Service Fee Supervisor; 9161-385-A.
3 weeks ago
STATEMENT OF THE JOB:
Under the direct supervision of the Service Fee Manager, the Service Fee Supervisor works with Netsmart’s Revenue Cycle Management (RCM) to provide a broad suite of business office services to enhance revenue collection and timely receipt of payments. The billing service includes all insurance carriers; Medicaid, Medicare and Managed Care Organizations and Commercial Payers. Including, but not limited to generating reports, reconciling billing data with remittances and preparing spreadsheets to track follow-up process. This position contains the supervisory duties to review the work of the Assistant Fee Supervisor. Periodically training staff.
* Assist with 835 enrollments.
* Initiate claims appeal for all clinical denials (No Auth, Med Rec Req, Non-covered service, Medical Necessity, Coding, Non- credentialed location or provider). RCM will provide a list of denials that require client interaction to resolve denial.
* Implement proposed changes to workflow.
* Work self-pay balances through management of 3rd party collection vendor and process.
* Review delinquent self-pay clients with organization liaison for final disposition.
* Research and status Client refunds
* Print and mail Client and insurance refund checks.
* Provide Netsmart with access to hospital or external systems for retrieval of demographic and clinical data as needed to work claims.
* Additional reporting needs or custom reporting request should be submitted through normal processes with Netsmart Managed Services. Specifications and design will be accommodated in the scope of those services.
* Communicate any needed adjustments to RCM.
* Complete applicable credentialing portions of the contracting process
* Contract rate negotiations
* Initial CAQH Provider Enrollment
* Provide Netsmart with updated provider attrition numbers.
* Assist client in the completion of payer enrollment agreements. Client will be required to sign enrollment forms (Signee must be registered with the payer). Client may be required to enroll through the payer portal – client login credentials may be required.
* Submit enrollment agreements to payers.
* Track the payer agreements for approval.
* Make necessary configurations to Care Record
* Generate 837 files for testing.
* Identify clearinghouse edits / rejections (Responsible for configuring Care Record to accommodate edits)
The following tasks will be performed Daily:
* Review and resolve as possible discrepancies/under payments.
* Ensure 80% of remits delivered through 835.
* Deposit time-of-service into bank account
* Deposit EFTs and check payments into bank account.
* Reconcile EFTs and check payments received against bank payments posted.
* Provide timely response and request to liaison regarding additional information to resolve delinquent insurance claims.
The following tasks will be performed Weekly:
* Research and Reporting of unbilled entries
* Reviews detailed listing of claims deemed uncollectable by RCM and approves write-off or requests additional information.
* Assist Netsmart with access to clinical or program managers that can assist with the following possible issues:
Documentation required for claims appeal for all clinical denials (No Auth, Med Rec Req, Non-covered service, Medical Necessity, Coding, Non-credentialed location or provider)
* Assist Netsmart with implement proposed changes to workflow to decrease denials
QUALIFICATIONS:
* Associates degree in Business/Finance/Related Field is preferred or Billing Certification with High School Diploma and an additional 2 years’ experience.
* 7 years of progressive work experience in related field.
* Experience working with Medicaid, Medicare and Managed Care.
* Experience with Electronic billing software, Netsmart preferred.
* Ability to effectively communicate and train staff in billing functions and processes.
* May be required to lift approximately 10 lbs.
* Able to travel throughout the five boroughs as needed.
BENEFITS:
We offer competitive salary and excellent benefits including:
* Generous time off (Vacation/ Personal Days/ Sick Days/ Paid Holidays annually)
* Medical,
* Dental
* Vision
* Retirement Savings with Agency Match
* Transit
* Flexible Spending Account
* Life insurance
* Public Loan Forgiveness Qualified Employer
* Training Series and other additional voluntary benefits.
-
Fee for Service Clinical Supervisor
3 weeks ago
New York, United States Northeast Family Services Full timeJob DescriptionJob DescriptionNortheast Family Services is a premier mental health provider with over 20 years of experience providing services to children, youth, and families. Are you excited to join an agency new to New York but with a long stand standing history of providing high quality care? Well, we are excited to meet YOU! The Clinical Supervisor...
