Social Care Network Billing Specialist

ALI FORNEY CENTER•New York, NY

44d•$55,000 - $70,000•Onsite

About The Position

The Social Care Network (SCN) Billing Specialist is responsible for preparing, reviewing, submitting, and reconciling monthly SCN billing and reimbursement documentation related to Medicaid 1115 Waiver Health-Related Social Needs (HRSN) services. The Billing Specialist works closely with program teams to ensure service documentation is accurate, timely, compliant, and properly entered into the SCN IT Platform to support reimbursement for screenings, navigation, nutrition services, housing supports, and enhanced care management activities.

Requirements

Associate’s or Bachelor’s degree in accounting, healthcare administration, finance, or related field preferred.
Experience with New York State Medicaid systems or fee-for-service reimbursement strongly preferred.
Strong attention to detail and organizational skills.
Ability to interpret billing guidelines and compliance requirements.
Experience working with electronic health records, care management systems, or billing platforms preferred.
Proficiency in Microsoft Excel and reporting systems.
Strong communication and follow-up skills.
Minimum 2 years of experience in Medicaid billing, healthcare reimbursement, social services billing, or managed care operations preferred.
Mission alignment and commitment to affirming, youth-centered practice
Cultural humility and ability to work effectively with diverse LGBTQ+ youth populations
Trauma-informed, strengths-based approach to service delivery and collaboration
Clear communication, professionalism, and accountability
Adaptability, sound judgment, and ability to respond calmly in fast-paced environments
Medicaid & SCN Billing Expertise
Regulatory Compliance
Billing Accuracy & Documentation
Revenue Cycle Management
Quality Assurance
Data Integrity & Reporting
Ability to manage Attention to detail
Collaboration across teams and effective relationship-building with participants, partners, and staff
Problem-solving & prioritization
Technology & Systems Proficiency

Responsibilities

Prepare and submit monthly billing and reimbursement documentation for SCN-funded services.
Review service documentation for completeness, compliance, and billing eligibility prior to claim submission.
Monitor billing activity for screenings, navigation services, enhanced HRSN services, nutrition supports, and housing-related services.
Track payments, denials, recoupments, corrections, and outstanding claims.
Coordinate with program staff to resolve missing documentation, incomplete referrals, or billing discrepancies.
Maintain accurate billing records and reimbursement reports.
Assist with audits, monitoring reviews, reconciliation processes, and financial reporting.
Ensure billing activities comply with NYSDOH, OHIP, SCN Operations Manual, Medicaid, and MCO requirements.
Support data entry and quality assurance activities within the SCN IT Platform.
Work collaboratively with AFC finance, compliance, and program leadership teams.
Identify trends, operational inefficiencies, or compliance concerns impacting reimbursement.