Position: Billing Specialist
Location: 205 W Milton Avenue • Rahway, NJ 07065
The Billing Specialist is a key member of the finance team handling the day-to-day billing operations of the division’s programs and contracts, furthering the finance and program administration goals of the organization. Applies sound business practices to enhance the effectiveness and efficiency of the sector’s programs. Provides support and advises the Billing Manager on revenue and operational matters in accordance with Volunteers of America – Greater New York, Inc. policy and procedures.
Minimum Qualifications:
Associate degree in accounting, Finance, Business Administration, Healthcare Management or related field with a minimum of two years of relevant billing and operational experience, or satisfactory combination of education and experience is required. Relevant experience includes similar fiscal and operational roles in a social service agency with federal and/or New Jersey state government agency contracts, or internal audit or public accounting experience, who is able to translate her/his understanding of agency funding, controls and workflow into effective and efficient fiscal operations and process improvement.
Billing Specialist Principal Responsibilities:
Administer medical billing, encompassing electronic claims preparation and submission, payment posting and reimbursement management in accordance with Medicaid, Managed Care Organization and Fee-for-Service billing policies and procedures.
Verify Medicaid/Medicare eligibility and process prior authorizations. Coordinate with program staff, funders, and payers ensure consumer eligibility is confirmed and prior authorization obtained to support billable services. Obtain Single Case Agreements where necessary.
Administer claims denial processes ensuring denials are appealed by the stated deadlines. Follow-up on overdue accounts for collections, resubmissions, and billing adjustments.
Prepare monthly revenue reporting and assist in monitoring receivables and cash flows. Perform analyses and reconciliations to ensure accurate billing, collections, and financial reporting. Provide monthly and ad hoc reporting as requested.
Keep current with CMS and NJ funder regulations.
Participate in external and internal audits and funder monitoring procedures.
Employees receive an exceptional benefits package including medical, dental, vision and prescription coverage, life insurance, a retirement plan, paid personal leave, and much more.
To learn more about VOA-Greater New York, copy and paste this link into a browser: https://www.voa-gny.org/about
Application Link: https://us232.dayforcehcm.com/CandidatePortal/en-US/voagny/Posting/View/12675
