Access: Supports for Living · 2 weeks ago
Senior Billing Specialist
Middletown, NY
Full-time
Onsite
Senior Level
$26.44/hr - $26.44/hrAccess: Supports for Living is dedicated to providing resources and tools to support frontline staff. The Senior Billing Specialist plays a key role in managing billing and revenue throughout the revenue cycle, ensuring accurate claims processing and financial data management.
Health CareManufacturingMedical DeviceNon Profit
Responsibilities
Promote revenue cycle improvements throughout the organization, including working with appropriate programs, front desk staff, remit, denial management and insurance verifications areas to aid in the resolution of identified revenue cycle billing issues
Handling billing cycle review procedures for pre-processing (scrubbing) of weekly claims processing
Analyze, billing and processing program claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues
Analyzing, identifying and resolving complex claims issues adversely impacting the revenue cycle management and billing process and achieving resolution through coordination and reconciliation
Review and work claims in the clearinghouse & Fund EZ. Complete weekly billing batches (uploads and response files) in Electronic Health Record (MyEvolv)
Understand clients’ insurance benefits utilizing ePACES, various payers’ portals
Maintain a working knowledge of OMH, OASAS, Medicare, Medicaid, Medicaid Managed Care and other payers’ billing regulations for all programs
Oversight of self-pay processing and assist with monitoring on participant outstanding balances
Provide credentialing management support working with program directors to identify when changes must be made to the EHR system, incudes communicating to systems support when corrections require a process or system change
Understand and remain updated with current coding and billing regulations and compliance requirements
Cross-train other revenue cycle areas to support and back-up the remit and denial management functional areas
Qualification
Required
Detail-oriented, and able to work independently as well as on a collaborative team
Ease and comfort with numbers and calculations
Working knowledge of related CPT Codes and Revenue Codes
Excellent written and verbal communication skills, as well as excellent organizational and interpersonal skills
Ability to take initiative and problem-solving skills
Capable of setting priorities and ability to manage multiple projects as well as strong follow-through skills
Ability to communicate effectively with all levels of employees, including leadership as required
Proficient working with Word, Excel, PowerPoint and Electronic Medical Record Systems (MyEvolv is a plus)
Associate Degree from an accredited university
Knowledge of Medical Insurance programs such as Medicaid, Medicare and Dual eligibility benefits establishment
Experience with automated billing systems and familiarity with regulatory and compliance requirements and statutes
Knowledge and experience with behavioral health/medical billing
Preferred
Accounting degree preferred
Strong preference is given to candidates who have attended an accredited certificate program focused on Medical Billing
Company
Access: Supports for Living
Rewarding Lives. Healthy Communities. Welcome to an agency that is passionate about supporting the families and communities of the Hudson Valley.
Founded in 1998Middletown, New York, USA
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
James DeStefano
President and CEO
Angela Woods, MBA
Chief Administrative Officer
Company data provided by crunchbase