24.38 - $26.44 hourly with an excellent benefits package.

Contact

Interested candidates should apply via www.communityaccess.org/jobs.

Posted on 11/10/17; CVMHA ID #11563