Go to our website »

Jobs at Sheltering Arms Children and Family Services, Inc.

Medical Biller

Location: New york, NY

Department: Accounting and Finance

Type: Temporary

Min. Experience: Mid Level

Sheltering Arms strengthens the education, wellbeing, and development of high-need children, adults, and families across the New York metro area. We serve nearly 20,000 people a year from the South Bronx to Far Rockaway. Through compassion, innovation, and partnership, we respond to our community’s greatest needs and enable individuals to reach the greatest heights of their potential. Joining our team is an opportunity to collaborate with hundreds of dedicated colleagues who represent diverse backgrounds and talents as we work together to make a measurable impact for our neighbors in need. Every role at Sheltering Arms brings with it new opportunities for advancement and development so that team members can achieve their professional goals while helping others reach for theirs.

           

Under the supervision of the Medical Billing Manager, the Medical Biller will be responsible for processing claims for participants in the agency’s Developmental Disabilities, Foster Care and Mental Health programs. S/he is responsible for assuring that the agency is accurately capturing client billing information and processing that information through New York State Medicaid, Medicaid Managed Care companies and Third Party Insurance Companies.  The goal is to provide accurate and timely billing to maximize revenue collection.  S/he will be involved in electronic medical records activities and will assist in assuring agency compliance with state and federal regulations agencies.  Day-to-day responsibilities vary from location to location.

Essential Functions:

Foster Care- Medicaid (FCA)

  • Run monthly report in third party software for care days
  • Manually enter missing care days and rebills into software (Astoria)
  • Run billing report and send over to agency consultant who submits claims on behalf of the agency (PG software)
  • Retrieve remit(s) from eMEDNY and upload into PG software. Post to A/R and work on denials for resubmission(s)
  • Together with the medical billing manager, provide billing report to senior staff and enter into Financial Edge
  • Other duties as needed

Mental Health- Article 31 Clinic

  • Use coded data to produce and submit claims to Medicaid and insurance companies
  • Working directly with the Medicaid, insurance companies, healthcare provider(s), and patient(s) to get claim(s) processed and paid as appropriate.
  • Produce source material to agency so they can review and, if appropriate,  appeal unpaid claim(s)
  • Manage A/R, follow up on all denied, rejected and pended claims and work on aging report weekly.
  • Post manual remits into third party software (if applicable)
  • Reconcile sign in sheets weekly
  • Reconcile copay and deposit slips weekly
  • Super User for third part billing software
  • Together with the medical billing manager, provide billing report to senior staff and enter into Financial Edge
  • Other duties as needed

Foster Care- Mental Health Clinic

  • Run report in third party billing software for monthly billing census
  • Print out progress notes sent by clinic staff to attach to the billing sheet in Excel
  • Scan completed billing and progress notes into the “G” drive
  • Post manual payment in third party software
  • Manage A/R and contact FCA agencies with outstanding claims
  • Together with the medical billing manager, provide billing report to senior staff and enter into Financial Edge
  • Other duties as needed

Health Homes

  • Run monthly census to review with program and ensure all claims have been captured for the month
  • Run remit reports to validate revenue received
  • Together with the medical billing manager, provide billing report to senior staff and enter into Financial Edge
  • Other duties as needed

 

MINIMUM QUALIFICATIONS:

  • High School Diploma Required; Associates Degree Preferred
  • 3 years’ experience in a medical billing role; preferred experience Article 31, and/or human services
  • Certifications in billing and coding a plus
  • Strong familiarity with Medicaid and insurance web portals and knowledge with the life cycle of claim(s)
  • Excellent MS office skills preferably intermediate excel knowledge such as (pivot tables, advanced formulas, linking spread sheets, etc.)

 

It is the policy of Sheltering Arms that the Agency wholly complies with the equal treatment of all employees and applicants for employment without unlawful discrimination as to an individual’s perceived or actual race, creed, color, national origin, alienate, citizenship status, gender, gender identity, age, disability, marital status, partnership status, sexual orientation, ethnicity, religion, or veteran status in all employment decisions, including but not limited to recruitment, hiring, compensation, training and apprenticeship, promotion, upgrading, demotion, downgrading, transfer, layoff and termination and all other terms and conditions of employment.

Forward this Position
Recipient email address (one)
Your name
Your email address
Enter a message (optional)
Human Check*
Apply for this Position
* Required fields
First name*
Last name*
Email address*
Location
Phone number*
Resume*

Attach resume as .pdf, .doc, or .docx (limit 2MB) or paste resume

Paste your resume here or attach resume file

Cover Letter*
What’s your highest level of education completed?*
Are you 18 years of age or older?*
In 150 characters or fewer, tell us what makes you unique. Try to be creative and say something that will catch our eye!*
References: Please enter names and contact information:
In 1-3 sentences please describe what made you apply for this position.*
In 1-3 sentences please describe your previous medical billing experience.*
Please indicate your level of competency with Microsoft Excel and Word.*
Check any below that you have experience creating and using in Microsoft Excel*
This position is located at 305 7th Ave, New York, NY. The hours are 9-5pm, Mon-Fri. Does this location and schedule work for you?*
What is your expected salary (annual).*
Have you ever worked or applied to sheltering arms?*
Are you currently employed with Sheltering Arms?*
Are you being referred by an employee of Sheltering Arms?*
If you are being referred by a current employee, please provide the employee's name.