Billing Receivables Specialist

Title: Billing Receivables Specialist

Status:Non-Exempt, Full-time, 40 hours per week

Supervisor: Associate Director of Revenue Cycle Management

Salary: $22.11 – $23.08 per hour

Schedule:Monday – Friday, Hybrid Schedule

Function:

The Billing Receivables Specialist is responsible for all aspects of claim payment and follow-up including payment application, denial management, appeals, re-billing and waterfall billing. This position will require extensive communication with payers and between internal departments.

Position Requirements:

• Minimum five (5) years’ experience required in a medical-related environment and/or aptitude to understand medical billing and medical claim denial resolution based on prior work history.
• High School diploma or GED required
• CPC License preferred
• Previous Medicaid billing/EMEDNY preferred.
• Experience working with a diverse population preferred.
• Typing, data entry, general clerical and strong mathematical skills required.
  
  

Benefits:

• Medical, dental, and vision coverage
• 403(b) retirement plan with employer match up to 5%
• Generous paid vacation, holiday, sick and personal time package (2 weeks’ vacation in first year, 13 paid holidays per year, 12 sick days per year and 4 personal days per year)
• Access to Family Services’ Compassionate Leave Programwhere employees can donate/receive unused time off
• Group term life and long-term disability insurance
• Supplemental life insurance & accidental death and dismemberment coverage (AD&D)
• Supplemental insurance through Aflac
• Employee assistance program (EAP)
• Pet insurance
  
  

Our Mission:

Family Services brings people together to find the support they need, improving their lives and communities, and building a stronger safer Hudson Valley.

Our Values:

Compassion – Extending empathy and understanding to others.

Integrity – Being honest and dependable.

Hope – Believing in the strength of the human spirit and heart, to emerge and thrive when faced with a challenge.

Diversity – Promoting a vision of community comprised of wide-ranging assets.

Respect – Treating all individuals with dignity and without judgement.

Community – Recognizing and reinforcing the importance of our world as being comprised of people of differing strengths and perspectives.

Justice – Promoting social and economic equity and fairness.

Quality – Aspiring for excellence in every aspect of our work.

Position Responsibilities:

• Review, post and fully reconcile insurance and client payments through 835 file upload and manual entry including all necessary accounting functions
• Communicate the application of reconciled payments to the accounting information system
• Re-bill claims as needed and bill all payers in waterfall process
• Manage insurance denials, identify trends, reporting and communicating with appropriate staff
• Complete all levels of appeals adhering to the payer specific appeal requirements
• Respond to insurance requests for information including refunds, medical records, provider and client data
• Examines claims, charges and payments for compliance with agency, insurance and regulatory requirements
• Provide reporting on denials, unpaid accounts, payments and any issues impacting revenue
• Perform general billing duties including but not limited to: reconciling billed services; remittance processing, insurance denial follow up, collections and communicate billing and insurance issues to appropriate staff
  
  

Essential Requirements

• Position requires extensive communication with insurance payers, clients and staff
• Effectively communicate with the vulnerable populations served by our agency as needed
• Maintain current and accurate account information in the client and agency systems
• Maintain current knowledge of all job specific requirements and related regulations
• Self-Pay / Patient Statements on a bimonthly basis
• Eligibility requests and responses, communication with other departments on terminations and eligibility
• Excellent documentation, verbal and written communication skills
• Proficiency in computer software, i.e. Microsoft Office Suite (Excel), computerized billing system, navigating clearinghouse, electronic medical records, and payer websites
• General math skills
  
  

Skills and Abilities:

• Knowledge of Medical Terminology, CPT, HCPCS and lCD-10 coding
• Knowledge of NetSmart/ RevConnect and NYS Office of Mental Health reporting is a plus
• Attention to detail
• Be resourceful to track any missing information to complete assigned tasks in conjunction with input from insurance systems
• Exercise ethical standards and professionalism
• Knowledge of procedures and revenue cycle flow in a healthcare organization
• Willingness to travel for agency business
• Ability to learn and work within agency procedures and guidelines
• Ability to exercise sound judgment in tracking sources of errors and in using established guidelines to determine the necessary corrective action
  
  

#INDAD

Family Services, Inc. complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact hr@familyservicesny.org.

We are an equal opportunity employer and our goal is to be a diverse workforce representative of the community we serve. Family Services, Inc. follows federal, state, and local laws prohibiting discrimination in hiring and employment. We do not discriminate against employees or applicants in violation of those laws.

Must be authorized to work in the United States without work sponsorship.

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