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 denialsQUALIFICATIONS:* 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.