Insurance Follow UP Specialist

Billing and Benefit SpecialistLaunch your Career Path at New Vitae Wellness and Recovery!The Billing and Benefits Specialist supports New Vitae Wellness and Recovery's revenue cycle and client benefit coordination functions. This role ensures accurate, timely billing to external payers, consistent payment posting, and resolution of benefit and claim issues. The Specialist also plays a key role in analyzing financial activity, recommending improvements, and supporting systems that enhance accountability and program quality.Manage billing processes to assigned third-party payers and funding sources, ensuring accuracy, compliance, and timelinessWith Admissions Team complete financial vetting, ensure all appropriate documents are collected, and R&B and pharmacy contracts are signed timely.Participate in the annual rate increase process by developing recommendations, preparing required letters and contract documents, and ensuring Residential & Board (R&B) contract addenda are distributed, executed, and returned in a timely manner.Perform audits and detailed analysis of petty cash and credit card usage; develop and present recommendations to the Vice President of Business Operations and program leadership to optimize spending and ensure fiscal accountabilityMonitor benefit utilization and troubleshoot complex benefit and claim issues in collaboration with internal teams, external payers, and funding sourcesGenerate and interpret monthly reports, identifying trends and making data-driven recommendations to improve revenue cycle outcomesCoordinate and reconcile monthly financial activities, including allowance tracking, petty cash, deposits, and credit card statementsEnsure that all corporate card and petty cash receipts are received and recorded on the tracker and in Sage.Disburse petty cash based on pre-approved amounts.Ensure all returned petty cash receipts and change reconcile with original amount disbursed.Verify supporting documentation for reimbursements and ensure compliance with established procedures.Collaborate cross-functionally with program and finance teams to identify inefficiencies and implement workflow enhancementsPrepare audit-ready documentation and serve as a point of contact for assigned internal financial reviews and auditsAttends staff and departmental meetings, as assignedMaintains confidentiality of sensitive financial and client informationInteracts respectfully and professionally with coworkers, residents, vendors, and visitorsAbides by all NVWR Policies and ProceduresSupports and models the NVWR Wellness and Recovery Platform Statements (Mission, Vision, Core Values, Ethical Standards, Service Model, and Leadership Commitments)Follows all employee health and safety protocolsHealthcare billing practices, including Medicaid Waiver, managed care, and government-funded programsHIPAA regulations related to billing and benefitsFinancial reconciliation processes and internal control best practicesUnderstanding of payer authorization, denial management, and reimbursement cyclesStrong time management and organizational skillsExcellent attention to detail and accuracyProficiency in Microsoft Excel and financial systemsEffective verbal and written communicationAbility to work independently and prioritize multiple tasksStrong analytical and critical thinking skillsAbility to maintain confidentiality and adhere to compliance regulationsMust be eligible for PA State Police clearance and FBI clearanceEducation: Required: Associate's Degree in Business, Accounting, Human Services, or related field Preferred: Bachelor's DegreeExperience: Minimum of 2 years of experience in healthcare billing or a related role in the human services fieldPhysical Demands: Able to sit, stand, and walk for periods of time Able to hear ordinary conversation and phone communication Proficient in English both verbally and in writingEquipment Operation: Able to operate common office equipment, including a computer and copier/faxHazards of Position: Minimal risk of exposure to blood-borne pathogens Occasional interaction with clients experiencing emotional or behavioral distress