Billing & Collections Specialist

Ultimate Care NY; New York (NY); On-site; USD 55,000 - 65,000; Full time

Job summary

A leading home care provider in New York is seeking a Billing & Collections Specialist. In this role, you will manage the billing and collections for Medicare/Medicaid claims, ensuring compliance with regulations. We offer a competitive salary and a robust benefits package, including healthcare and a 401k plan, while being part of a team dedicated to providing excellent care.

Benefits

Healthcare, Dental & Vision coverage

401k Retirement plan & employer match

Employee Assistance Program (EAP)

Paid time off and sick time

Bonus rewards for employee recognition

Qualifications

• Minimum of 2 years in Medicaid, Medicare, Billing and Collections.
• Strong knowledge of Medicaid regulations and reimbursement processes.
• Experience with billing Medicaid Managed Care plans is a plus.

Responsibilities

• Manage the billing and collections process for Medicare/Medicaid claims.
• Generate and send invoices to private pay clients.
• Ensure accurate submission of claims and follow-up on outstanding balances.

Skills

Detail-oriented

Analytical skills

Problem-solving skills

Communication skills

Interpersonal skills

Tools

HHAeXchange Software

Microsoft Excel

Job description

Ultimate Care in Brooklyn, NY is looking for a Billing & Collections Specialist to join our team!

The Billing & Collections Specialist will be responsible for managing the billing and collections process for Medicare/Medicaid Managed Care claims. You will work closely with our finance and operations teams to ensure accurate and timely submission of claims, follow up on outstanding balances, and resolve any billing discrepancies. As a Billing & Collections Specialist at Ultimate Care , you will play a crucial role in maintaining the financial health of our organization and ensuring that our clients receive the care they need.

*PLEASE NOTE THIS IS NOT A REMOTE ROLE*

Compensation: $55,000-$65,000

Schedule: M-F-40 hours

Location: 1000 Gates Ave, Brooklyn, NY 11221

What you will be doing:

• Invoicing: Generate and send invoices to private pay clients for home health services provided.
• Payment Processing: Receive payments from private pay clients through various methods (e.g., checks, credit cards) and record them accurately.
• Aging Reports: Monitor and track accounts receivable, generating aging reports to identify overdue accounts.
• Follow-Up: Contact clients with overdue payments to inquire about outstanding balances and arrange payment plans when necessary.
• Documentation: Maintain detailed records of all billing and payment transactions.
• Collections: Initiate collections procedures, such as sending collection letters or pursuing legal action, for seriously delinquent accounts.

Medicaid Billing and Collections:

• Claim Submission: Prepare and submit Medicaid claims accurately, adhering to the state's billing regulations.
• Documentation: Maintain complete and accurate records, including required documentation for Medicaid reimbursement.
• Remittance Advice: Review Medicaid remittance advice to ensure correct reimbursement and identify any issues.
• Medicaid Compliance: Stay updated on Medicaid billing regulations and requirements to ensure compliance.
• Timely Filing: Monitor and adhere to Medicaid's timely filing requirements to avoid claim rejections.

Skilled Billing (e.g., Medicare Part A or B):

• ICD-10 and CPT Coding: Ensure proper ICD-10 diagnosis and CPT procedure coding for Medicare billing.
• Claims Submission: Prepare and submit Medicare claims to the Centers for Medicare & Medicaid Services (CMS) accurately and in a timely manner.
• ABNs (Advance Beneficiary Notices): Provide ABNs to Medicare beneficiaries when services are likely not to be covered and obtain necessary patient signatures.
• Reimbursement Review: Review Medicare reimbursement schedules and fee-for-service structures.
• Documentation Compliance: Ensure that clinical documentation meets Medicare requirements for skilled services.
• Medicare Compliance: Stay informed about Medicare billing regulations and changes in reimbursement policies.
• Appeals: Manage and respond to Medicare claim denials and file appeals when necessary.

What we expect from you:

• Minimum of 2 years of experience in Medicaid, Medicare, Billing and Collections in a home health care setting
• Strong knowledge of Medicaid regulations and reimbursement processes
• Proficiency in HHAeXchange Software preferred
• Proficiency in Microsoft Excel preferred
• Detail-oriented with strong analytical and problem-solving skills
• Excellent communication and interpersonal skills
• Ability to work independently and meet deadlines
• Experience with billing Medicaid Managed Care plans is a plus

We offer the Ultimate employee perks (literally)!

• Healthcare, Dental & Vision coverage
• 401k Retirement plan & employer match
• Employee Assistance Program (EAP)
• Company-sponsored life and accident insurance
• Accident insurance
• Critical Illness
• Hospital Indemnity
• Long Term & Short Term Disability
• Learning and development resources
• Generous paid time off, sick time
• An employee of month recognition with structured bonus rewards $$$
• Merit-based employee recognition program with rewards $$$
• Discount programs for restaurants, Broadway shows, movies, shopping, and much more!
• T-Mobile phone plan discounts for employees!

About Us:

Our mission is to provide and restore client dignity and independence in their homes through individualized care plans to reduce caregiver role and stress on family members while avoiding nursing homes and assisted living facilities.

Ultimate Care, is a licensed home care provider located inConnecticut, Florida, Maryland, New Hampshire, New Jersey & Pennsylvania.We offer comprehensive home care services where we lead with our hearts to offer top quality and empathetic home care services.

Why Choose Us?

At Ultimate Care, we are dedicated to fostering a people-centric culture that is pivotal for success in the contemporary home care landscape. Our unwavering commitment begins with inspiring and empowering our employees to unleash their full potential. We actively pursue avenues to cultivate a dynamic learning environment, allowing our team members to explore and nurture their passions and talents. Our goal is to facilitate holistic growth, both personally and professionally, whether within the office or beyond. Join us on this journey of empowerment and achievement!

Ultimate Care and our affiliates, we're committed to creating a diverse, inclusive, and authentic workplace. If you're enthusiastic about the role but don't meet every qualification in the job description, we encourage you to apply. You could be the ideal candidate for this or other roles!

Ultimate Care is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, sex, national origin, disability, protected veteran status, or any other characteristic protected under federal, state, or local law.

Ultimate Care, Inc. does not accept resumes from unsolicited search firms nor recruiters.