Billing Analyst

FORTUNE SOCIETY INC•New York, NY

1d•$33 - $36•Onsite

About The Position

The Billing Specialist handles insurance claim submissions, tracks prior authorizations, and investigates denied claims to ensure providers are paid accurately. The Billing Specialist will perform data entry, data integrity checks, data reporting, compliance oversight, physical and digital paperwork processing, and project management across all Behavioral Health functions and programs.

Requirements

Bachelor’s degree in Business, Healthcare Administration, Finance, or related field
2+ years of medical billing/revenue cycle management
At least 2+ years in a leadership role
Strong knowledge of ABA billing, coding, and payer requirements
Proficiency with Caseworthy, AccuMed, EHR systems, and Microsoft 365
Exceptional communication and organizational skills
Ability to work in a fast-paced, evolving environment with precision and attention to detail
Relevant personal experience is a plus

Responsibilities

Perform weekly reviews and submissions of TS/BLC clinical service billing of all locations
Stay informed on the latest billing guidelines and ways of workings announced by state & federal agencies
Perform weekly reviews and submissions of of SCN invoices in Unite Us
Review denied invoices once they are adjudicated and support Millin's appeal process
Process and submit monthly Queenboro Work Release vouchers with the latest charge rates
Perform weekly reviews and submissions of Medicaid reimbursements of OMNY cards
Perform monthly reviews and submissions of OMH CRSRO Housing billing
Work with the clinicians or SCNs to fix claim/invoice/voucher/allocation errors of all BH billing functions in a timely manner
Provide periodic information/data that is requested by finance
Assist the Data Analytics Manager with routine auditing of BH billing practices
Serve as the back-up person to facility, provider, and insurance payer credentialing paperwork preparation
Perform other duties as assigned