-
Fee-For-Service Therapist-645407FS
2 months ago
New York, United States Institute for Comm Living Full timeJob DescriptionJob DescriptionOur Fee-For-Service Therapists are responsible for supplying necessary clinical intervention in a culturally competent and sensitive manner to children and adults in a hybrid setting. As part of a therapeutic team within ICL, our Fee-For-Service Therapists partner closely with the divisions' medical, psychiatric, and...
-
Fee-For-Service Therapist-645407FS
3 weeks ago
New York, United States Institute for Comm Living Full timeJob DescriptionJob DescriptionOur Fee-For-Service Therapists are responsible for supplying necessary clinical intervention in a culturally competent and sensitive manner to children and adults in a hybrid setting. As part of a therapeutic team within ICL, our Fee-For-Service Therapists partner closely with the divisions' medical, psychiatric, and...
-
Fee for Service Therapist
1 week ago
New York, United States Hudson Guild Full timeOur mission is to create and sustain a strong, effective community that acknowledges and responds to the potential, achievements and interdependence of its diverse members. Rooted in and primarily focused on the Chelsea neighborhood, we seek to empower all individuals and families to achieve their highest potential, while maintaining a priority on those in...
-
Fee-for-service Therapist
2 months ago
New York, United States Transitional Services for New York, Inc. Full timeTransitional Services for New York, Inc., not-for profit, is a comprehensive, community-based mental health organization located in New York City. We provide a continuum of rehabilitative services to enrich the lives of those recovering from mental illness and facilitate their transition to increased levels of independence. Transitional Services for New...
-
Fee-for-service Therapist
3 weeks ago
New York, United States Transitional Services for New York, Inc. Full timeTransitional Services for New York, Inc., not-for profit, is a comprehensive, community-based mental health organization located in New York City. We provide a continuum of rehabilitative services to enrich the lives of those recovering from mental illness and facilitate their transition to increased levels of independence. Transitional Services for New...
-
Licensed Therapist Fee- For-Service
2 weeks ago
New York, United States Northeast Family Services Full timeJob DescriptionJob DescriptionLicensed Therapists 100% Telehealth - Your Time, Your Terms! Fee for Service Opportunities for Independently Licensed Therapists$45 - $55 / Hour!Northeast Family Services is seeking Independently Licensed Outpatient Therapists to join our growing Florida telehealth team! Work 100% remote from home! Under the direction of the...
-
New York, United States Catholic Charities of Brooklyn and Queens Full timeJob DescriptionJob DescriptionFee for Service Licensed Social Worker LMSW/LMHC; $500 Sign-on Bonus Positions Available in Queens and Brooklyn $500.00 Sign-On BonusRemote, Hybrid, or On-site optionsWe are currently seeking to fill several Fee for Service Licensed Social Workers/Licensed Mental Health Counselor positions for our Brooklyn and Queens Outpatient...
-
New York, United States Catholic Charities of Brooklyn and Queens Full timeJob DescriptionJob DescriptionFee for Service Licensed Social Worker LMSW/LMHC; $500 Sign-on Bonus Positions Available in Queens and Brooklyn $500.00 Sign-On BonusRemote, Hybrid, or On-site optionsWe are currently seeking to fill several Fee for Service Licensed Social Workers/Licensed Mental Health Counselor positions for our Brooklyn and Queens Outpatient...
-
Senior Therapist
4 weeks ago
New York, United States Eating Disorder Recovery Specialists Full timeJob Description: Provides a range of psychological assessment, diagnostic, therapeutic, and/or meal support therapy services for individuals struggling with eating disorders. Core Duties and Responsibilities: Breakdown of services provided: 75%-100% Therapy clients - 0-25% EDRS Supports Provide in-person and/or virtual services in a combination of individual...
