Senior Service Fee Biller-Full Time; 9161-351-A

Catholic Charities Brooklyn and Queens•New York, NY

1d•Hybrid

About The Position

For 125 years, Catholic Charities Brooklyn and Queens has been providing quality social services to the neighborhoods of Brooklyn and Queens, and currently offers 160-plus programs and services for children, youth, adults, seniors, and those struggling with mental illness. Under the direct supervision of the Service Fee Supervisor, the position is responsible for computerized Medicaid, Medicare and MCO billing duties. Coordinate electronic and manual remittance processing from multiple pay sources including Medicaid, Medicare, and Managed Care. Review aging reports. Generate standardized reports. Reconciling billing data with remittances and preparing spreadsheets to track follow-up process. Review weekly suspense report. Analyzes data from reports to identify patterns of inefficiency and lost revenue. Follows corrective action. Re-bill and adjust claims as necessary. Batch and submit claims to Medicaid, Medicare, and MCO. Review denial responses. Follow-up with payer regarding issues or denials. Post denial and update spreadsheet. Communicate with direct care program staff as needed. Other tasks as assigned by the supervisor.

Requirements

Associates degree required
5 years of progressive work experience in related field is required.
Experience working with Medicaid, Medicare and Managed Care.
Working knowledge of Excel, MS Word and Outlook and overall computer proficiency.
Ability to travel to multiple locations within the five boroughs as needed.
Must be able to occasionally lift and/or move up to 10 pounds.

Nice To Haves

Bachelors degree preferred.
Experience with Electronic billing software Net Smart preferred.

Responsibilities

Computerized Medicaid, Medicare and MCO billing duties.
Coordinate electronic and manual remittance processing from multiple pay sources including Medicaid, Medicare, and Managed Care.
Review aging reports.
Generate standardized reports.
Reconcile billing data with remittances and prepare spreadsheets to track follow-up process.
Review weekly suspense report.
Analyze data from reports to identify patterns of inefficiency and lost revenue.
Follow corrective action.
Re-bill and adjust claims as necessary.
Batch and submit claims to Medicaid, Medicare, and MCO.
Review denial responses.
Follow-up with payer regarding issues or denials.
Post denial and update spreadsheet.
Communicate with direct care program staff as needed.
Perform other tasks as assigned by the supervisor.