Medical Billing Specialist

Educational Alliance brings together and partners with diverse communities in Lower Manhattan, offering individuals and families high-quality, multi-generational programs and services that enhance their well-being and socioeconomic opportunities.

We are a place where everyone is welcome and where progress is powered one relationship at a time. We are proud of our legacy as a Jewish organization and we provide high-quality, transformational services and programs to all New Yorkers through our network of community centers on Manhattan’s Lower East Side and East Village.

As we have for years, we offer best-in-class programming now across 15 sites focusing on a mix of education, health and wellness, arts and culture, and civic engagement.

The Role : Reporting directly to the Billing Manager, the Specialist will perform billing functions for the Center for Recovery and Wellness (residential and outpatient) services.

Provide financial administrative support as needed.

• Works closely with the Medical Billing Manager and Millin Billing Team in support of all billing functions at CRW
• Collaborates with EA Finance team in A / R functions and is responsible for maintaining claims and receivables reports for all billable services at CRW

Responsibilities :

• Support the billing team with all billing functions
• Review all Millin billing / AR reports for accuracy,
• Assist Millin Associates by responding to inquiries on Issue Tracker, identify and resolve billing issues, and follow up on denials if required
• Review Service documentation and Billing files for accuracy and completion
• Respond to A / R-related queries and issues related to monthly billing reports
• Maintain detailed receivables reports for both Part- and Part- OASAS programs and Billing Manager of any billing-related trends.
• Perform eligibility verification for all types of payors (Medicaid, MCOs, Medicare, Commercial, ACS) through the portals and over the phone / process PA for outpatient services if required
• Follow up on updates and changes in pay rates, rules, and regulations pertinent to OASAS programs
• Assist with reviewing Aura / EMR system reports, including Billing Weekly reports for accuracy and consistency
• Assist in monthly, quarterly, and year-end-close, relating to all billing transactions and receivables at CRW including the preparation of reports and reconciliations if required
• Track A / R claims submitted to Manage Care Plans and Medicaid and all other payors
• Regularly interact with Finance to ensure timely and accurate reconciliation of all receivables at CRW.
• Attend staff meetings and trainings as required.
• Perform special projects and other duties as assigned.

Requirements :

• College degree required; experience with medical billing, bookkeeping, and accounting highly preferred.
• Proficient in Microsoft Office, particularly Excel. Willingness and ability to learn Aura and new software(s) as required.
• Ability to maintain confidentiality of records and information.
• Excellent communication, organizational, and interpersonal skills. Team player, able to multi-task and handle challenging situations.
• Previous Medicaid, Medicare, and Private Insurance Billing experience required
• Knowledge and understanding of medical billing rules and regulations required
• Knowledge of OASAS and / or OMH / DOH regulations, APG methodology, and Value-Based Payments implementation preferred
• Ability to function independently, attend to detail and accuracy, work under pressure, and complete tasks on time

Role Key Competencies

• Team Player
• Detail-Oriented
• Communication
• Analytical
• Initiative
• Planning and Organizing

Benefits :

• Competitive Salary
• Generous PTO Policy
• Competitive Salary
• Medical, Dental, Vision and Life Insurance
• Pension Plan

b) Retirement Plan

• Discount Perks for Movies, Broadway Shows, and Amusement Parks, etc.
• Free Gym Membership to our Manny Cantor Center 14TH ST Y Fitness Center
• Discounts to programs at Educational Alliance

Limitations and Disclaimer

The above job description is meant to describe the general nature and level of work being performed; it is not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required for the position