Senior Billing Specialist - The Guidance Center of Westchester

POSITION: Senior Billing Specialist

PROGRAM: Billing TGCW is seeking a qualified candidate for the position FT Medical Biller and Collections Specialist to work in our Administrative office located in Mount Vernon, NY. The Biller is responsible for making sure that our behavioral healthcare services are billed correctly, accurate records are maintained, claims are processed & paid, and reports are produced on a timely basis showing status of processed and pending claims.

RESPONSABILITIES: Compile, monitor and submit out claims. Work error reports from billing system. Communicate with program staff to make sure that clean claims are submitted. Review and work claims in the clearinghouse & emedny. This may include but not limited to rejections, pending approval, transmitted, or deleted. Maintain system to track billing batches and ensure that all claims are accepted. Verify & understand clients’ insurance benefits utilizing ePACES, various payers’ portals and phone. Stay current on regulatory changes related to Medicaid, Medicaid Managed Care, Medicare and Private insurance that may impact billing and the billing system. Address these changes with the billing system administrator and with affected staff/managers. Upload electronic payments and apply payments to clients’ accounts. Work denials to reduce the amount reflecting on the Aging report and ensure timely payments. This includes trouble-shooting, re-billing, filing appeals and calling insurance companies. Do initial and follow up calls to insurance companies regarding any issues with client accounts that may delay payment of services. Prepare checks and reconcile checks with clients’ accounts and send to bookkeeping for processing. Perform other tasks assigned (on an as needed basis) by the supervisor.

REQUIRED: Prior Medical Billing of 4 years and more. Behavioral healthcare billing experience preferred. Knowledge of Medicaid, Medicaid Managed Care, Medicare and Commercial Insurance. Strong problem solving, multi-tasking skills. Strong effective communication skills. Knowledge of Myevolv a plus. Ability to take initiative and follow through on tasks. Adept in Microsoft Office: Outlook, Word, Excel & Teams. Ability to be a strong and flexible team member.

Salary: Range 50-55K

Contact Hiring Supervisor: Orlando Acevedo

The Guidance Center of Westchester

256 Washington Street

Mount Vernon, NY 10553

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