-
Senior Therapist
4 weeks ago
New York, United States Eating Disorder Recovery Specialists Full timeJob Description:Provides a range of psychological assessment, diagnostic, therapeutic, and/or meal support therapy services for individuals struggling with eating disorders.Core Duties and Responsibilities:Breakdown of services provided: 75%-100% Therapy clients - 0-25% EDRS SupportsProvide in-person and/or virtual services in a combination of individual and...
-
Senior Therapist
3 weeks ago
New York, United States Eating Disorder Recovery Specialists Full timeJob Description:Provides a range of psychological assessment, diagnostic, therapeutic, and/or meal support therapy services for individuals struggling with eating disorders.Core Duties and Responsibilities:Breakdown of services provided: 75%-100% Therapy clients - 0-25% EDRS SupportsProvide in-person and/or virtual services in a combination of individual and...
-
Senior Therapist
3 weeks ago
New York, United States Eating Disorder Recovery Specialists Full timeJob Description: Provides a range of psychological assessment, diagnostic, therapeutic, and/or meal support therapy services for individuals struggling with eating disorders. Core Duties and Responsibilities: Breakdown of services provided: 75%-100% Therapy clients - 0-25% EDRS Supports Provide in-person and/or virtual services in a combination of individual...
-
LPN (Fee For Service)
2 weeks ago
New York, United States MJHS Full timeJob DescriptionJob DescriptionFee for Service rates: Daily revisit rate: $48 per visit and Daily Weekend/Holiday revisit rate: $55 per visit.MJHS is a large not-for-profit health system in the Greater New York area. Our range of health services include home care, hospice and palliative care for adults and children, rehabilitation and nursing care at Menorah...
-
Bilingual Fee for Service Therapist
2 months ago
New York, United States Hudson Guild Full timeJob DescriptionJob DescriptionSalary: $40-$45 per HourOur mission is to create and sustain a strong, effective community that acknowledges and responds to the potential, achievements and interdependence of its diverse members. Rooted in and primarily focused on the Chelsea neighborhood, we seek to empower all individuals and families to achieve their highest...
-
Bilingual Fee for Service Therapist
3 weeks ago
New York, United States Hudson Guild Full timeJob DescriptionJob DescriptionSalary: $40-$45 per HourOur mission is to create and sustain a strong, effective community that acknowledges and responds to the potential, achievements and interdependence of its diverse members. Rooted in and primarily focused on the Chelsea neighborhood, we seek to empower all individuals and families to achieve their highest...
-
Occupational Therapist
1 month ago
New York, United States MJHS Full timeReq #: 1299 Job ID: 12907 Job Location: New York, NY Zip Code: 10040 Category: Occupational Therapy Agency: MJHS Home Care Status: Fee for Service Office: Field-based MJHS is a large not-for-profit health system in the Greater New York area. Our range of health services include home care, hospice and palliative care for adults and children,...
-
Occupational Therapist
2 weeks ago
New York, United States MJHS Full timeReq #: 1299 Job ID: 12907 Job Location: New York, NY Zip Code: 10040 Category: Occupational Therapy Agency: MJHS Home Care Status: Fee for Service Office: Field-based MJHS is a large not-for-profit health system in the Greater New York area. Our range of health services include home care, hospice and palliative care for adults and children,...
-
Fee for Service Home Care RN
4 weeks ago
New York, United States MJHS Full timeJob DescriptionJob DescriptionFee for Service regional needs: Bronx, Manhattan, Queens, or Brooklyn.Weekday and weekend shifts are available.MJHS is a large not-for-profit health system in the Greater New York area. Our range of health services include home care, hospice and palliative care for adults and children, rehabilitation and nursing care at Menorah...
-
Fee for Service Home Care RN
3 weeks ago
New York, United States MJHS Full timeJob DescriptionJob DescriptionFee for Service regional needs: Bronx, Manhattan, Queens, or Brooklyn.Weekday and weekend shifts are available.MJHS is a large not-for-profit health system in the Greater New York area. Our range of health services include home care, hospice and palliative care for adults and children, rehabilitation and nursing care at Menorah...