For 125 years, Catholic Charities Brooklyn and Queens has been providing quality social services to the neighborhoods of Brooklyn and Queens, and currently offers 160-plus programs and services for children, youth, adults, seniors, and those struggling with mental illness.
STATEMENT OF THE JOB:
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.
- 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.
For more information on our organization, please visit our website at:
www.ccbq.org EOE/AA.
