Billing Specialist

CN Guidance and Counseling Services•Hicksville, NY

2d•Onsite

About The Position

Billing Specialist I primary responsibilities are Account Receivable follow-up, investigate, analyze, appeal and resolve any denied or unpaid insurance claims. The company, CN Guidance & Counseling Services, inspires and catalyzes recovery for people living with mental health and substance use conditions through innovative and person-centered integrated clinical treatment, counseling, housing, and support services. They have been awarded Newsday/Dan papers Top Long Island Work Place 2019-2025, 7 years in a row. Every job and every team at our agency plays a role in helping other Long Islanders live healthy and fulfilling lives. This role offers the opportunity to engage your passion and CHOOSE a career & employer where you can use your vital energy to make a difference.

Requirements

2+ years' experience performing Account Receivable follow-up in a Healthcare setting.
Solid Knowledge and understanding of Billing Concepts, ICD-10, Medical Terminology, Behavioral Health Billing, and Electronic Medical Records.
Ability to read and understand EOBs.
Ability to multitask and manage time effectively.
Effective written and verbal communication skills.
Proficient in Microsoft Office - Excel and Word.

Responsibilities

Monitor Aging Reports (AR) and perform extensive and timely account follow-up activities.
Investigate, analyze, appeal and resolve any denied insurance claims.
Routinely contact insurance companies to follow-up unpaid claims.
Utilize Insurance Portals to pull or review EOBs.
Complete all levels of appeals, adhering to payer specific appeal requirements.
Analyze Denial reasons and identify trends to avoid future denials.
Run Insurance Verification/Eligibility.
Collect and Review referrals/Authorizations.
Review all client/patient information to make sure it matches what's in the Billing System before submitting claim to insurance companies.
Prepare/submit billing data and claims to insurance companies through our Billing Systems (IMA/Carelogic).
Review and Process Rejected claims.
Post Payments and process remittances.
Effective communication with clients and staff to resolve billing inquiries and issues.
Identify and implement quality improvement trainings and activities as part of professional development goals.
Complete QI Training during onboarding and participate in QI refresher training as needed.
Ability to cultivate a culture of inclusion for all employees that respects their individual strengths, views and experiences. A Culture that makes better decisions, drives innovation, and delivers better business results.
Adherence to all safety protocols and procedures to ensure a safe working environment for all employees.
Demonstrate a commitment to maintaining a safe work environment by following established safety guidelines.
Include any relevant knowledge or experience regarding health and safety protocols to ensure a safe work environment for all employees.
Be able to attend Agency functions on site, included but not limited to Agency fundraising events and Staff Day.
Other duties as assigned.

Benefits

Medical
Dental
Vision
$0 Deductible Platinum Plus Medical Insurance Plan - 90% Employer Provided Benefit
Flexible Spending Account
403(b) retirement plan
Long Term and Short Term Disability
Legal Plan
Dependent Care Expense Account
Life Insurance/Supplemental Life Insurance
Pet Insurance
HRA
Training programs including a Mentorship program
Employees may be eligible for Federal/Public Student Loan Forgiveness
Career growth and Promotional opportunities
Employee Perks and Discounts to Broadway shows and more
5 Personal Days, 10-20 Vacation Days, 12 Sick Days, 12 Company Paid Holidays-yearly