Medical Billing Specialist

2 days ago


New York, New York, United States Educational Alliance Full time

Educational Alliance is seeking a highly skilled Medical Billing Specialist to join our team at the Center for Recovery and Wellness (CRW). As a key member of our billing team, you will be responsible for performing billing functions, providing financial administrative support, and collaborating with our Medical Billing Manager and Millin Billing Team.


Key Responsibilities:
  • Support the billing team with all billing functions
  • Review all Millin billing/AR reports for accuracy
  • Assist Millin Associates with 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

Benefits:
  • Competitive Salary
  • Generous PTO Policy
  • 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


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