Billing Specialist

CN Guidance and Counseling Services, Inc; Hicksville (NY); On-site; USD 45,000 - 60,000; Full time

Benefits offered by this job

Medical

Dental

Vision

$0 Deductible Platinum Plus Medical Insurance Plan

Flexible Spending Account

403(b) retirement plan

Life Insurance / Supplemental Life Insurance

Training programs including a Mentorship program

Career growth and promotional opportunities

5 Personal Days, 10-20 Vacation Days, 12 Sick Days

Job summary

CN Guidance and Counseling Services, Inc. is looking for a Billing Specialist I in Hicksville, New York. This role involves handling Accounts Receivable follow-up, investigating and resolving denied or unpaid insurance claims in a healthcare setting. Ideal candidates will have 2+ years of experience, strong knowledge of billing concepts, and effective communication skills.

Benefits include medical, dental, vision, and a retirement plan, along with generous PTO and opportunities for career growth.

Qualifications

• 2+ years experience performing Account Receivable follow-up in a Healthcare setting.
• Solid knowledge of Billing Concepts, ICD-10, and Medical Terminology.
• Ability to read and understand EOBs.

Responsibilities

• Monitor Aging Reports and perform timely account follow-up.
• Contact insurance companies to follow up unpaid claims.
• Complete all levels of appeals, adhering to payer specific requirements.
• Analyze denial reasons and identify trends.
• Post payments and process remittances.

Skills

Billing Concepts

ICD-10

Medical Terminology

Behavioral Health Billing

Electronic Medical Records

Effective communication

Microsoft Office (Excel and Word)

Education

2+ years in Account Receivable in Healthcare

Tools

Billing Systems (IMA/Carelogic)

Job description

Job Definition

Billing Specialist I primary responsibilities are Account Receivable follow-up, investigate, analyze, appeal and resolve any denied or unpaid insurance claims.

Educational Requirements

2+ years experience performing Account Receivable follow-up in a Healthcare setting.

Experience Required

• Solid knowledge and understanding of Billing Concepts, ICD-10, Medical Terminology, Behavioral Health Billing, and Electronic Medical Records. Ability to read and understand EOBs.
• Must have the ability to multitask and manage time effectively.
• Effective written and verbal communication skills.
• Proficient in Microsoft Office (Excel and Word).

Duties and Responsibilities

• Monitor Aging Reports (AR) and perform extensive and timely account follow-up activities. Investigate, analyze, appeal and resolve any denied insurance claims.
• Contact insurance companies to follow up unpaid claims and utilize Insurance Portals to pull or review EOBs.
• Complete all levels of appeals, adhering to payer specific appeal requirements.
• Analyze denial reasons, identify trends to avoid future denials.
• Run Insurance Verification/Eligibility.
• Collect and review referrals/authorizations.
• Review all client/patient information to ensure it matches billing system before submitting claims to insurance companies.
• Prepare and submit billing data and claims to insurance companies through Billing Systems (IMA/Carelogic).
• Review and process rejected claims.
• Post payments and process remittances.
• Communicate effectively with clients and staff to resolve billing inquiries and issues.
• Implement quality improvement trainings and activities as part of professional development goals; complete QI training during onboarding and participate in QI refresher training as needed.
• Cultivate a culture of inclusion for all employees, respecting individual strengths, views and experiences.
• Adhere to all safety protocols and procedures to ensure a safe work environment.
• Attend agency functions on site, including agency fundraising events and staff day.
• Other duties as assigned.

Benefits

• Medical
• Dental
• Vision
• $0 Deductible Platinum Plus Medical Insurance Plan, 90% Employer Provided Benefit
• Flexible Spending Account
• 403(b) retirement plan
• Long Term and Short Term Disability
• Legal Plan
• Dependent Care Expense Account
• Life Insurance / Supplemental Life Insurance
• Pet Insurance
• HRA
• Training programs including a Mentorship program
• Employee may be eligible for Federal/Public Student Loan Forgiveness
• Career growth and promotional opportunities
• Employee perks and discounts to Broadway shows and more
• 5 Personal Days, 10-20 Vacation Days, 12 Sick Days, 12 Company Paid Holidays yearly

Equal Employment Opportunity Statement

It is the policy of CN Guidance and Counseling Services, Inc. to ensure equal employment opportunity without discrimination or harassment on the basis of race, color, religion, sex, sexual orientation, gender identity or expression, age, disability, marital status, citizenship, national origin, genetic information, or any other characteristic protected by law. CN Guidance and Counseling Services, Inc. prohibits any such discrimination or harassment.