Job Description

JOB DEFINITION:

Billing Specialist I primary responsibilities are Account Receivable follow-up, investigate, analyze, appeal and resolve any denied or unpaid insurance claims.

EDUCATIONAL REQUIREMENTS:

2+ years' experience performing Account Receivable follow-up in a Healthcare setting.

EXPERIENCE REQUIRED:

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

DUTIES AND RESPONSIBILITIES:

1. Monitor Aging Reports (AR) and perform extensive and timely account follow-up activities. To investigate, analyze, appeal and resolve any denied insurance claims.
2. Routinely contacts insurance companies to follow-up unpaid claims. In addition, utilizes Insurance Portals to pull or review EOBs.
3. Complete all levels of appeals, adhering to payer specific appeal requirements.
4. Analyze Denial reasons, identify trends to avoid future denials.
5. Run Insurance Verification/Eligibility
6. Collect and Review referrals/Authorizations.
7. Review all client/patient information, to make sure it matches what's in the Billing System before submitting claim to insurance companies.
8. Prepare/submit billing data and claims to insurance companies through our Billing Systems (IMA/Carelogic).
9. Review and Process Rejected claims.
10. Post Payments and process remittances.
11. Effective communication with clients and staff t resolve billing inquiries and issues.
12. Identify and implement quality improvement trainings and activities as part of professional development goals
13. Identify and implement quality improvement trainings and activities as part of professional development goals
14. Complete QI Training during onboarding and participate in QI refresher training as needed.
15. 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.
16. 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.
17. Health and Safety Awareness: Include any relevant knowledge or experience regarding health and safety protocols to ensure a safe work environment for all employees.
18. Be able to attend Agency functions on site, included but not limited to Agency fundraising events and Staff Day.
19. Other duties as assigned.

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.

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If interested please apply via this ad or fax your resume to HR DIRECTOR, CAROL OTERO at 516-396-0553.

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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 2019-2025, 7 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.

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