Impactful Billing & Claims Specialist | Flexible Schedule

Cardinal McCloskey Community Services; Town of Mount Pleasant (NY); On-site; USD 52,000 - 76,000; Full time

Benefits offered by this job

Medical, Dental & Vision Insurance

403(b) Retirement Plan

Generous Paid Time Off

Flexible Work Schedules

Job summary

Cardinal McCloskey Community Services in New York seeks a meticulous Billing and Claims Specialist to manage the full lifecycle of claims across multiple programs, ensuring timely reimbursement and compliance with state, federal, and contract requirements.

You will work with clinical, administrative, and finance teams to maximize revenue, maintain accurate documentation, and support program effectiveness through precise posting and reconciliation of payments.

Qualifications

• Bachelor's degree preferred.
• Experience with EHR and billing systems.
• Thorough understanding of medical claims billing, AR management, and reimbursement processes.
• Experience billing OMH-licensed Article 31 clinics, Article 29-I services, CFTSS programs, and/or OPWDD-funded services.
• Experience preparing/submitting NYC/NYS contract or grant-funded invoices is a plus.
• Knowledge of Medicaid, Medicaid Managed Care, Medicare, commercial insurance, and government-funded billing requirements.

Responsibilities

• Prepare, review, and submit claims for Article 31, Article 29-I, CFTSS, and OPWDD-funded services.
• Prepare and submit basic contract/program invoices per funding source requirements.
• Verify patient eligibility, insurance coverage, authorizations, referrals, and service documentation before submission.
• Ensure compliance with Medicaid, Medicare, and contractual requirements.
• Review billing edits, claim rejections, and payer denials; take corrective action for timely reimbursement.
• Post payments, adjustments, refunds, and remittances; reconcile billing records.

Skills

Billing & claims processing

Accounts receivable management

Attention to detail

Payer communications

Education

Bachelor's degree preferred

Tools

Electronic Health Record (EHR) systems

Billing software

Job description

Cardinal McCloskey Community Services in New York seeks a meticulous Billing and Claims Specialist to manage the full lifecycle of claims across multiple programs, ensuring timely reimbursement and compliance with state, federal, and contract requirements.

You will work with clinical, administrative, and finance teams to maximize revenue, maintain accurate documentation, and support program effectiveness through precise posting and reconciliation of payments.