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Billing & Compliance Associate

3 months ago

New York, United States Greater New York Nursing Services Full time
Job DescriptionJob DescriptionSalary: $60,000 to $70,000

The Billing & Compliance Associate is responsible for billing and collection operations by creating and issuing invoices, addressing billing problems, and following up on payments with customers and various health insurance companies, to ensure the company tracks and collects debts consistently and correctly. The billing and Collections Coordinator should know billing procedures and be equipped with strong attention to detail, analytical ability, and communication skills.


***Compliance and Credentialing experience required 


DUTIES AND RESPONSIBILITIES


  • Prepare invoices and distribute them electronically.
  • Ensure customers are billed correctly for services offered.
  • Facilitates monitoring of revenues by tracking money owed by health insurance companies, preparing invoices and updating records.
  • Maintains records of medical billing, claims, and medical insurance about the Agency’s patients.
  • Answers all questions from patients, clerical staff, and insurance companies.
  • Designates corresponding codes to ensure medical facilities and health insurance companies are accurately billed for diagnoses and procedures to avoid discrepancies.
  • Receives and applies incoming payments.
  • Carefully reviews accounts for potential collection follow-up.
  • Carefully prepares all relevant information to be communicated to management or sent to payors for collection efforts.
  • Manages the status of accounts and balances and identifies any inconsistencies.
  • Records invoices and payments in billing and accounting software.
  • Ensures all clients remain informed on their outstanding debts.
  • Provides solutions to any client problems relating to billing or collections.
  • Prepares thorough reports on billing activity with clear and reliable data.
  • Makes outbound collection calls professionally while maintaining and improving customer relations.
  • Reports on activity to senior leadership
  • Charge credit cards for Private Pay Patients
  • Submission of invoices, upon request
  • Point person for Medicaid denials and resolving them timely.

EDUCATION REQUIRED

  • Associate’s Degree required. A Bachelor’s Degree in Business or a related field is preferred.

EXPERIENCES AND SKILLS REQUIRED

  • A minimum of two years of demonstrated experience as a Medical Billing Specialist or in a similar role.
  • Medicaid billing experience is required.
  • Proficient with electronic medical records (EMR.)
  • Proficient in Microsoft Office, especially Excel.
  • Experience in Home Healthcare or related field preferred, but not required.
  • Ability to effectively communicate verbally and in written formats at all levels.
  • High level of professionalism with the ability to handle sensitive and confidential information.


EEO POLICY

Greater NY Nursing Services provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.


This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.