Billing and Collections Analyst

Position: Billing and Collections Analyst - Healthcare

Location: Hybrid (Must Reside in NY/NJ/CT)

Work Schedule: Monday - Friday, 9:00am - 5:00pm

Compensation: $68,163.46 - $76,683.89 Annual Salary

Job Summary:

The Billing and Collections Analyst will be assisting with accounts receivables, billing and collection duties including, but not limited to – collections of outstanding accounts receivable dollars from New York State Medicaid and Private Payors, revenue analysis and all other aspects of collections, resolving member, resident and Medicaid billing issues which would reduce the accounts receivable delinquency and month end AR closings .

Essential Job Functions:

• Review open accounts for collection efforts
• Making outbound collection calls in a professional manner while keeping and improving customer relations
• Resolve member and resident billing issuers and rescue accounts receivable delinquency, applying customer payments in accordance with payment due dates
• Review and monitor assigned accounts and all applicable collection efforts
• Provide timely follow-up on payment arrangements
• Review spendown monthly invoicing
• Weekly cash receipts and refunds for Assisted Living Facility
• Preparation of billing Journal Entries for month-end closing such as: JEs for spendown, Medicare LICS, housing receivables and bad debt
• Assist in annual financial audit process
• Submit adhoc NYS DOH membership billing and voids
• Identify members to rebill or void, fix and resubmit denied claims
• Monthly reconciliation of member spenddown billing. Coordinate with vendor for cash applications and issues. Review spenddown refund request provided by vendor.
• Maintain all billing functions for housing residents' (assisted living) including but not limited to coordinating with Medicaid and outside vendors for certification, perform weekly submissions for NYS Medicaid billing, cash receipt applications and reconciliations
• Identify problem areas and discuss with AVP
• Assist with special projects related to the billing team

Qualifications & Minimum Requirements:

Experience:

• 5+ plus years in NYS Medicaid Healthcare Facility (assisted living facility / nursing home) billing receivables and collections (mandatory)
• 5+ plus years' experience utilizing EMEDNY for Medicaid Facility billing, coding, pooled trusts, spendown and reconciliations (mandatory)
• 5+ plus years' experience preparing month end journal entries for facility billing and cash application (mandatory)
• Experience with Matrix Care billing system (preferable)
• Advanced excel skills (mandatory)

Education and certification:

• Minimum of an Associates Degree in Finance, Healthcare, Coding or relevant experience