Billing and Benefit Specialist

Billing and Benefit Specialist

Launch 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 timeliness

With 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 accountability

Monitor benefit utilization and troubleshoot complex benefit and claim issues in collaboration with internal teams, external payers, and funding sources

Generate and interpret monthly reports, identifying trends and making data-driven recommendations to improve revenue cycle outcomes

Coordinate and reconcile monthly financial activities, including allowance tracking, petty cash, deposits, and credit card statements

Ensure 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 enhancements

Prepare audit-ready documentation and serve as a point of contact for assigned internal financial reviews and audits

Attends staff and departmental meetings, as assigned

Maintains confidentiality of sensitive financial and client information

Interacts respectfully and professionally with coworkers, residents, vendors, and visitors

Abides by all NVWR Policies and Procedures

Supports 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 protocols

Healthcare billing practices, including Medicaid Waiver, managed care, and government-funded programs

HIPAA regulations related to billing and benefits

Financial reconciliation processes and internal control best practices

Understanding of payer authorization, denial management, and reimbursement cycles

Strong time management and organizational skills

Excellent attention to detail and accuracy

Proficiency in Microsoft Excel and financial systems

Effective verbal and written communication

Ability to work independently and prioritize multiple tasks

Strong analytical and critical thinking skills

Ability to maintain confidentiality and adhere to compliance regulations

Must be eligible for PA State Police clearance and FBI clearance

Education: Required: Associate's Degree in Business, Accounting, Human Services, or related field Preferred: Bachelor's Degree

Experience: Minimum of 2 years of experience in healthcare billing or a related role in the human services field

Physical 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 writing

Equipment Operation: Able to operate common office equipment, including a computer and copier/fax

Hazards of Position: Minimal risk of exposure to blood-borne pathogens Occasional interaction with clients experiencing emotional or behavioral distress