Billing Specialist

CN Guidance and Counseling Services•Hicksville, NY

1d•Onsite

About The Position

The Billing Specialist I primary responsibilities are Account Receivable follow-up, investigate, analyze, appeal and resolve any denied or unpaid insurance claims. This role involves monitoring aging reports, contacting insurance companies, utilizing insurance portals, completing appeals, analyzing denial reasons, running insurance verification/eligibility, collecting and reviewing referrals/authorizations, reviewing client/patient information for accuracy in the billing system, preparing and submitting billing data and claims, reviewing and processing rejected claims, posting payments, processing remittances, and communicating with clients and staff to resolve billing inquiries and issues. The position also includes identifying and implementing quality improvement trainings and activities as part of professional development goals, completing QI training during onboarding, and participating in QI refresher training as needed. It requires cultivating a culture of inclusion, adhering to safety protocols, and demonstrating a commitment to maintaining a safe work environment. The role may also involve attending agency functions on site and performing other duties as assigned.

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.

Nice To Haves

Health and Safety Awareness: Include any relevant knowledge or experience regarding health and safety protocols to ensure a safe work environment for all employees.

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, 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.
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.
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