Billing Specialist

JOB DEFINITION:
Senior Billing Specialist I primary responsibilities are to record all transactions of Clients, prepare invoices for claim submission, payment, follow-up and reconcile all Account Receivable.
EDUCATIONAL REQUIREMENTS:
5+ years' experience as a medical biller or similar role.
EXPERIENCE REQUIRED:

• Solid Knowledge and understanding of Billing Concepts, ICD-10, Medical Terminology, Behavioral Health Billing, and Electronic Medical Records. Ability to read and work with EOBs.
• Must have the ability to multitask and manage time effectively.
• Excellent written and verbal communication skills.
• Proficient in Microsoft Office -Excel and Word.

DUTIES AND RESPONSIBILITIES:

1. Prepare and submit billing data to all 3rd party payers through our Billing System.
2. Reconcile Data and correct errors for Batch Submission.
3. Accurate Data Entry of all client/patient information.
4. Post Payments from all 3rd party payers & Self Pay Clients, Follow-up on Missed Payments, also resolve any payment discrepancies.
5. Access Insurance Portals and clearinghouse platform to pull or review EOBs.
6. Collect and Review referrals/Authorizations.
7. Insurance Verification/Eligibility, update Billing Header.
8. Handle all balance calls from Clients & Front desk regarding Billing Inquiries
9. Process Rejected Claims from all platforms, correct for re-submission.
10. Investigate and Appeal Denied Claims.
11. Analyze and work Aging Accounts Receivable Reports.
12. Maintain EHR/Billing System by updating rate changes & fee schedule.
13. Resolve All Billing Issues and disputes by contacting insurance companies.
14. Identify and implement quality improvement trainings and activities as part of professional development goals
15. Complete QI Training during onboarding and participate in QI refresher training as needed.
16. Ability to cultivate a culture of inclusion for all employees that respects their individual strengths, views and experiences. A Culture that makes better decisions, drives innovation, and delivers better business results.
17. 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.
18. Health and Safety Awareness: Include any relevant knowledge or experience regarding health and safety protocols to ensure a safe work environment for all employees.
19. Be able to attend Agency functions on site, included but not limited to Agency fundraising events and Staff Day.

BENEFITS:
We offer an attractive and competitive benefits package for full time employees which includes but not limited to:

• 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 and so much more.
If interested please apply via this ad or fax your resume to HR DIRECTOR, CAROL OTERO at 516-396-0553.
CN Guidance & Counseling Services , inspires and catalyzes recovery for people living with mental health and substance use conditions through innovative and person-centered integrated clinical treatment, counseling, housing, and support services.

• Awarded Newsday/Dan papers Top Long Island Work Place 2019-2024, 6 years in a row.
• Every job and every team at our agency plays a role in helping other Long Islanders live healthy and fulfilling lives.
• Engage your passion and CHOOSE a career & employer where you can use your vital energy to make a difference.

It is the policy of CN Guidance and Counseling Services, Inc. to ensure equal employment opportunity without discrimination or harassment on the basis of race, color, religion, sex, sexual orientation, gender identity or expression, age, disability, marital status, citizenship, national origin, genetic information, or any other characteristic protected by law. CN Guidance and Counseling Services, Inc. prohibits any such discrimination or harassment.