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

Catholic Charities Brooklyn and Queens•Brooklyn, NY

1d•Hybrid

About The Position

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 with Electronic billing software Net Smart preferred
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

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