Billing Administrator

YAI - Seeing beyond disability; New York (NY); On-site; USD 60,000 - 80,000; Full time

Job summary

YAI is seeking a Billing Coordinator in New York to manage the billing process for services within the I/DD community. The role entails resolving billing inquiries, ensuring compliance with state and federal regulations, and collaborating with program leaders. Ideal candidates hold a degree in finance or business and have experience in healthcare billing.

Qualifications

• Bachelor’s degree and two years experience working with I/DD population or related experience in human services.
• Ability to report on-site at least three days per week with flexible schedule.
• Proficiency with electronic billing systems and strong quantitative skills.

Responsibilities

• Maintains day-to-day processing and tracking of billable services.
• Acts as primary contact for billing inquiries and meets submission deadlines.
• Provides administrative support including filing, data entry, and report preparation.

Skills

Communication

Detail oriented

Problem-solving

Time management

Education

Bachelor’s degree in finance, business or related discipline

Tools

Microsoft Office

Digital Agency (DA)

electronic health record

Workday

Job description

Key/Essential Functions & Responsibilities

Maintains responsibility for all day-to-day processing, maintenance and tracking of billable services/ receivables for assigned region(s), regularly collaborating with applicable program leadership, financial analyst and/or other finance staff to support complete and accurate billing of services with state and/or federal agencies.

Serves as primary point of contact for billing inquiries for assigned state(s) from program leadership and other stakeholders, including regulatory agencies; escalates concerns and requests to supervisor for assistance and handling, when needed.

Runs, reviews and shares monthly billing reports from electronic billing system to ensure that all services are reviewed and approved for billing by appropriate program leadership within established timelines to support compliance with all applicable deadlines.

Conducts regular follow-ups with program leadership to secure confirmations and ensure timely and complete processing of billing and maximize reimbursement for services.

Submits billing on a monthly basis in applicable online and/or electronic systems or portals (e.g. Regional Centers, NJ DDD, etc.) and resubmits revised or corrected claims upon receipt and/or in accordance with applicable agency requirements.

Reconciles billing reports and entries within electronic portals by flagging individuals and/or specific services without posted payments on a monthly basis and follows up until corrections are made and payments post.

Proactively reviews applicable electronic systems and portals on a regular basis to ensure that all services are accurately captured and information is current, identifying and escalating any issues that might cause delays in billing; makes notifications and/or coordinates updates, follows up on retroactive coverage and reconciles any discrepancies.

Enters and maintains all billable services for assigned state(s) in electronic billing system, confirming accuracy of rates in system prior to submitting billing and works with supervisor to resolve any discrepancies or concerns.

Tracks receipt of payments in applicable systems, retrieving documents and files and posting all payments into the electronic billing system.

Receives and redirects inquiries from program staff regarding the electronic medical record including staff access or workflow questions, troubleshooting and overall support for handling by appropriate parties and/or assists, when appropriate.

Provides regular updates to other finance department staff and escalates billing, state or other agency concerns or issues and inefficiencies to financial analyst and supervisor for handling.

Assists with maintaining the Accounts Receivable (A/R) aging for programs, where applicable, which includes working with the programs to reconcile any outstanding accounts receivable, coordinating with entitlements team and/or conducting follow-ups for information needed to obtain authorizations for services to support billing.

Provides support to other members of finance department, including financial analyst and/or supervisor based on assigned state for billing-related matters, including preparing and distributing reports or statements, collecting information and ensuring billing and payment related information is updated in all applicable systems.

Assists Director of Revenue Management with gathering data and documents for requests by Quality and Compliance department and/or for any other program or financial audit or review.

Performs a variety of clerical, administrative and financial tasks to support revenue management department as requested including, but not limited to filing, copying, scanning and/or data entry; creating memos, lists, spreadsheets or other documents; and/or making notifications or inquires by email or phone.

May represent the revenue management department in regional or program meetings for assigned state(s), communicating with programs to collect information needed to support appropriate processing of billing and to learn about changes that impact billing (funding sources, policies, practices, platforms, etc.), providing updates to supervisor and applicable stakeholders.

Complies with all Federal, State, Local and other relevant regulatory agency requirements, including the Health Insurance Portability and Accountability Act (HIPAA) and ensures cooperation with appropriate entities in any inspection, inquiry or investigation.

Performs all other duties, as assigned.

Bachelor’s degree in finance, business or related discipline; and

Two (2) years of experience working with the I/DD population or related experience in human or social services including assisting people in applying for services and/or exposure to benefits or entitlements; or

Two (2) years of experience performing administrative support duties relating to finance or healthcare-related billing including data entry, tracking data, accounts receivable, bookkeeping or similar duties; or

Satisfactory equivalent combination of education, experience and/or training.

Ability to report on-site to our Manhattan office at least three (3) days per week in accordance with the Agency’s Return to Office Policy.

Ability to work a flexible schedule, including evenings if needed on an occasional basis, to attend related meetings or meet deadlines.

Familiarity with benefits and entitlements in the healthcare and/or I/DD field including Medicaid, Medicare and applicable regulatory agencies.

Strong written and oral communication skills, including the ability to effectively obtain and communicate information with staff and stakeholders at varying levels.

Detail oriented and highly organized, with good time management and follow-up skills, including the ability to effectively track and accurately compile data.

Strong quantitative and problem-solving skills, including the ability to quickly identify discrepancies and determine resolutions needed to support successful billing.

Ability to prioritize multiple tasks to meet billing submission deadlines.

Ability to work autonomously and work well in groups, including building relationships and working collaboratively with program leadership and stakeholders.

Proficiency with computers and ability to quickly learn electronic systems including Digital Agency (DA), electronic health record, Workday and state-specific systems or portals and advanced knowledge of Microsoft Office applications, specifically Word and formulas, v-look ups and pivot tables in Excel.

Preferred Qualification Requirements (desired requirements beyond MQRs above)

Previous experience with medical billing and systems, specifically billing for services received by individuals with I/DD in assigned state of operations (NY, NJ or CA)

Compensation: $26.45-31.25 hourly

This job is Monday-Friday, 9am-5pm

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or status as a Vietnam or disabled veteran. YAI is an Equal Opportunity Employer.

About Us

Our Roots:

YAI was launched in February of 1957 out of a small school in Brooklyn, New York. Initially staffed by Co-Founders Bert MacLeech and Pearl Maze MacLeech alone, their pilot program served just seven people. According to Bert, from its very beginning YAI has been dedicated to providing innovative services for the I/DD (intellectual and/or developmental disabilities) community. MacLeech envisioned a, “total life adjustment approach, emphasizing personal growth, social responsibility, employment goals, and the development of independence for the individual.” At a time when institutional living was the norm for people with I/DD, this vision was nothing short of revolutionary.

YAI Today:

Today, YAI has a team of over 4,000 employees and supports over 20,000 people in the I/DD community. This extraordinary growth shows the ongoing need for these important services, and YAI’s success in offering them. YAI supports people with autism, Down syndrome, and Cerebral Palsy, among others. Operating throughout Downstate New York and Northern New Jersey, YAI now offers more than 300 programs for people of all ages.

Better Together:

At YAI, we are driven by our mission of living, loving, working, and learning. This applies not only to the people we support, but to our staff as well. Commitment and passion for the work continue to unite employees and drive the organization forward. Empowering the people we support to reach their goals remains at the heart of our organization.