Senior Billing Specialist
Planned Parenthood of Greater New York, Brooklyn, New York, United States, 11210
At Planned Parenthood of Greater New York (PPGNY), the greatest strengths are the employees who empower every individual with the information, resources, and care to live healthy lives.
Picture yourself here: We are a team of trusted health care providers, educators, and fierce advocates committed to advancing equity and improving health outcomes in communities that face systemic barriers to quality care.
Position Overview As a Senior Billing Specialist, you will review, analyze, and maintain patient account balances for Medicaid, commercial payers, and other payer types. You must have prior experience with NYS Medicaid and work with large data sets to perform analytical analysis via Excel and EPIC reports.
Duties and Responsibilities
Revenue Cycle Billing (75%)
Responsible for working various WQ’s to resolution.
Identify EPIC WQ’s issues, develop and implement work plans to remediate issues with Manager, Billing.
Identify charge/pricing issues to ensure optimal charging of services with Manager billing.
Identify provider opportunities for improvement in charging and missing documentation.
Responsible for oversight of Grants and Funding invoicing and reconciliation.
Maintain NYS Medicaid rules and regulations updates and disseminate information accordingly.
Reporting, Monitoring and Compliance (15%)
Responsible for various audits to ensure compliant billing and charging utilizing EPIC reports; workbench, slicer dicer and Excel pivots, v look up and efficient presentations.
Develops and implements reporting tools to identify revenue cycle trends, including root cause of denials.
Perform under and over payment analysis.
Performs ad hoc data analysis to address operational issues identified.
Training and Education: (10%)
Through audits and WQ management identify registration training needs for all registration areas working with RCM leadership and Regional Directors of Operations and CHN patient Access.
Development of education and training materials regarding payor updates.
Complete mandatory training and attendance of various meetings.
CORE COMPETENCIES
A demonstrated commitment to PPGNY’s mission related to bodily autonomy, health equity, gender and racial justice.
A demonstrated commitment to learning about and enhancing practices related to racial equity and its impact on healthcare systems.
Strong relationship building and communication skills, including an ability to work and build trust across cultural differences related to race, age, gender, gender identity and expression, sexual orientation, religion, ethnicity, national origin or ability; and to reflect on one’s personal identity with humility.
Required Qualifications
High School diploma or GED.
Five plus years in healthcare billing experience.
Three plus years EPIC knowledge and utilization.
Intermediate to advanced Microsoft suite utilization.
Strong NYS CMS Compliance knowledge and auditing guidelines.
Preferred Qualifications
Associate’s degree in business.
Advanced Excel spreadsheet development.
Typical Physical Demands
Requires prolonged sitting and repetitive tasks including use of a computer.
Periodic standing, walking, bending.
Requires lifting or moving of up to 15 pounds.
Visual acuity sufficient to perform frequent work on a computer screen and review printed reports and other materials.
Requires the ability to hear and to communicate orally with others.
Role routinely uses standard office equipment such as computers, phones, photocopiers, and filing cabinets, and will require reaching, grasping, pushing, and pulling.
Typical Working Conditions
This job operates in a professional office environment. Potential exposure to communicable diseases and other conditions in a health center environment.
Requires flexible schedule and during peak activity periods work more than 7.5 hours per day.
and/or 37.5 hours per week.
Salary $73,000 - $91,000 a year
Benefits
Generous PTO and holiday schedule
Medical, dental and vision coverage options for you and eligible dependents
FSA, HSA, Commuter pre‑tax reimbursement funds
Short‑and Long‑Term Disability, Free Basic Life and AD&D
401(k) Retirement Plan with Safe Harbor contributions after 1 year of employment
Additional Requirements Proof of immunization or immunity to certain communicable diseases (including influenza during the flu season and Covid‑19) and testing for tuberculosis. These certifications are required by the NYC DOHMH Health Code, NYSDOH and OSHA.
About PPGNY Planned Parenthood of Greater New York (PPGNY) is a leading provider, educator, and advocate of sexual and reproductive health care in New York State. PPGNY provides a wide‑range of family planning services at our brick‑and‑mortar health centers and mobile care units. We care for everyone regardless of their immigration status, zip code or ability to pay. PPGNY’s education and outreach programs are backed by medically accurate, evidence‑based information that allows people to make informed decisions about their health and future. As a voice for reproductive freedom, PPGNY supports legislation and policies that ensure all New Yorkers have access to the full range of reproductive health care and education.
As a leading voice for reproductive freedom, PPGNY fiercely advocates for policies to ensure that all New Yorkers will have access to the full range of reproductive health care services and information.
