Jobs In Our Network

Description:

DESCRIPTION: A Claim’s biller oversees collections and manage payments for home care invoices and client services. Their work includes updating client data, developing payment plans, and ensuring invoices are paid by the contracts. Ensure that home care contracts and private pay clients are billed timely and accurately. In this position, you will be responsible for a variety of tasks requiring data analysis, in-depth evaluation, and sound judgment. As the claim’s biller, your daily duties will include maintaining A/R payments/billing software, appealing denied claims, and recording late payments. Job

RESPONSIBILITIES

• Monitor and ensure payments are being made in accordance with the terms of the contract.
• Ensuring the billing information is accurate and up to date.
• Preparing bills and invoices, and documenting amounts due for home care services.
• Collecting and reviewing referrals and pre-authorizations from the intake department.
• Monitoring and recording late payments.
• Following up on missed payments and resolving financial discrepancies.
• Examining home care and contract claims for accuracy and requesting any missing information.
• Investigating, appealing and resolving denied claims.
• Helping clients develop patient payment plans for surplus monthly charges.
• Maintaining billing software by updating rate change, cash spreadsheets, and current collection reports.
• Correct any billing issues and make any necessary adjustments, while communicating this change with the contract and filling appeals where appropriate.

MEDICAL BILLER REQUIREMENTS:

• Associate’s degree in business, health care administration, accounting, or a relevant field.
• A minimum of 2 years of experience as a claims or medical biller or similar role.
• Experience in billing for Managed Care Organizations (MCO) and NYC Human Resources Administration (HRA) is preferred.
• Excellent organizational skills and attention to detail.
• Knowledge of EMEDNY, clearing house and other electronic billing portals.
• Prior Home care experience/billing or HHA exchange software.
• Excellent written and verbal communication skills.
• Attention to detail and problem-solving skills.

Salary commensurate with experience - Salary Range $55,000- $70,000 SCS currently has a hybrid work model that allows for two days remote per week and three days in the office.

BENEFITS PACKAGE:

• Comprehensive medical, dental and vision insurance
• 403(b) retirement plan with employer contribution
• Flexible spending account and transit program
• Employee Assistance Program
• 20 days of paid vacation per year
• 10 paid holidays
• 12 paid sick days per year
• 6 personal/floating days
• Life insurance
• Long-term disability