Billing & Collections Specialist

Description

Venture Forthe, Inc. is a premium person-centered agency in Western and Central, New York, helping individuals with disabilities live independently. We believe in hiring great people to do meaningful work — and it starts with you.

Billing & Collections Specialist will ensure that all audited services are submitted to funders in accordance with established policies, guidelines, and regulations (including all state and federal directives) and confirm full reimbursement for service as outlined in established contracts.

Hours: MondayFriday 8:00am4:30pm

Setting: In Office

Duties

• Work distributed Aging Reports in a timely manner to resolve denied claims and short payments.
• Monitor assigned work groups in VFI’s clearinghouse for claim denials and make necessary corrections to ensure payment for services.
• Status all unpaid claims over 45 days to ensure funder has received the submitted claim.
• Submit all claim appeals within funder’s established filing limits.
• Ensure no claim is denied for “Claim filing limits expired”.
• Maintain less than 6% outstanding Accounts receivable over 90 Days
• Communicate identified denial trends and reimbursement rate differences to supervision.
• Identify and resolve all overpayments
• Ensure accurate payment posting and remittance reconciliation
• Independently review relevant publications to maintain awareness of changing billing policies, guidelines, and regulations.

Requirements

Qualifications:

• Highschool Diploma or equivalent with
• 6 months prior experience working in the home healthcare field
• Strong background in New York Medicaid, Home Health or related field
• Microsoft Excel knowledge (preferred)

We offer a full benefits package including health insurance with employer contribution) vision insurance, dental insurance, short term disability supplement, critical illness, FSA/DCA, Health Saving Account, Employer Assistance Program ,Legal- aide, hospital indemnity, Employee Discount Programs PTO, 401k w/ match, and more, plus room for growth and advancement!

Venture Forthe Inc. is an Equal Opportunity Employer and prohibits Discrimination and Harassment of any kind. Venture Forthe, Inc. is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment.