WellLife Network · 1 month ago
Senior Revenue Cycle Associate - 10077 - Mon-Fri 9AM-5PM
United States
Full-time
Remote
Senior Level
$27/hr - $31/hr
5+ years expWellLife Network is one of New York’s largest nonprofit health and human services organizations, dedicated to compassion, inclusion, and excellence. The Senior Revenue Cycle Associate will manage the billing and accounts receivable cycle, ensuring timely claims submission and compliance with regulations.
CommunitiesHealth CareMedicalNon Profit
Responsibilities
Prepare and submit timely, and accurate claims to private and public insurance payers, including Medicare, Medicaid, and commercial plans
Verify the accuracy and appropriateness of billing codes (CPT, ICD-10, and HCPCS) prior to claim submission
Analyze denied or underpaid claims, identify root causes, and coordinate resolution with payers and internal departments
Serve as an escalation point for complex claim or payment issues requiring advanced knowledge of payer rules, coding and reimbursement guidelines
Ensure compliance with federal and state regulations, payer contracts, and organizational policies
Collaborate with clinical and administrative teams to ensure documentation accuracy and maintain revenue integrity
Support internal and external audits by providing billing documentation and explanations as requested
Maintain confidentiality of all patients and company information in accordance with HIPPA regulations
Perform other related administrative and billing duties as needed
Qualification
Required
High School diploma/GED required, Bachelor preferred or minimum five (5) yrs. experience required
Proven experience in medical and clinic-based billing, with strong understanding of billing codes, regulations, and reimbursement process
Strong understanding of CPT, ICD-10, and HCPCS coding principles
Knowledge of, HMO/PPO, Medicare, Medicaid, and other payer requirements and systems
Benefits
Medical, dental, vision, and 401k retirement plan (with matching)
Paid time off, holidays, and personal days
Free and low-cost gym and wellness access and support
Ongoing professional development and career advancement opportunities
Company
WellLife Network
WellLife Network offers behavioral health, community awareness, developmental disabilities, care management, and veterans services.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
$0.65MKey Investors
New York State
2023-02-15Grant· $0.65M
Leadership Team
Lori Alameda
Senior Vice President - CFO
Selena Rueda Furino
HRIS Partner
Recent News
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