About the role

  • Senior Billing Specialist responsible for maintaining Medicaid account balances at PPGNY. Conduct audits and collaborate with billing management to optimize reimbursement processes.

Responsibilities

  • Responsible for the review, analysis and maintenance of patient account balances for Medicaid commercial payers and other payer types.
  • Perform various audits utilizing Excel and EPIC reports to identify accurate reimbursement based on various payer contracts.
  • Work in various EPIC work queues to identify charge/pricing errors and recommend automation to the Manager Billing.
  • Analyze large data sets and perform analytical analysis.

Requirements

  • 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.

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

Job title

Senior Billing Specialist

Job type

Experience level

Senior

Salary

$73,000 - $91,000 per year

Degree requirement

High School Diploma

Location requirements

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