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Jobs at Sheltering Arms Children and Family Services, Inc.

Medical Biller (Temporary Assignment)

Location: New york, NY

Department: Accounting and Finance

Type: Full Time

Min. Experience: Experienced

Sheltering Arms strengthens the education, wellbeing, and development of high-need children, adults, and families across the New York metro area. We serve nearly 20,000 people a year from the South Bronx to Far Rockaway. Through compassion, innovation, and partnership, we respond to our community’s greatest needs and enable individuals to reach the greatest heights of their potential. Joining our team is an opportunity to collaborate with hundreds of dedicated colleagues who represent diverse backgrounds and talents as we work together to make a measurable impact for our neighbors in need. Every role at Sheltering Arms brings with it new opportunities for advancement and development so that team members can achieve their professional goals while helping others reach for theirs.

           

Sheltering Arms is seeking a Medical Biller who under the supervision of the Medical Billing Manager will be responsible for processing claims for participants in the agency’s Developmental Disabilities, Foster Care and Mental Health programs. S/he is responsible for assuring that the agency is accurately capturing client billing information and processing that information through New York State Medicaid, Medicaid Managed Care companies and other insurance companies.  The goal is to provide accurate and timely billing to maximize revenue collection.  S/he will be involved in electronic medical records activities and will assist in assuring agency compliance with state and federal regulations agencies.  Day-to-day responsibilities vary from location to location.

Essential Functions:

Developmental Disabilities Programs

  • Data entry of the following services:

           Day Hab (monthly)

           ICF (weekly)

           IRA (monthly)

           MSC (monthly)

  • Run eligibility in third-party  software to ensure the claims are going out to correct payer(s)
  • Submit claims to clearinghouse (Medicaid and Medicaid Managed Care), fix rejections as needed
  • Upload remits into software and save files in the financial drive weekly, by program
  • Work on denied claim(s) and rebill when necessary
  • Together with medical billing manger, provide billing report(s) to senior staff and enter data into Financial Edge
  • Maintain issue tracker between program and finance to ensure all corrections are made in a timely fashion
  • Scan completed data into financial drive by program with copy of claim status report(s)
  • Serve as day-to-day liaison to agency’s third party billing company

Foster Care Medicaid (FCA)

  • Retrieve monthly file from FCA program and send over to agency consultant who bills on behalf of the agency(PG software)
  • Together with the medical billing manager, provide billing report to senior staff and enter into Financial Edge
  • Retrieve remit(s) from eMEDNY and upload into PG software. Post to A/R and work on denials for resubmission(s)

Article 31

  • Use coded data to produce and submit claims to Medicaid and insurance companies
  • Working directly with the Medicaid, insurance company, healthcare provider, and patient to get a claim processed and paid as appropriate.
  • Produce source material to agency so they can review and, if appropriate,  appeal unpaid claim(s)
  • Manage Accounts Receivables, follow up on all denied, rejected and pended claims and prepare and work on aging report weekly.
  • Together with the medical billing manager, provide billing report to senior staff and enter into Financial Edge

Finance Department

Provide additional service to the Finance Department as requested by the Assistant Controller related to:

  • Journal Entries
  • Cash Receipts
  • Deposit Back-up
  • Other duties as needed

Qualifications: 

  • Associate degree plus three years relevant administrative experience, including at least one year in a medical billing
  • Strong familiarity with Medicaid and insurance web portals and knowledge with the life cycle of claim(s)
  • Excellent MS office skills preferably intermediate excel knowledge such as (pivot tables, advanced formulas, linking spread sheets, etc.)

 

It is the policy of Sheltering Arms that the Agency wholly complies with the equal treatment of all employees and applicants for employment without unlawful discrimination as to an individual’s perceived or actual race, creed, color, national origin, alienate, citizenship status, gender, gender identity, age, disability, marital status, partnership status, sexual orientation, ethnicity, religion, or veteran status in all employment decisions, including but not limited to recruitment, hiring, compensation, training and apprenticeship, promotion, upgrading, demotion, downgrading, transfer, layoff and termination and all other terms and conditions of employment.

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