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About the Role
The Billing Specialist handles insurance claim submissions, tracks prior authorizations, and investigates denied claims to ensure providers are paid accurately. This role involves data entry, data integrity checks, data reporting, compliance oversight, paperwork processing, and project management across all Behavioral Health functions and programs.
Responsibilities
- Perform weekly reviews and submissions of TS/BLC clinical service billing for all locations.
- Stay informed on the latest billing guidelines and updates from state & federal agencies.
- Perform weekly reviews and submissions of SCN invoices in Unite Us.
- Review denied invoices once adjudicated and support Millin's appeal process.
- Process and submit monthly Queenboro Work Release vouchers with the latest charge rates.
- Perform weekly reviews and submissions of Medicaid reimbursements of OMNY cards.
- Perform monthly reviews and submissions of OMH CRSRO Housing billing.
- Work with clinicians or SCNs to fix claim/invoice/voucher/allocation errors of all BH billing functions in a timely manner.
- Provide periodic information/data requested by finance.
- Assist the Data Analytics Manager with routine auditing of BH billing practices.
- Serve as back-up for facility, provider, and insurance payer credentialing paperwork preparation.
- Perform other duties as assigned.
Requirements
- Bachelor’s degree in Business, Healthcare Administration, Finance, or related field.
- 2+ years of medical billing/revenue cycle management experience.
- At least 2+ years in a leadership role.
- Strong knowledge of ABA billing, coding, and payer requirements.
- Proficiency with Caseworthy, AccuMed, EHR systems, and Microsoft 365.
- Exceptional communication and organizational skills.
- Ability to work in a fast-paced, evolving environment with precision and attention to detail.
- Relevant personal experience is a plus.
Skills
- Data entry
- Data integrity checks
- Data reporting
- Compliance oversight
- Paperwork processing
- Project management
- Analytical thinking
- Collaboration
- Attention to detail
Location
- Long Island City, NY
Work Type
- Full-Time
- Non-Exempt
Experience Level
- 2+ years of medical billing/revenue cycle management
- 2+ years in a leadership role
Education Level
- Bachelor’s degree in Business, Healthcare Administration, Finance, or related field
Salary/Compensations
- $32.97 - $35.72 Hourly
- Approximately $60,000 to $65,000 annually
About the Company
- The Fortune Society, Inc. (Fortune) has been working for over 57 years in service to its mission: to support successful reentry from incarceration and promote alternatives to incarceration, thus strengthening the fabric of our communities.
- The organization has evolved into one of the nation’s preeminent reentry and justice-informed service organizations, providing formerly incarcerated people with the skills and wrap-around services needed to break the cycle of crime and incarceration and to build productive lives in their communities.
- Fortune has grown steadily over the years to an agency with over $90 million in annual budget with approximately 600 staff.
- Fortune has a dual mission: both advocacy and service.
- The advocacy portion of our mission focuses on building a more just criminal legal system and reducing the barriers to reentry into society.
- The service side of Fortune has evolved to encompass a broad range of programs that started with employment and education and now includes a robust array of services, among them: alternatives to incarceration, supervised release, court advocacy, discharge planning within correctional facilities, licensed substance use and mental health treatment, a housing continuum ranging from emergency and transitional through permanent congregate and scattered site housing, assistance in obtaining benefits, a care management unit, HIV services, a food and nutrition program, and an arts program.
- Each service we provide is informed by the needs of the population we serve.
- Fortune currently serves approximately 18,000 people a year.
- Our program models are recognized, both nationally and internationally, for their quality and innovation.
- We have locations in Brooklyn, The Bronx, Manhattan, and Queens.
Equal Opportunity
- All qualified applicants will be afforded equal employment opportunities without discrimination because of conviction history, race, religion/creed, color, national origin, sex, age, disability, sexual orientation, gender identity, military status, predisposing genetic characteristics, victim of domestic violence status or marital status.