Behavioral Health Billing & Data Specialist

Fortune Society Inc; New York (NY); On-site; USD 60,000 - 65,000; Full time

Job summary

Fortune Society Inc is seeking a Billing Analyst to manage insurance claim submissions, track authorizations, and investigate denied claims across Behavioral Health programs. The role involves data entry, integrity checks, reporting, and compliance oversight to ensure accurate provider payments.

You will coordinate with clinicians and IT, support audits, and contribute to improving billing workflows in a fast-paced reentry services environment. On-site in Long Island City.

Qualifications

• Bachelor's degree in Business, Healthcare Administration, Finance, or a related field.
• 2+ years of medical billing/revenue cycle management experience.
• 2+ years in a leadership role.
• Strong knowledge of ABA billing, coding, and payer requirements.
• Proficiency with Caseworthy, AccuMed, EHR systems, and Microsoft 365.
• Exceptional communication and organizational skills.
• Ability to work in a fast-paced, evolving environment with precision and attention to detail.

Responsibilities

• Perform weekly reviews and submissions of TS/BLC clinical service billing for all locations.
• Stay informed on the latest billing guidelines announced by state and federal agencies.
• Perform weekly reviews and submissions of SCN invoices in Unite Us.
• Review denied invoices and support appeal processes.
• Process and submit monthly Queenboro Work Release vouchers with the latest charge rates.
• Perform weekly reviews and submissions of Medicaid reimbursements of OMNY cards.
• Perform monthly reviews and submissions of OMH CRSRO Housing billing.
• Collaborate with clinicians/SCNs to fix claim/invoice/voucher/allocation errors in BH billing.
• Provide periodic data requested by finance.
• Assist the Data Analytics Manager with routine auditing of BH billing practices.
• Serve as back-up for credentialing paperwork.

Skills

Billing knowledge

Leadership

Communication

Attention to detail

Education

Bachelor's degree in Business, Healthcare Administration, Finance, or related field

Tools

Caseworthy

AccuMed

EHR systems

Microsoft 365

Job description

Fortune Society Inc is seeking a Billing Analyst to manage insurance claim submissions, track authorizations, and investigate denied claims across Behavioral Health programs. The role involves data entry, integrity checks, reporting, and compliance oversight to ensure accurate provider payments.

You will coordinate with clinicians and IT, support audits, and contribute to improving billing workflows in a fast-paced reentry services environment. On-site in Long Island City.