PPGNY is committed to diversity, equity, and inclusion. We believe we are most impactful when people with a wide range of backgrounds, experiences, and identities come together with common purpose. We encourage candidates from all backgrounds to apply.
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Picture yourself here: We are a team of trusted health care providers, educators, and fierce advocates committed to advancing equity and improving health outcomes in communities that face systemic barriers to quality care.
Position Overview As a Senior Billing Specialist, you will review, analyze, and maintain patient account balances for Medicaid, commercial payers, and other payer types. You must have prior experience with NYS Medicaid and work with large data sets to perform analytical analysis via Excel and EPIC reports.
Duties and Responsibilities
Revenue Cycle Billing (75%)
Responsible for working various WQ’s to resolution.
Identify EPIC WQ’s issues, develop and implement work plans to remediate issues with Manager, Billing.
Identify charge/pricing issues to ensure optimal charging of services with Manager billing.
Identify provider opportunities for improvement in charging and missing documentation.
Responsible for oversight of Grants and Funding invoicing and reconciliation.
Maintain NYS Medicaid rules and regulations updates and disseminate information accordingly.
Reporting, Monitoring and Compliance (15%)
Responsible for various audits to ensure compliant billing and charging utilizing EPIC reports; workbench, slicer dicer and Excel pivots, v look up and efficient presentations.
Develops and implements reporting tools to identify revenue cycle trends, including root cause of denials.
Perform under and over payment analysis.
Performs ad hoc data analysis to address operational issues identified.
Training and Education: (10%)
Through audits and WQ management identify registration training needs for all registration areas working with RCM leadership and Regional Directors of Operations and CHN patient Access.
Development of education and training materials regarding payor updates.
Complete mandatory training and attendance of various meetings.
CORE COMPETENCIES
A demonstrated commitment to PPGNY’s mission related to bodily autonomy, health equity, gender and racial justice.
A demonstrated commitment to learning about and enhancing practices related to racial equity and its impact on healthcare systems.
Strong relationship building and communication skills, including an ability to work and build trust across cultural differences related to race, age, gender, gender identity and expression, sexual orientation, religion, ethnicity, national origin or ability; and to reflect on one’s personal identity with humility.
Required Qualifications
High School diploma or GED.
Five plus years in healthcare billing experience.
Three plus years EPIC knowledge and utilization.
Intermediate to advanced Microsoft suite utilization.
Strong NYS CMS Compliance knowledge and auditing guidelines.
Preferred Qualifications
Associate’s degree in business.
Advanced Excel spreadsheet development.
Typical Physical Demands
Requires prolonged sitting and repetitive tasks including use of a computer.
Periodic standing, walking, bending.
Requires lifting or moving of up to 15 pounds.
Visual acuity sufficient to perform frequent work on a computer screen and review printed reports and other materials.
Requires the ability to hear and to communicate orally with others.
Role routinely uses standard office equipment such as computers, phones, photocopiers, and filing cabinets, and will require reaching, grasping, pushing, and pulling.
Typical Working Conditions
This job operates in a professional office environment. Potential exposure to communicable diseases and other conditions in a health center environment.
Requires flexible schedule and during peak activity periods work more than 7.5 hours per day.
and/or 37.5 hours per week.
Salary $73,000 - $91,000 a year
Benefits
Generous PTO and holiday schedule
Medical, dental and vision coverage options for you and eligible dependents
FSA, HSA, Commuter pre‑tax reimbursement funds
Short‑and Long‑Term Disability, Free Basic Life and AD&D
401(k) Retirement Plan with Safe Harbor contributions after 1 year of employment
Additional Requirements Proof of immunization or immunity to certain communicable diseases (including influenza during the flu season and Covid‑19) and testing for tuberculosis. These certifications are required by the NYC DOHMH Health Code, NYSDOH and OSHA.
About PPGNY Planned Parenthood of Greater New York (PPGNY) is a leading provider, educator, and advocate of sexual and reproductive health care in New York State. PPGNY provides a wide‑range of family planning services at our brick‑and‑mortar health centers and mobile care units. We care for everyone regardless of their immigration status, zip code or ability to pay. PPGNY’s education and outreach programs are backed by medically accurate, evidence‑based information that allows people to make informed decisions about their health and future. As a voice for reproductive freedom, PPGNY supports legislation and policies that ensure all New Yorkers have access to the full range of reproductive health care and education.
As a leading voice for reproductive freedom, PPGNY fiercely advocates for policies to ensure that all New Yorkers will have access to the full range of reproductive health care services and information.
PPGNY is committed to diversity, equity, and inclusion. We believe we are most impactful when people with a wide range of backgrounds, experiences, and identities come together with common purpose. We encourage candidates from all backgrounds to apply.
#J-18808-Ljbffr