Billing Specialist II

Heartshar; New York (NY); Hybrid; USD 42,000 - 65,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Retirement plan (403B)

Job summary

HeartShare is seeking a Billing Specialist II in New York to manage Medicaid claims, attendance, and billing reconciliations. You will collaborate with program staff, the Banking Team, and Fiscal Department to ensure accurate, timely invoicing and HIPAA compliance. Hybrid schedule and 35-hour work week, in-office and remote.

A high school diploma and 2–5 years of experience in billing, with strong Excel and Medicaid systems knowledge, are preferred.

Qualifications

• High school diploma or GED required; associate degree preferred.
• 2–5 years in Billing Clerk/Specialist or similar financial role.
• Experience with Medicaid systems and HIPAA compliance.

Responsibilities

• Submit weekly/monthly Medicaid billing for multiple programs.
• Reconcile attendance with billing records and resolve discrepancies.
• Collaborate with staff to resolve denied/pending claims and billing errors.
• Reconcile cash receipts and verify payments; prepare deposits and invoices.

Skills

Billing & accounting basics

Excel & SharePoint

HIPAA compliance

Attention to detail

Communication skills

Education

High school diploma or GED

Associate's degree in accounting/finance

Tools

MillinPro

PrecisionCare

eMedNY

CHOICES

Job description

The Billing Specialist II manages the billing process for a range of agency programs, including the accurate and timely submission of Medicaid claims, reconciliation of attendance and billing records, research and resolution of claim denials and billing exceptions, reconciliation of cash receipts, and maintenance of Fiscal Department records. The position works within established billing procedures and regulatory requirements and coordinates regularly with program staff, the Banking Team, and other internal departments to maintain billing accuracy and compliance.Essential Functions and Primary Responsibilities of Position:Reviews attendance records and submits weekly or monthly Medicaid billing for assigned programs, including:Day Habilitation (Day Hab)Supervised Individualized Residential Alternatives (IRA)Community Living Program (CLP)Children's Residential Program (CRP)RespiteCommunity Habilitation (Comm Hab)Reconciles attendance reports against billing reports to identify billing discrepancies and resolves variances as needed.Collaborates with program staff to research and resolve denied claims, pending claims, unbillable units, and billing exceptions.Reconciles cash receipts with the Banking Team and verifies the accurate recording of payments.Retrieves weekly Medicaid payment information and verifies receipt of funds.Reviews and prepares check and cash deposits received by the Billing department.Prepares invoices for private payors, ensuring timely and accurate billing.Verifies semi-annual clothing allowance rosters for accuracy and supports reimbursement processing.Maintains and monitors Fiscal Department records in accordance with the organization's record retention policy.Maintains the confidentiality and security of protected health information and financial records in accordance with HIPAA, Medicaid, and agency policies.Performs other job-related duties as assigned, consistent with the scope, responsibilities, and level of the position, and in compliance with applicable laws, regulations, and organizational policies.Work Environment and ScheduleThe work environment described here is representative of the physical environment, working conditions, and schedule associated with this position.Standard 35-hour work week, Monday through Friday.Hybrid schedule following the 90-day introductory period: alternating weeks of two days in office with three days remote, and three days in office with two days remote.Professional office environment with a balance of independent work and cross-functional collaboration.Regular coordination with program staff, the Banking Team, and other Fiscal Department personnel.Periods of increased volume around billing cycles and reporting deadlines.High school diploma or GED required; associate's degree in accounting, finance, or a related field preferred.Two to five years of experience as a Billing Clerk, Billing Specialist, or in a comparable financial role.Working knowledge of billing and accounting principles.Proficiency with the Microsoft Office Suite, particularly Excel and SharePoint.Working knowledge of billing and Medicaid systems, or the demonstrated ability to learn them, including:o MillinProo PrecisionCareo eMedNYo CHOICESStrong organizational skills and a high level of attention to detail.Effective written and verbal communication and interpersonal skills.Ability to handle sensitive and confidential information appropriately.Ability to work independently and as a contributing member of a team.Physical Demands and Travel RequirementsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Constantly required to exchange accurate information in person, by telephone, and in writingConstantly operates a computer, billing systems, and other standard office equipmentFrequently required to remain in a stationary seated position for extended periodsOccasionally moves about inside an office to access files, equipment, and colleaguesOccasionally lifts or moves office materials weighing up to 10 poundsOccasionally travels to other agency sites as business needs requireBenefitsAt HeartShare we offer a comprehensive benefit package based on full-time/part-time status. You can expect:Rewarding Work in a team environment.Paid vacation, sick, personal days, and holidays.403(B) retirement plans with employer contribution.Health, dental, vision and life insurance.Employee Assistance Program (EAP).Flexible spending account (Dependent Care, Medical, Parking, and Transit).Employee Appreciation Programs and Events.Tuition Assistance Program.Professional Development opportunities.Wellhub DiscountVerizon Wireless Discount.BJs Membership discount.Discounts on Broadway tickets, movie tickets, theme parks, sporting events, gift certificates & moreHeartShare is an Equal Opportunity Employer (EOE). If you need to request accommodation during the recruiting process, please reach out to [e-mail] HeartshareWho WE ARE:For over 150 years, Heartshare has been dedicated to championing and empowering New Yorkers society has too often overlooked and underestimated.To learn more about HeartShare, please visit our website at www.heartshare.org or Follow us on Twitter LinkedIn YouTube Instagram FacebookHeartShare Human Services of New York | HomepageHeartShare Human Services of New York nurtures and empowers children and adults with intellectual and developmental disabilities.