Billing & Claims Specialist — Flexible Work Schedule

Cardinal McCloskey Community Services; United States; On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

403(b) Retirement Plan

Paid Time Off

Flexible Work Schedules

Job summary

Cardinal McCloskey Community Services in the United States is seeking a meticulous Billing and Claims Specialist to manage claims submission, payment posting, denial resolution, and accounts receivable follow-up for a diverse range of programs.

You will ensure compliance with Medicaid, Medicare, and other funding sources, coordinate with program, clinical, administrative, and finance teams, and help maximize revenue while maintaining accurate documentation and billing practices.

Qualifications

• Bachelor's degree preferred.
• Experience with EHR and billing systems.
• Understanding of medical claims billing and AR management.
• Experience billing NYC/ NYS contract or grant-funded invoices preferred.

Responsibilities

• Prepare, review, and submit claims for services including Article 31 and OPWDD-funded services.
• Prepare and submit basic contract and program invoices.
• Verify patient eligibility and insurance before claim submission.
• Ensure compliance with Medicaid, Medicare, and other requirements.
• Review billing edits, denials, and take corrective actions.
• Post payments, adjustments, and reconcile billing records.
• Maintain EHR and billing system information.

Skills

Billing & claims

Accounts receivable

Detail-oriented

Payer communications

Education

Bachelor's degree preferred

Tools

EHR systems

Billing systems

Job description

Cardinal McCloskey Community Services in the United States is seeking a meticulous Billing and Claims Specialist to manage claims submission, payment posting, denial resolution, and accounts receivable follow-up for a diverse range of programs.

You will ensure compliance with Medicaid, Medicare, and other funding sources, coordinate with program, clinical, administrative, and finance teams, and help maximize revenue while maintaining accurate documentation and billing practices.