Billing Quality & Compliance Specialist

Ibero American Development Corporation; City of Rochester (NY); On-site; USD 50,000 - 70,000; Full time

Job summary

Ibero American Development Corporation is seeking a Billing Quality Specialist in Rochester, NY, responsible for conducting pre-billing quality reviews. The role ensures that billing documentation meets standards before submission.

Key responsibilities include identifying trends, collaborating with various departments, and supporting compliance with Medicaid and OMIG regulations. Candidates must possess strong analytical skills, attention to detail, and effective communication abilities.

Bilingual preference in English and Spanish.

Qualifications

• Strong knowledge of billing documentation standards, Medicaid requirements, and OMIG compliance expectations.
• Bilingual in English and Spanish preferred.
• Valid driver's license and ability to provide own transportation.

Responsibilities

• Conduct pre-billing documentation reviews for accuracy and compliance.
• Identify and communicate documentation trends and gaps.
• Collaborate with program leadership to ensure billing integrity.

Skills

Analytical Skills

Detail Oriented

Communication, Oral

Communication, Written

Ethical

Customer Oriented

Job description

Ibero American Development Corporation is seeking a Billing Quality Specialist in Rochester, NY, responsible for conducting pre-billing quality reviews. The role ensures that billing documentation meets standards before submission.

Key responsibilities include identifying trends, collaborating with various departments, and supporting compliance with Medicaid and OMIG regulations. Candidates must possess strong analytical skills, attention to detail, and effective communication abilities.

Bilingual preference in English and Spanish.