Biller (Client Account Representative)

About Us

God’s Love We Deliver, a nonsectarian organization, is the New York metropolitan area’s leading provider of life-sustaining meals and nutrition counseling for people living with severe illnesses. Begun as an HIV/AIDS service organization, today God’s Love provides for people living with more than 200 individual diagnoses. God’s Love cooks and home delivers the specific, nutritious meals a client’s severe illness and treatment so urgently require. Meals are individually tailored for each client by one of our Registered Dietitians, and all clients have access to unlimited nutrition counseling. God’s Love supports families by providing meals for the children and senior caregivers of its clients. All of the agency’s services are provided free of charge.

About the Role

The primary responsibility of the Biller (Client Account Representative) is to support and assist with ensuring accounts are resolved in a timely manner. The Biller (Client Account Representative) should have a solid understanding of the Revenue Cycle as it relates to the entire life of a client account from creation to payment. The Biller (Client Account Representative) will need to effectively follow-up on claim submission, remittance review for insurance collections, create and pursue disputed balances from both government and non-government entities.

Essential Duties and Responsibilities

• Researches each account using God’s Love’s accounting applications and internet resources.
• Conducts appropriate account activity on uncollected account balances with contacting third party payors and/or patients via phone, e-mail, or online.
• Updates plan IDs, adjusts client or payor demographic/insurance information, notates account in detail, identifies payor issues and trends and solves re-coup issues.
• .Understands Commercial, Managed Care, Medicare and Medicaid collections, Intermediate knowledge of Managed Care contracts, Contract Language and Federal and State requirements for government payors.
• Recognizes potential delays and trends with payors such as corrective actions and responds to avoid A/R aging. Escalates payment delays/ problem aged account timely to Supervisor.
• Participates and attends meetings, training seminars and in-services to develop job knowledge.
• Responds timely to emails and telephone messages as appropriate.
• Ensures compliance with State and Federal Laws Regulations for Managed Care and other Third-Party Payors.
• Requests additional information or other needed documentation upon request from payors.
• Reviews contracts and identify billing or coding issues and requests re-bills, secondary billing, or corrected bills as needed.
• Assists with special projects as assigned, documents, findings, and communicates results.
• Performs special projects and other duties as need.

About You

You are meticulous and careful with details. You are eager to nurture the revenue cycle. You can adapt and grow in an environment where work assignments may change frequently while resolving accounts with minimal assistance. You are inspired by the mission of God’s Love We Deliver and ready to work hard to support it. You are a great collaborator, ready to coordinate closely with colleagues and cooperate with others to achieve the overall goals of the department and the organization.

In addition, the right candidate meets the following requirements:

• Bachelor’s degree: degree in Accounting, Finance or Business Administration preferred.
• Minimum of 2-3 years of payment application experience; basic knowledge of Commercial, Managed Care, Medicare and Medicaid insurance.
• Experience in non-profit accounting is a plus.
• Strong proficiency in Microsoft Office.
• Strong proficiency in Finance ERP; experience with NetSuite preferred.
• Superior attention to detail.
• Must be able to operate effectively as part of a team and independently.
• Superior time management skills with the ability to work effectively under deadlines.
• Excellent communications skills, with demonstrated ability to interact with internal and external stakeholders with diplomacy, tact, and discretion.