820 Billing Specialist

Odyssey House INC•New York, NY

About The Position

Since 1967, Odyssey House has been providing innovative services and programs to a broad population of individuals and families struggling with substance use and mental health disorders. Odyssey House helps New Yorkers of all ages—and across all five boroughs—beat drugs and alcohol with highly individualized treatment programs. Odyssey House provides high quality, holistic treatment impacting all major life spheres, including: psychological, physical, social, family, educational and spiritual in order to support personal rehabilitation, renewal and family restoration. If that sounds different than other treatment programs, you’re right. Because Odyssey is where recovery gets real. The 820 Billing Assistant is responsible for assisting billing team with collection of Managed Care Organization payments.

Requirements

Excellent analytical, problem solving, and interpersonal and communication skills
Proficiency in Microsoft Excel
Must be able to work independently and with a team

Nice To Haves

2 years of experience is preferred

Responsibilities

Reconcile client number of days stay between AWARDS and Census Reports
Verify accuracy of clients’ health insurance in AWARDS through ePaces
Access real-time payer portals to verify accuracy in authorization ID entered in AWARDS
Verify and confirm appropriate diagnosis and procedure coding as per clinical documentation
Address immediately clearinghouse rejection through Millin portal
Ensure processing of claims in timely manner to secure payment
Navigate payee websites/portals to keep track payments or denials
Works closely with co-workers to analyze and identify issues
Properly apply documentation through eBridge portal for appeals
Calling insurance companies to research the reason for denials
Post payments in AWARDS database
Provide remittance advice and other supporting documents to accounting staff to post payment in accounting system
Prepare revenue analysis as needed

Benefits

A 35-hour work week (as opposed to a 40-hour work week)
Vacation Plan and Holiday Schedule
Life Insurance
Medical Insurance (Two Plans)
Dental and Vision Insurance
Additional Insurance Coverages (hospitalization, accidental, critical illness coverage)
Long-Term & Short-Term Disability
Flexible Spending Account/Health Reimbursement Account
403(b) Plan
Corporate Counseling Associates (CCA) EAP benefit
Ability Assist Counseling Services (through The Hartford)
Commuter Benefits
Educational Assistance Programs
Special shopping discounts through ADP Marketplace and PlumBenefits
RUFit?! Fitness Program
Legal Assistance through ARAG
Optum Financial Service through ConnectYourCare
Benefit Advocacy Center through Gallagher