Medicaid Biller/Electronic Health Record System Administrator(Hybrid Work Schedule)

THE FAMILY RESOURCE NETWORK•East Windsor, NJ

5d•$53,000 - $58,000•Hybrid

About The Position

Join a Team That’s Making a Difference for Thousands of Families Across New Jersey! At the Family Resource Network (FRN), we’re committed to improving the lives of individuals living with epilepsy, autism, intellectual and developmental disabilities, physical disabilities, and chronic illnesses. With over 30 programs and services, we’ve impacted the health and happiness of thousands of families for over five decades. But our impact doesn’t stop there—our community events, like the “Walk for the ONE” 5k walk/run and the Autism Beach Bash, bring even more people together in support of our mission. As part of FRN, you’ll be joining a statewide organization that serves over 3,500 through direct service and 80,000 individuals through training and education annually. FRN’s core service areas include: providing community-based programs that meet the evolving needs of individuals and families across New Jersey. At FRN, our values-driven culture is what sets us apart. We are deeply committed to fostering a positive and inclusive environment, where everyone’s voice is heard, and every contribution matters. Our focus on respect, integrity, and teamwork allows us to create meaningful change for the individuals and families we serve, while ensuring that each team member thrives in a supportive, collaborative workplace. If you have a genuine passion for helping others and are eager to contribute to meaningful change, we invite you to bring your enthusiasm and lend your talents to advancing our mission. The Medicaid Biller/EHR System Administrator will be responsible for supporting the Billing/Finance Department in authenticating medical billing claims and validating the fee schedules that are being applied to each claim. As the System Administrator of our Electronic Health Record systems they will be responsible for management and oversight of usage of our current systems, coordination with vendors for upgrades, enhancements etc. (Foothold). This position will also be responsible for ensuring that any billing vendor for The Family Resource Network is invoicing the appropriate Insurance payors in a timely manner and then tracking and resolving claim denials from the Insurance payors. The Medicaid Biller will also need to maintain a detailed report of all Billing activity and payment status as well as providing recommendations on how to optimize billing process.

Requirements

Relevant billing experience
Familiar with remittance, electronic health records and Medicaid billing processes required
Proficient with Microsoft Office Suite or related software.
Must possess excellent communication skills with families, insurance companies and colleagues.
Proficient with medical terminology, electronic medical records (EMR) and ICD-10 (preferred).
Excellent problem-solving skills.
Experience with Microsoft Office products inc. Excel, Word, Outlook, and Teams.
Ability to work alone or in a team environment.
Strong organizational skills and be detail oriented

Nice To Haves

Nonprofit or social service billing experience or Medicaid billing experience a plus
Works will in an environment with firm deadlines
Proven ability to multitask and stay organized under pressure
Prior experience with EHR software preferred
NaviNet experience a plus.
Associates degree (preferred)( Health Care Administration a plus).
Spanish language skills a plus

Responsibilities

Prepare and submit electronic and paper claims for all agency fee-for-service billing
Analyze client records, check them for completeness/accuracy and compile Medicaid billing information
Maintain up to date billing information in multiple electronic databases
Ensure proper coding, authorizations, and service documentation
Resolve disputed claims and discrepancies by conducting research and initiating corrective action
Ensures timely follow up and tracking of all claims, rejections, resubmissions, and appeals.
Verify Consumer Medicaid insurance eligibility as necessary
Coordinate with all FRN departments to resolve billing issues
Prepare monthly summary reports of Fee for Service billing, adjustments, and revenue
Participate in continuing education and maintain knowledge of current Medicaid billing and reimbursement procedures
Facilitate billing operations by following policies and procedures, HIPAA compliance and reporting compliance issues
Ensure that all work is carried out in a manner that is both respectful and empowering to those we serve as well as all FRN staff
Serve as System Administrator of Electronic Health Record system (Foothold)
Manage software for billing
Resolve system issues
Act as liaison between IT EHR systems and staff, to improve staff accessibility, reporting and day-to-day operations
Troubleshoot systems as needed
Provide training staff on use of EHR system