What are the responsibilities and job description for the Billing Specialist, Social Care Network position at Public Health Solutions?
Job Description
Job Description
Company Overview :
PHS is a 501(c)3 non-profit community-based organization (CBO) that has existed for 70 years to improve health equity and address health-related social needs (HRSN) for historically underserved marginalized communities. As the largest public health nonprofit serving New York City, we improve health outcomes and help communities thrive by providing services directly to vulnerable low-income families, supporting community-based organizations through our long-standing public-private partnerships, and bridging the gap between healthcare and community services. We focus on a wide range of public health issues including food and nutrition, health insurance, maternal and child health, sexual and reproductive health, tobacco control, and HIV / AIDS. Learn more about our work at healthsolutions.org.
Program Description :
PHS administers WholeYouNYC (WYNYC), a coordinated community resource network that builds trustworthy and reliable pathways between healthcare providers, health plans and CBOs providing critical resources in the community that address the social drivers of health. WYNYC brings together over 100 organizations offering various programs – such as food, housing, employment, health insurance, and sexual health services – across all five boroughs. These services and programs make it possible for New Yorkers to live their healthiest lives and ultimately reduce health disparities and advance health equity. To date, our network has already impacted thousands of lives through community partnerships and referrals, generating millions in estimated healthcare savings.
New York State (NYS) recently announced the availability of $500M statewide to support Social Care Network (SCN) lead entities responsible for coordinating social care delivery in various regions across the state. Public Health Solutions (PHS) and our WYNYC network were awarded the role of regional SCN for Brooklyn, Manhattan, and Queens.
This is a grant-funded position ending March 31, 2027.
Position Summary :
Under the general supervision of the SCN Billing Supervisor, the Billing Specialist will support critical service provider billing functions for the WholeYouNYC SCN. Primary responsibilities include service delivery invoice review and approval and support for SCN billing issue analysis and troubleshooting.
Specifically, the Billing Specialist will :
- Review and approve SCN service delivery invoices in Unite Us, troubleshooting issues directly with internal teams and external partners, as needed.
- Ensure that SCN service delivery invoices are accurate, timely and compliant with relevant regulations.
- Review and approve manual SCN service provider authorization requests.
- Support SCN claims submission including exception review, analysis and remediation.
- Act as an SCN invoicing, claims and billing subject matter advisor providing input and assistance to supervisor, internal teams and external partners as requested.
- Collaborate with other departments to resolve billing-related inquiries, discrepancies and issues.
- Provide programmatic support for SCN and service provider payments reconciliation.
- Provide insights that inform SCN learnings about billing trends, issues and opportunities. Support the planning and implementation of improvement initiatives.
- Participate in network engagement meetings, staff / team meetings, mentoring meetings, planning meetings and others, as needed.
- Support special projects as needed, including focused account audits, research, and follow-up.
- Other duties as assigned.
Qualification and Experience :
Desired Skills :
Benefits :
At PHS, we place immense value on diversity within our teams, understanding that varied backgrounds and experiences significantly enhance our community and propel us toward our goals. If you find you don’t have experience in all the areas listed above, we still encourage you to apply and share your background and experiences in your application. We are eager to discover how your unique perspective can bring positive transformations to our team and help advance our mission of creating healthier, more equitable communities.
We look forward to learning more about you!
PHS is proud to be an equal opportunity employer and encourages applications from women, people of color, persons with disabilities, LGBTQIA individuals, and veterans.
Monday - Friday
9am to 5pm
35 hours per week
Salary : $28 - $31
