About Greenwich House

Founded in 1902 as a settlement house to help New York’s increasing immigrant population adjust to life in a new country, Greenwich House today offers a variety of programs and approaches that continue to provide thousands of New Yorkers with health and wellness support, education, personal enrichment, skills building and cultural experiences.

Position Summary

The Billing Specialist is responsible for preparing and submitting billing data to insurances and ensuring that claims are accurate and complete. Follow up denials and submit appeals for payment. Coordinate with appropriate clinic staff to resolve discrepancies with coding, patient demographics and insurance information.

Responsibilities

• Review billing queue for accuracy; correct any pre-edits before processing claims
• Resolve any insurance and clearinghouse rejections in a timely manner
• Coordinate with front desk staff to resolve registration issues
• Ensure proper authorizations are obtained
• Investigate insurance denials/EOB’s and perform follow up on unpaid claims
• Submit corrected claims and appeals as necessary for claims resolution
• Resolve client billing inquiries
• Keep clinic informed of any updated changes to billing regulations/policies
• Provides financial counseling to clients. Responsible for discussion of financial options, payment plans, one-time settlements and resolution of unpaid balances.
• Monitor patient accounts; conduct income/work verification; enforce compliance with fee agreement, If a client is unable to comply with agreement, has the discretion to accept alternate payment terms subject to review and approval by the Director of RCM
• Communicate billing trends/discrepancies to management
• Attend staff meetings and training as required
• Perform other tasks and special projects as assigned by the direct supervisor

Qualifications

• High School diploma/equivalent with at least 3 years experience in a medical setting
• Knowledge of ICD-10 and CPT codes
• Knowledge of Medicaid, Medicare, Managed Care, Commercial and third-party billing
• Understand billing rules and regulations
• Proficient computer skills; Experience with Microsoft Office, EHR system, insurance portals
• Professional attitude, great customer service skills and work ethics

Vaccination Requirement

As of October 29, 2021, we are requiring all Greenwich House and Barrow Street Nursery School new hires to be fully vaccinated against COVID-19 prior to the start date.

Reasonable Accommodations Statement

To perform this job successfully, a successful candidate must be able to perform satisfactorily each essential duty. Reasonable accommodations may be made to enable qualified candidates with disabilities to perform these duties.

Equal Employment Opportunity

Greenwich House is strongly committed to the principle of equal employment opportunity for all individuals. All employment decisions and administration of all personnel policies are without regard to an applicant or employee’s actual or perceived race, religion, sex, age, national origin, creed, color, gender, sexual orientation or affectation, gender identity or expression (including transgender status), predisposing genetic characteristic, genetic information, pregnancy, ancestry, ethnicity, citizenship, alienage, military or veteran’s status, physical or mental disability, status as a victim of domestic violence, stalking offense and sex offenses, marital status, partnership status or any other status protected by federal, state or local law. For more information regarding Greenwich House and our EEO statement, please visit https://www.greenwichhouse.org/about/