Billing and Collection Specialist

Billing and Collection Specialist Location New York, NY (Harlem area) :

The Bridge's mission is to change lives, by offering help, hope, and opportunity to the most vulnerable in our community. We offer a comprehensive range of evidence-based rehabilitative services, including mental health and substance abuse treatment, housing, vocational training and job placement, healthcare, education, and creative arts therapies.

The Billing and Collection Specialist is responsible for billing and the follow-up of unpaid or rejected insurance claims for assigned carriers. This position will work with insurance companies, Billing, and Program staff to resolve account issues.

Responsibilities and Duties

• Pursue reimbursement on outstanding accounts. Maintain working relationships with insurance companies and their network providers.
• Resolve account issues with insurance carriers.
• Effectively manage clearinghouse claims issues.
• Enlists the efforts of senior management when necessary to accelerate the collection process.
• Act as Internal and External customer interface.
• Meet defined department goals and activity.
• Perform other tasks assigned by the supervisor.

Essential Knowledge, Skills, and Abilities:

• Minimum Education level: High school
• Associate degree in healthcare services, health information management, or a related field from college preferred, or a Certificate from a technical school for billing
• Billing and Coding Certificate/CPC a plus
• Strong working knowledge of Article 32 and Article 31 claims processing
• 2+ years of experience in Medical Collections, appeals, and denial management.
• Demonstrated experience in A/R reconciliation, reduction, and reporting
• Extensive and current working knowledge of coding, billing, and collection of medical claims
• Working knowledge of HIPAA, entitlements/eligibility, coordination of benefits, reimbursement schemes, patient responsibility, and contractual adjustments
• Knowledge of Medicare, Medicaid, Managed Care, and Commercial insurance billing rules and payment regulations
• Experience with AWARDS (Foothold Technology) and MillinPRO is a plus.

The Bridge Inc. is an Affirmative Action / Equal Opportunity Employer