Job Title: Supervisor – Medical Billing

Agency: New View Alliance in Partnership with Gateway Longview & New Directions

Position Summary: The Supervisor of the Medical Billing department will play a crucial role in the oversight of the medical billing process. The Supervisor will have a strong understanding of the billing rules associated with OMH, OCFS, and the respective credentialed insurance companies.

Benefits

New View Alliance takes pride in offering an amazing benefits package to take care of our most important asset- our employees! We offer medical, dental and vision plan insurance effective the first of the month following hire date, flexible spending accounts, wellness program, employee assistance program, a 403B retirement plan, & several more offers.

In addition to receiving up to 11 paid holidays, employees can earn up to 27 days of PTO each year, with the opportunity to start using PTO following hire date.

Compensation

$50,000 - $60,000

• Offers based on education and years of relevant experience

Position Specific Duties/Responsibilities:

• Oversight of the medical billing department and staff to ensure a clean and efficient revenue cycle for billable services.

• Manage the credentialing process, including paperwork and submission, of all licensed staff within the affiliated agencies.

• Manage new and ongoing insurance contracts in collaboration with the program COO and CFO. Maintain relationships and be the point of contact with all insurance company representatives.

• Bill and oversee all services rendered per appropriate billing rules. Prepare and generate clean claims and submit them to the respective insurance company and/or clearinghouse. Review patient bills for accuracy and completeness and obtain any missing information.

• Pull remittances, work denials, prepare resubmittals, produce billing statements for co-pays and co-insurances, and prepare secondary insurance billing. Process all appeals promptly, generally within 48 hours of denial. Respond to billing inquiries daily. Resolve outstanding payer issues and obtain payment resolutions from the carriers. Ensure timely collection follow-up. Adhere to HIPAA rules at all times.

• Maintain current billing practices for OMH (Outpatient clinic & CFTSS), OCFS (29i), and school-based billing.

• Prepare reports as requested by program COO’s, CFO, and Controller. Provide Controller with reconciliation of reports.

• Support foster care families with insurance coverage and work with pharmacies to obtain script authorizations.

• Complete CAQH online provider data.

• Other duties as assigned.

Knowledge, Skills, and Abilities

• Ability to work with diverse populations and demonstrate cultural competence in addressing the unique needs of diverse communities and staff.

• Ability to adapt to changing circumstances and evolving organizational and community needs.

• A strong sense of ethics and integrity, making decisions that align with the values of the organization and the welfare of the youth and families worked with.

• Strong critical thinking skills to analyze complex situations and develop effective solutions.

• Excellent communication and interpersonal skills to interact with staff, clients, stakeholders, and other professionals effectively.

• Clear and concise written and verbal communication skills; conveys ideas and information effectively.

• Comfort and proficiency with electronic medical records, technology, and data management systems.

• Must have a high degree of discretion when dealing with confidential information

• Ability to travel to meetings at off-site locations

Qualifications

• High School Diploma or equivalent required.

• 5 years experience in Medical Billing Field.

• Medical Billing Certification preferred.

• Medical billing experience and knowledge of ICD 10, CPT coding, APG. modifiers as well as medical reimbursement methodologies required. Knowledge of Office of Mental Health 599 regulations is desired.

• Experience with Medicaid and third-party insurance, including the ability to provide instruction to patients and their families regarding insurance coverage.

• Experience using an Electronic Medical Record. Working knowledge of Microsoft Office products.

We want to emphasize that the preferred qualifications are not required and that we are committed to helping our future colleagues develop these preferred skills. We strongly encourage those who are passionate about fostering a diverse, inclusive and equitable human service organization to apply.