Billing Team Leader
16 hours ago
Queens
Transitional Services for New York, Inc., is a not-for-profit comprehensive, community-based mental health organization located in New York City. We provide a continuum of rehabilitative services to enrich the lives of those recovering from mental illness and facilitate their transition to increased levels of independence. Transitional Services for New York, Inc. envisions broadening its rehabilitative services and becoming a regional social service provider. Transitional Services for New York Staff will deliver effective programs with compassion, integrity, and professionalism. We expect all staff to put our clients' needs first while respecting ourselves and each other as we provide hope to those who participate in our programs. Transitional Services for New York, Inc. (TSINY) seeks a Billing Team Leader for their Administrative office in Whitestone (Queens), NY. TSINY is a non-profit mental health services agency. Annual Salary: $75,000 Generous benefits: Medical, Dental, Vision, Pension, 403(b), EAP, Disability Insurance Work closely with the Senior Fiscal Director-Residential & Billing to lead the revenue cycle management process. Maintain working knowledge of current coding terminology, HIPPA and other Health Administration regulations, as applicable. Strong leader with the ability to prioritize, plan and direct the billing department. Perform actual billing as needed. Job responsibilities include, but are not limited to: • Supervise and manage all billing operations, which include all forms of Medicaid, Medicare, Managed Care and Third-Party Insurance., • Utilize all available resources (eMedNY, Inovalon, Availity, AWARDS and various payer portals), as well as work with program administration to obtain billing documentation, insurance information, etc. as needed to accurately process/adjudicate claims., • Oversee the entire claim's lifecycle from charge entry, claim submission, payment posting to denial management and appeals., • Understand the operational details of the billing process internally, including claim processing, revenue projections (cash flow), payment posting, claim follow-up and client/consumer third-party collections as necessary., • Maintain medical billing record files (electronic or hard copy, as necessary) and ensure accuracy of coding for claims submissions., • Manage denied claims, resolve discrepancies and work with program administration to rectify denied claims (including developing reports to analyze/track denied claims and progress through resolution)., • Maintaining an ongoing relationship with payers, understanding their billing guidelines and procedure for appealing denied claims., • Responsible for keeping track of changes in procedure codes, rate codes and amounts as they may change several times during the year. Keep apprised of rules and regulations affecting coding and reimbursement., • Produce and analyze accurate Accounts Receivable Aging Reports and advise Senior Fiscal Director-Residential & Billing of potential bad debts., • Seek and recommend ways to improve operational, billing efficiency and compliance with federal, state and payer regulations., • Serve as the primary liaison between clinical providers, program administrative staff, and the billing department to resolve workflow bottlenecks., • Supervise, manage and mentor billing staff. Monitor performance, ensuring quality and productivity levels are maintained., • Assist the billing staff in a prompt and professional manner with troubleshooting billing and coding issues., • Ensure staff receives initial training and educational opportunities and maintain training as necessary., • Hire, counsel and recommend disciplinary action as necessary., • Be responsible for providing auditors with all requested billing reports at year end., • Provide information as requested to supervisor, management or co-workers in a timely manner., • Serve as back-up for any member of the Billing team., • Maintain an accurate inventory of billing files and have them destroyed as per Agency's disposal policy. Bachelor's degree in Business, Healthcare Administration or commensurate experience in healthcare industry plus 57 years' progressive work experience in medical billing and revenue cycle management with a minimum of 2-3 years in behavior health or psychiatric setting. Certified Professional Coder (CPC) or Certified Medical Reimbursement Specialist (CMRS) preferred. Previous management experience required. Accounting/Finance degree a plus.