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2 months ago
The Educational Alliance Inc. is seeking a highly skilled Medical Billing Specialist to join our team. As a key member of our finance department, you will be responsible for performing billing functions for our Center for Recovery and Wellness (CRW) services.
Key Responsibilities- Collaborate with the Medical Billing Manager and Millin Billing Team to support all billing functions at CRW.
- Work closely with the EA Finance team to maintain claims and receivables reports for all billable services at CRW.
- Support the billing team with all billing functions, including reviewing Millin billing/AR reports for accuracy.
- Assist Millin Associates by responding to inquiries on Issue Tracker, identifying and resolving billing issues, and following 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.
- 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.
- 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
