Medical Billing Specialist

7 days ago

New York, United States The Educational Alliance Inc. Full time

Educational Alliance brings together and partners with diverse communities in Lower Manhattan, offering individuals and families high-quality, multi-generational programs and services that enhance their well-being and socioeconomic opportunities. We are a place where everyone is welcome and where progress is powered one relationship at a time. We are proud of our legacy as a Jewish organization and we provide high-quality, transformational services and programs to all New Yorkers through our network of community centers on Manhattan’s Lower East Side and East Village. As we have for 130 years, we offer best-in-class programming-now across 15 sites—focusing on a mix of education, health and wellness, arts and culture, and civic engagement.

**The Role**: Reporting directly to the Billing Manager, the Specialist will perform billing functions for the Center for Recovery and Wellness (residential and outpatient) services. Provide financial administrative support as needed.
- Works closely with the Medical Billing Manager and Millin Billing Team in support of all billing functions at CRW
- Collaborates with EA Finance team in A/R functions and is responsible for maintaining claims and receivables reports for all billable services at CRW

**Responsibilities**:

- Support the billing team with all billing functions
- Review all Millin billing/AR reports for accuracy,
- Assist Millin Associates by responding to inquiries on Issue Tracker, identify and resolve billing issues, and follow up on denials if required
- Review Service documentation and Billing files for accuracy and completion
- Respond to A/R-related queries and issues related to monthly billing reports
- Maintain detailed receivables reports for both Part-822 and Part-820 OASAS programs and Billing Manager of any billing-related trends.
- Perform eligibility verification for all types of payors (Medicaid, MCOs, Medicare, Commercial, ACS) through the portals and over the phone/process PA for outpatient services if required
- Follow up on updates and changes in pay rates, rules, and regulations pertinent to OASAS programs
- Assist with reviewing Aura/EMR system reports, including Billing Weekly reports for accuracy and consistency
- Assist in monthly, quarterly, and year-end-close, relating to all billing transactions and receivables at CRW including the preparation of reports and reconciliations if required
- Track A/R claims submitted to Manage Care Plans and Medicaid and all other payors
- Regularly interact with Finance to ensure timely and accurate reconciliation of all receivables at CRW.
- Attend staff meetings and trainings as required.
- Perform special projects and other duties as assigned.

**Requirements**:

- College degree required; experience with medical billing, bookkeeping, and accounting highly preferred.
- Proficient in Microsoft Office, particularly Excel. Willingness and ability to learn Aura and new software(s) as required.
- Ability to maintain confidentiality of records and information.
- Excellent communication, organizational, and interpersonal skills. Team player, able to multi-task and handle challenging situations.
- Previous Medicaid, Medicare, and Private Insurance Billing experience required
- Knowledge and understanding of medical billing rules and regulations required
- Knowledge of OASAS and/or OMH/DOH regulations, APG methodology, and Value-Based Payments implementation preferred
- Ability to function independently, attend to detail and accuracy, work under pressure, and complete tasks on time

**Role Key Competencies**
- Team Player
- Detail-Oriented
- Communication
- Analytical
- Initiative
- Planning and Organizing

**Benefits**:

- Competitive Salary
- Generous PTO Policy
- Competitive Salary
- Medical, Dental, Vision and Life Insurance
- Pension Plan
- 403(b) Retirement Plan
- Discount Perks for Movies, Broadway Shows, and Amusement Parks, etc.
- Free Gym Membership to our Manny Cantor Center 14TH ST Y Fitness Center
- Discounts to programs at Educational Alliance

**Limitations and Disclaimer**

The above job description is meant to describe the general nature and level of work being performed; it is not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required for the position

**EEO Info**

Educational Alliance is committed to workplace diversity and inclusion. We are equal opportunity employers and do not discriminate in hiring or employment on the basis of race, color, religion, national origin, gender identity and expression, marital status, sexual orientation, age, disability, veteran status, or any other characteristic protected by federal, state, or local law. Educational Alliance takes affirmative action in support of its policy to employ and advance in employment individuals who are minorities, women, protected veterans, and individuals with disabilities.

Educational Alliance is an Equal Opportunity Employer.

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