Job Description

For 125 years, Catholic Charities Brooklyn and Queens has been providing quality social services to the neighborhoods of Brooklyn and Queens, and currently offers 160-plus programs and services for children, youth, adults, seniors, and those struggling with mental illness.
STATEMENT OF THE JOB:
Under the direct supervision of the Service Fee Supervisor, the position is responsible for computerized Medicaid, Medicare and MCO billing duties.
• Coordinate electronic and manual remittance processing from multiple pay sources including Medicaid, Medicare, and Managed Care.
• Coordinate electronic and manual remittance processing from multiple pay sources including Medicaid, Medicare, and Managed Care.
• Review aging reports.
• Generate standardized reports.
• Reconciling billing data with remittances and preparing spreadsheets to track follow-up process.
• Review weekly suspense report.
• Analyzes data from reports to identify patterns of inefficiency and lost revenue.
• Follows corrective action.
• Re-bill and adjust claims as necessary.
• Batch and submit claims to Medicaid, Medicare, and MCO.
• Review denial responses.
• Follow-up with payer regarding issues or denials.
• Post denial and update spreadsheet.
• Communicate with direct care program staff as needed.
• Other tasks as assigned by the supervisor.
QUALIFICATIONS:
• Associates degree required/Bachelors preferred.
• 5 years of progressive work experience in related field is required.
• Experience with Electronic billing software Net Smart preferred.
• Experience working with Medicaid, Medicare and Managed Care.
• Working knowledge of Excel, MS Word and Outlook and overall computer proficiency.
• Ability to travel to multiple locations within the five boroughs as needed.
• Must be able to occasionally lift and/or move up to 10 pounds.
BENEFITS:
We offer competitive salary and excellent benefits including:
* Generous time off (Vacation/ Personal Days/ Sick Days/ Paid Holidays annually)
* Medical
* Dental
* Vision
* Retirement Savings with Agency Match
* Transit
* Flexible Spending Account
* Life insurance
* Public Loan Forgiveness Qualified Employer
* Training Series and other additional voluntary benefits.
For more information on our organization, please visit our website at:
www.ccbq.org EOE/AA.