Assistant Service Fee Supervisor;9161-339-A

For 125 years, Catholic Charities Brooklyn and Queens has been providing quality social services to the neighborhoods of Brooklyn and Queens, and currently offers 160-plus programs and services for children, youth, adults, seniors, and those struggling with mental illness. 
STATEMENT OF THE JOB:
Under the direct supervision of the Service Fee Supervisor, the Assistant Service Fee Supervisor works with Netsmart’s Revenue Cycle Management (RCM) to provide a broad suite of business office services to enhance revenue collection and timely receipt of payments.  The billing service includes all insurance carriers; Medicaid, Medicare and Managed Care Organizations and Commercial Payers. Including, but not limited to generating reports, reconciling billing data with remittances and preparing spreadsheets to track follow-up process. 
* Assist with 835 enrollments.
* Work self-pay balances through management of 3rd party collection vendor and process.
* Review delinquent self-pay clients with organization liaison for final disposition.
* Research and status Client refunds
* Print and mail Client and insurance refund checks.
* Communicate any needed adjustments to RCM.
* Complete applicable credentialing portions of the contracting process
* Initial CAQH Provider Enrollment
* Provide Netsmart with updated provider attrition numbers.
* Submit enrollment agreements to payers.
* Track the payer agreements for approval.
* Make necessary configurations to Care Record
* Identify clearinghouse edits / rejections (Client is responsible for configuring Care Record to accommodate edits)
The following tasks will be performed Daily:
* Review and resolve as possible discrepancies/under payments.
* Ensure 80% of remits delivered through 835.
* Deposit time-of-service into bank account
* Deposit EFTs and check payments into bank account.
* Reconcile EFTs and check payments received against bank payments posted.
* Provide timely response and request to liaison regarding additional information to resolve delinquent insurance claims.
The following tasks will be performed Weekly:
* Research and Reporting of unbilled entries
* Client reviews detailed listing of claims deemed uncollectable by RCM and approves write-off or requests additional information.
* Assist Netsmart with access to clinical or program managers that can assist with the following possible issues:
Documentation required for claims appeal for all clinical denials (No Auth, Med Rec Req, Non-covered service, Medical Necessity, Coding, Non-credentialed location or provider)
* Assist Netsmart with implement proposed changes to workflow to decrease denials
QUALIFICATIONS:
* Associates degree in Business/Finance/Related Field is preferred or Billing Certification with High School Diploma and an additional 2 years’ experience.   
* 4 years of progressive work experience in related field.  
* Experience working with Medicaid, Medicare and Managed Care. 
* Experience with Electronic billing software, Netsmart preferred.
* Ability to effectively communicate and train staff in billing functions and processes.  
* May be required to lift approximately 10 lbs. 
* Able to travel throughout the five boroughs as needed.
BENEFITS:
We offer competitive salary and excellent benefits including:
* Generous time off (Vacation/ Personal Days/ Sick Days/ Paid Holidays annually)
* Medical,
* Dental
* Vision
* Retirement Savings with Agency Match
* Transit
* Flexible Spending Account 
* Life insurance
* Public Loan Forgiveness Qualified Employer 
* Training Series and other additional voluntary benefits.
 
For more information on our organization, please visit our website at:
www.ccbq.org EOE/AA.