Billing and Accounts Specialist

BILLING AND ACCOUNTS SPECIALIST – Job Description

ORGANIZATION SUMMARY:

Western New York Integrated Care Collaborative (WNYICC) is an innovative non-profit corporation, incorporated in 2016. As the Community Care Hub of a multi-county Social Care Network of Community-Based Organizations (CBOs) and government agencies, we are strategically positioned to respond to and capitalize on opportunities to advance community-based integrated health care and to bring sustainability to community-based programs and services which address social determinants of health. WNYICC’s role in the network is to provide administrative contracting, billing, technical support, training, and quality assurance on a regional level. The WNYICC Network works collaboratively to navigate the changing healthcare landscape together to improve health outcomes in our Western New York community.

POSITION SUMMARY:

The Billing and Accounts Specialist is responsible for executing billing and coordinating accounts and financial services for social and healthcare services.

• WNYICC is an inclusive organization. We encourage applicants from a diverse background.
• Position reports to Director of Business and Accounts and Chief Financial Officer and is valued member of our Business and Finance Team.

RESPONSIBILITIES:

• Process and coordinate billing of WNYICC programs.
• Submit medical billing claims for claims-based services
• Prepare and submit invoices for invoice-based services; Review outgoing invoices for accuracy
• Receive invoices from partners and reconcile claims
• Perform posting charges
• Perform completion of claims to payers
• Conduct duties in a professional and timely fashion
• Submit billing data to the appropriate insurance providers
• Process claims
• Work with our revenue cycle management contractor to resolve denial instances
• Achieve maximum reimbursement for services provided
• Conduct Medicare and commercial insurance reviews
• Conduct NY Medicaid reviews
• Conduct audits
• Work directly with our sub-contracted delivery partners to ensure accuracy in invoices and payments to partners.
• Maintain grant budget reports and ensure grants’ financial requirements and deadlines are met.
• Provide training and support to WNYICC partners on billing and invoicing processes and requirements.
• Provide support for assigned workgroups and committees of the Network.
• Demonstrate excellent customer service on phone, in-person, via email and in all aspects of employment at WNYICC.
• Communicates in a positive manner both internally and externally to partners.

QUALIFICATIONS:

• Successful experience providing medical billing, invoicing, and/or grant management.
• Strong attention to detail with accuracy in data entry and analysis, in a high volume environment
• Strong computer/technology skills preferred including: medical billing systems, electronic health record, Microsoft Office-Suite, Outlook, spreadsheets, and more.
• Experience with HIPAA regulations and billing health insurance is preferred.
• Ability to relate effectively to diverse groups of people from all social and economic segments of the community with a track record of building authentic, constructive relationships with others.
• Ability to multi-task and willing to take on new projects and tasks in a fast-paced environment.
• Comfortable working both in a Team environment and independently.
• This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.

BENEFITS:

• WNYICC provides a fun, progressive work environment with great benefits and a competitive salary; health and dental benefits, 401K, generous paid time off package; cell phone stipend, home office stipend, and the ability to work with innovative, talented, diverse, and valued team members driven to strengthen communities and transform lives. We are excited to meet our next WNYICC Team Member!
• WNYICC is an inclusive organization. We encourage applicants from a diverse background.
• This is a hybrid position which includes remote work plus in-person meetings and some travel.
• HOURLY RATE $20.00 - $25.00 hourly ($41,600 - $52,000)

Western New York Integrated Care Collaborative, Inc. is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. As an Affirmative Action Employer Western New York Integrated Care Collaborative, Inc. is committed to the hiring, advancement and fair treatment of all individuals without regard to race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height, weight, marital status, family status, gender identity, sexual orientation, and genetic information, or any other protected status in accordance with applicable federal and state laws.

Job Type: Full-time

Pay: $20.00 - $25.00 per hour

Expected hours: 40 per week

Ability to Commute:

• Buffalo, NY 14209 (Required)

Ability to Relocate:

• Buffalo, NY 14209: Relocate before starting work (Required)

Work Location: Hybrid remote in Buffalo, NY 14209