Billing Clerk - Rising Ground, Inc

Overview

The Billing Clerk is responsible for billing and collecting monies from New York State for services rendered to our OPWDD clients and Article 29/Article 31 managed care. Reconcile agency record against City and State billing record. 

Rising Ground

Founded as an orphanage in 1831, Rising Ground has been at the forefront of evolving community needs as a leading non-profit human services organization. Driven by the belief that each of us can thrive when life has hope and opportunity, Rising Ground provides caring support and proven paths to positive change, helping children, adults, and families rise above adversity, and each year, Rising Ground is a positive force in the lives of more than 25,000 individuals. We do this through 50 programs in 70 locations throughout New York City and Westchester. Our strong belief and commitment to diversity shows not just through our work with supported persons but is integral to the building of a strong staff that reflects the communities we serve. 

Benefits

At Rising Ground, we encourage everyone to live a healthier life. When you enroll in health care benefits — medical, dental, and vision care, you and your family can take advantage of each plan’s preventive services, which will help everyone to stay well. Another way to remain healthy is to eat right and keep active. Ultimately, we all benefit when we make the right choices, whether through diet and exercise or health care services. You can also take advantage of other important benefits, including life and accident, disability benefits, the retirement savings plan, and the employee assistance program.

Annual Salary

$58,500.00

Responsibilities

Characteristic Duties 

• The Biller collects all data for services rendered to clients serviced in our programs. Data will flow either electronically or manually.
• It is the responsibility of the biller to verify accuracy of billing data, correcting any errors by working closely with program staff, inquiring and asking for assistance with any questions, clarification or concerns.
• Meet with Eligibility person to discuss, identify and share outstanding or expired contracts for updates monthly.
• Initiate contact by reaching out to the different Health Service providers to discuss the different service plans offered by the different providers.
• Inspect all documents further by checking rules and regulations provided by the New York State. The biller is not to bill before ensuring all the rules, rates and codes are up to date in the software and matches New York State e-paces,.
• Spool the billing file from our various billing software, review the file further to ensure the accuracy and integrity, then bills New York State and the managed care companies for services rendered to our OPWDD clients and Managed Care clients.
• Upload the billing file to the billing destination on weekly, bi-weekly and monthly basis.
• Maintains copy of all billing records electronically to be accessible to billing staff, forward all copies of billing to the Revenue Cycle person.
• Check New York State e-paces and the Clearing Houses to ensure all billing are accepted and processing by the funding source.
• Create and maintain an Account Receivable Subsidiary spreadsheet, to track down all billing and collections of services rendered. Update Spreadsheet on a weekly basis.
• Re-bill all unpaid claims after all corrections and updates made. Track down all unpaid claims on a weekly basis, fix all errors and re-bill.
• On a monthly basis the Biller will meet with the Revenue Cycle person to reconcile data in the tracking system and the Account Receivable schedule against data in the accounting software.
• The biller will update or correct all discrepancies or provide proof to aid the revenue cycle person to correct the ledge.

Essential Duties 

• Perform Billing
• Prepares Account Receivable
• Prepare Ageing Report
• Performs related and similar duties as required or assigned.
• Assist in collecting information for audit
• Submit weekly reports to the Finance Department

Qualifications

• Bachelors Degree required.
• Experience working with E-paces and Microsoft Office.
• At least two years Institutional Medicaid Billing experience.
• Excellent communication (oral/written) skills. 
• Must have the ability to synthesize and handle a large volume of data with precision.  
• Must be able to turn around work assignments quickly and work effectively under stress.
• Exceptional organizational skills with the ability to multi-task, essential.