Billing Clerk

The Neighborhood Center, Inc.; City of Utica (NY); Hybrid; USD 40,000 - 45,000; Full time

Benefits offered by this job

27 paid days off in year 1

Employer paid life insurance

401(k) matching

Medical, dental, and vision insurance

Job summary

The Neighborhood Center, Inc. is seeking a Billing Clerk to support its Fiscal Department. The role involves handling patient billing, networking with insurance companies, and ensuring proper claim authorizations. This full-time position offers a hybrid work model, combining in-office work twice a week with remote flexibility.

Ideal candidates have a high school diploma and four years of experience in Medicaid and third-party insurance billing. The role comes with a comprehensive benefits package, including medical, dental, and vision insurance.

Qualifications

• Ability to perform billing analysis and reporting activities in detail.
• Experience with health insurance eligibility verification.
• Experience in data entry and proven accuracy in data entry skills.

Responsibilities

• Responsible for the data entry of Daily Activity Sheets.
• Assist with client inquiries and review Medicaid Explanation of Benefits.
• Verify clients eligibility with specific insurance companies.

Skills

Billing analysis

Data entry accuracy

Knowledge of health insurance operations

Communication skills

Education

High School Diploma or Equivalency Diploma

Job description

Pay: From $20.51 per hour

A Full Time position with an excellent benefits package is available:

• $20.51
• 37.5-hour work week
• M – F, 7.5 hour shifts, between the hours of 8:00 a.m. – 4:00 p.m.
• Hybrid Position – in office twice a week
• 27 paid days off in year 1 (vacation & holidays), plus paid sick time!
• 4% flat 401k contribution (after 1 year)
• Employer paid life insurance
• Medical, dental, and vision insurance available
• Supportive and inclusive organizational culture
• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid sick time
• Paid time off
• Professional development assistance
• Referral program
• Vision insurance

Job Description

The Billing Clerk is a principal support position within the Fiscal Department. The Billing Clerk networks with insurance companies with regard to authorizations, Outpatient Treatment Reports (OTR’s) and has proficiency with claims, aging reports, Medicaid rules and regulations, and must review and understand Explanation of Benefits forms received from insurance companies. The Billing Clerk will perform tasks/duties as assigned which include but are not limited to detailed billing functions and fundamental mathematical calculations.

Responsibilities

• Responsible for the data entry of Daily Activity Sheets
• Responsible to print, review and mail patient bills
• Assist with client inquiries
• Review Medicaid Explanation of Benefits with pended and denied charges weekly and takes necessary actions to ensure that the charges are corrected and able to be re-billed in a timely manner
• Ensure that authorizations are maintained for all clients requiring authorizations in order for the insurance companies to pay the claims
• Ensure that OTR’s (Outpatient Treatment Reports) are completed and provided to the necessary insurance companies so that authorizations for services are in place prior to the clients receiving agency services
• Review aging reports by insurance companies; researches and corrects aged claims and meets the agency goal of having no claims on the aging report that are more than 60 days old
• Assist with reconciliation of LS3’s to the opens/closes within Simplemed for any given month
• Assist with other reporting reconciliations and billing issues as assigned
• Complete triage information sheet i.e.: responsible for obtaining all pertinent information with regard to patient demographics/health insurance/responsible party/chief complaint and complete data entry of this pertinent information into the clinic billing system
• Verify clients eligibility with specific insurance companies
• Verify that an appointment has been booked with appropriately credentialed provider and notify the specific billing clerk whose task it is to complete the insurance authorization that the client is ready for that process
• Verify insurance eligibility for the daily appointment schedules of all clinics
• Assist with the analysis and research of denied claims
• Maintain self in a professional manner at all times and adheres to The Neighborhood Center policy, procedures and the Agency Mission Statement.
• Perform other duties and tasks as assigned

Qualifications

• Ability/experience in performing billing analysis and reporting activities in detail
• Ability/experience in performing tasks accurately within a prescribed time framepli
• Ability/experience in using common office record keeping and filing systems
• Ability/experience in understanding and applying regulations and procedures
• Ability/experience in communicating effectively and professionally with the general public and coworkers by various media
• Knowledge and experience with the operations of health insurance companies
• Experience with all aspects of health insurance eligibility verification both by telephone and through websites
• Experience entering information into computer demographic (client information) screens
• Organized and experienced in thorough follow-up of work tasks
• Punctual and regular attendance is an essential responsibility of each employee. Employees are expected to report to work as scheduled, on time and prepared to start working.
• Experience in data entry and proven accuracy in data entry skills
• High School Diploma or Equivalency Diploma and four (4) years of experience in Medicaid and third party insurance billing and reconciliation.

At The Neighborhood Center, Inc, we are committed to providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, genetics, sexual orientation, gender identity or expression, veteran status, or any other legally protected status.

Equal Opportunity Employer: The Neighborhood Center, Inc. is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

We believe that diversity, equity, and inclusion are essential to the success of our organization and are dedicated to creating a workplace that welcomes and values all individuals. We strive to create a culture that fosters respect, openness, and understanding, and we encourage people from all backgrounds to apply for open positions.

Additional Information

• Job Type: Full-time
• Schedule: Monday to Friday 8:00 a.m. – 4:00 p.m. Hybrid Position – in office twice a week.
• Education: High school or equivalent (Required)
• Experience: Medicaid: 4 years (Required)
• Ability to Commute: Utica, NY (Required)
• Ability to Relocate: Utica, NY: Relocate before starting work (Required)
• Work Location: In person