Senior Service Fee Biller-Full Time;

Job Title

Under the direct supervision of the Service Fee Supervisor, the position is responsible for computerized Medicaid, Medicare and MCO billing duties.

Coordinate electronic and manual remittance processing from multiple pay sources including Medicaid, Medicare, and Managed Care.

Review aging reports.

Generate standardized reports.

Reconciling billing data with remittances and preparing spreadsheets to track follow-up process.

Review weekly suspense report.

Analyzes data from reports to identify patterns of inefficiency and lost revenue.

Follows corrective action.

Re-bill and adjust claims as necessary.

Batch and submit claims to Medicaid, Medicare, and MCO.

Review denial responses.

Follow-up with payer regarding issues or denials.

Post denial and update spreadsheet.

Communicate with direct care program staff as needed.

Other tasks as assigned by the supervisor.

Qualifications:

Associates degree required/Bachelors preferred.

5 years of progressive work experience in related field is required.

Experience with Electronic billing software Net Smart preferred.

Experience working with Medicaid, Medicare and Managed Care.

Working knowledge of Excel, MS Word and Outlook and overall computer proficiency.

Ability to travel to multiple locations within the five boroughs as needed.

Must be able to occasionally lift and/or move up to 10 pounds.

Benefits:

We offer competitive salary and excellent benefits including:

* Generous time off (Vacation/ Personal Days/ Sick Days/ Paid Holidays annually)

* Medical

* Dental

* Vision

* Retirement Savings with Agency Match

* Transit

* Flexible Spending Account

* Life insurance

* Public Loan Forgiveness Qualified Employer

* Training Series and other additional voluntary benefits.