Remote Billing Manager - Rahway, NJ, United States - Volunteers of America - Greater New York, Inc.

Description

Volunteers of America-Greater New York (VOA-Greater New York) is an anti-poverty organization working to end homelessness in the New York area by 2050.

We operate over 60 programs across New York City, Northern New Jersey and Westchester County including emergency, transitional and permanent housing.

Our services extend to families experiencing homelessness, survivors of domestic violence, people living with HIV/AIDS, veterans, youth aging out of foster care, adults with behavioral health or substance use needs , and others in need, including a special education preschool program.

The Billing Manager is a key member of the finance team overseeing the day-to-day billing operations of the division's programs and contracts, furthering the finance and program administration goals of the organization.

Provides support and advises the Business Manager on revenue and operational matters in accordance with Volunteers of America – Greater New York, Inc.

policy and procedures. This position will supervise billing staff.

Bachelor's degree in Accounting, Finance, Business Administration or Healthcare Management with a minimum of three years of relevant billing and operational experience, including at least one year in a supervisory capacity, or satisfactory combination of education and experience is required.

Relevant experience includes similar fiscal and operational roles in a social service agency with federal and/or New Jersey state government agency contracts, or internal audit or public accounting experience, who is able to translate her/his understanding of agency funding, controls and workflow into effective and efficient fiscal operations and process improvement.

This employee will possess a thorough understanding of medical billing and collections, Medicare/Medicaid, and managed care organizations. Working knowledge of CMS regulations, CPT/HCPCS codes, claim submission, and insurance regulations, billing, benefits and appeal processes is required. Knowledge of business management and basic accounting principles is required. Knowledge of contract negotiations and credentialing is preferred. Advanced proficiency with Microsoft Office suite with strong Excel skills is required.


Billing Manager Principal Responsibilities:

Oversee the operations of the medical billing function, encompassing coding, claims preparation and submission, payment posting and reimbursement management.

Contribute to automating and streamlining billing processes to enhance operational efficiencies.
Perform prospective review of medical billing documentation. Ensure claims are complete and accurate and submitted in compliance with federal and NJ state regulations.
Manage Medicaid/Medicare eligibility and prior authorization processes. Ensure eligibility is verified and prior authorization obtained to support billable services.
Manage claims denial processes ensuring denials are escalated and appealed by the stated deadlines.
Review monthly revenue reporting and monitor receivables and cash flows. Perform analyses and reconciliations to ensure accurate billing and financial reporting. Track contract expiration dates and manage contract renewal process. Supervise the billing staff and coordinate training on applicable operating policies, systems and techniques. Cross-train in billing functions to serve as back-up as needed to meet billing and reporting deadlines.
Keep current with CMS and NJ funder regulations and distribute change information appropriately.
Participate in external and internal audits and funder monitoring procedures.

Employees receive an exceptional benefits package including medical, dental, vision and prescription coverage, life insurance, a retirement plan, paid personal leave, and much more.