Third Party Biller

Acacia Network; New York (NY); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Competitive salary

Medical, dental and vision coverage

Paid time off

Job summary

Acacia Network seeks a Denial Analyst to support timely billing and accounts receivable functions under the supervision of the Director of Revenue Cycle. The role focuses on claims filing, patient billing, reviewing EOBs, and maintaining accurate billing records while collaborating across teams to ensure efficient revenue cycle operations.

The candidate should have a minimum of 2 years of medical billing experience, knowledge of insurance benefits, and familiarity with Nextgen and Epaces.

Qualifications

• High school diploma or GED required.
• Minimum of 2 years’ experience in medical billing.
• Demonstrate knowledge of medical billing principles and practices.
• Understanding of Insurance benefits.
• Knowledge of OASAS Article 32, Article 28 & 31 billing rules & compliance.
• Excellent computer skills including Windows, Word, Excel, PowerPoint and email.
• Demonstrate use of Nextgen, Epaces and various managed care web portals.
• Must be able to multi-task with strong organizational skills.
• Excellent interpersonal communication, verbal and written.

Responsibilities

• Processes third party insurance billing and reviews and payments.
• Knowledge of electronic 835 & 837 processes.
• Reviews trial balances and adjusts accounts after payment.
• Assist with loading encounters when needed.
• Maintains accurate records of billing claim submission.
• Updates patient demographics and generates Billing Reports.
• Reviews EOBs.
• Performs other duties assigned by the Director.

Skills

Communication

Team oriented

Multi-tasking

Interpersonal skills

Organizational skills

Education

High school diploma or GED

Tools

Nextgen

Epaces

Job description

Acacia Network, the leading Latino integrated care nonprofit in the nation, offers the community, from children to seniors, a pathway to behavioral and primary healthcare, housing, and empowerment. We are visionary leaders transforming the triple aim of high quality, great experience at a lower cost. Acacia champions a collaborative environment to deliver vital health, housing and community building services, work we have been doing since 1969. By hiring talented individuals like you, we’ve been able to expand quickly, with offices in Albany, Buffalo, Syracuse, Orlando, Tennessee, Maryland and Puerto Rico.

POSITION OVERVIEW

Under the supervision of the Director of Revenue Cycle, the denial analyst will be responsible for timely billing and account receivable functions including claims filing, patient billing and accounts receivables from patients and third-party carriers. The incumbent will closely monitor patient/client accounts.

KEY ESSENTIAL FUNCTIONS

• Responsibilities include third party insurance billing and review and processing of payments.
• Knowledge of electronic 835 & 837 processes
• Review of trial balances and adjustment of accounts after payment
• Assist with loading encounters if needed.
• Maintains accurate records of billing claim submission.
• Updating patient’s demographic and generating Billing Reports
• Reviewing EOBs
• Other duties and responsibilities assigned by the Director.

REQUIREMENTS

• High school diploma or GED required.
• Minimum of 2 years’ experience in medical billing
• Demonstrate knowledge of medical billing principles and practices
• Understanding of Insurance benefits
• Knowledge of OASAS Article 32, Article 28 & 31 billing rules & compliance
• Excellent computer skills including the Microsoft Windows computer environment, Microsoft Word, Excel, PowerPoint, and electronic communications tools: internet and email.
• Demonstrate use of Nextgen, Epaces and various managed care web portals.
• Must be team oriented and possess a positive attitude with a willingness to be flexible and helpful.
• Must be able to multi-task with strong organizational skills.
• Excellent interpersonal skills and able to communicate both verbally and in written form.
• Commitment to cultural diversity and sensitivity
• Ability to maintain a professional demeanor under pressure and operate with keen sense of urgency and commitment to quality.

WHY JOIN US?

• competitive salary
• medical, dental, and vision coverage
• generous paid time off, including vacation days and paid holidays
• support a healthy work-life balance

As an Equal Opportunity Employer, we encourage individuals from all backgrounds to apply.