Billing Liaison

Title: Billing Liaison

Salary: $19.50 - $21.43 per hour

Schedule: Monday-Friday, Hybrid Schedule

Status: Non-Exempt, Full-time, 40 hours per week

Supervisor: Associate Director of Revenue Cycle Management

Function:

The Billing Specialist is responsible for all aspects of claim payment and follow-up including payment application, denial management, appeals, re-billing and waterfall billing. This position will require extensive communication with payers and between internal departments.

Position Requirements:

High School diploma or GED required, Certified Professional Coder (CPC) License preferred

Minimum three (3) years’ experience required in a medical-related environment and/or aptitude to understand medical billing and medical claim denial resolution based on prior work history.

Previous Medicaid billing/EMEDNY preferred.

Experience working with a diverse population preferred.

Typing, data entry, general clerical and strong mathematical skills required.

Essential Requirements:

Position requires extensive communication with 3rd party payers, clients and staff.

Knowledge of Medical Terminology, CPT, HCPCS and lCD-10 coding.

Knowledge of NetSmart/ RevConnect and OMH reporting is a plus.

Excellent documentation, verbal and written communication skills.

Knowledge of Microsoft Office; especially EXCEL.

Benefits:

Medical, dental, and vision coverage.

403(b) retirement plan with employer match up to 5%.

Generous paid vacation, holiday, sick and personal time package (2 weeks’ vacation in first year, 13 paid holidays per year, 12 sick days per year and 4 personal days per year).

Access to Family Services’ Compassionate Leave Program where employees can donate/receive unused time off.

Group term life and long-term disability insurance.

Supplemental life insurance & accidental death and dismemberment coverage (AD&D).

Supplemental insurance through Aflac.

Employee assistance program (EAP).

Pet insurance.

Our Mission:

Family Services brings people together to find the support they need, improving their lives and communities, and building a stronger safer Hudson Valley.

Our Values:

Compassion – Extending empathy and understanding to others.

Integrity – Being honest and dependable.

Hope – Believing in the strength of the human spirit and heart, to emerge and thrive when faced with a challenge.

Diversity – Promoting a vision of community comprised of wide-ranging assets.

Respect – Treating all individuals with dignity and without judgement.

Community – Recognizing and reinforcing the importance of our world as being comprised of people of differing strengths and perspectives.

Justice – Promoting social and economic equity and fairness.

Quality – Aspiring for excellence in every aspect of our work.

Position Responsibilities:

Review, post and fully reconcile all 3rd Party and client payments through 835 file upload and manual entry including all necessary accounting functions

Re-bill claims as needed and bill all payers in waterfall process

Manage all 3rd party denials, identify trends, reporting and communicating with appropriate staff

Complete all levels of appeals adhering to the payer specific appeal requirements

Respond to all 3rd party requests for information including refunds, medical records, provider and client data

Examines claims, charges and payments for compliance with agency, 3rd party and regulatory requirements

Provide regular periodic reports and updates on denials, unpaid accounts, payments and any issues impacting revenue

Perform general billing duties including but not limited to: reconciling billed services; remittance processing, insurance denial follow up, collections and communicate billing and insurance issues to appropriate staff

Effectively communicate with the vulnerable populations served by our agency as needed

Maintain current and accurate account information in the client and agency systems

Maintain current knowledge of all job specific requirements and related regulations.

Self-Pay / Patient Statements on a bimonthly basis.

Eligibility requests and responses, communication with other departments on terminations and eligibility.

Other duties as assigned.

#INDAD

Work Environment: Finance Department Office at the Family Partnership Center, 29 North Hamilton St Poughkeepsie, NY 12601 - Suite 314.

Family Services, Inc. complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact .

Family Services is an equal opportunity employer. We follow federal, state, and local laws prohibiting discrimination in hiring and employment.

Must be authorized to work in the United States without work sponsorship.