42 Billing and Credentialing Specialist Jobs in New York, NY
The Bridge Inc. is Hiring a Billing and Credentialing Specialist Near New York, NY
Job Location
New York, NY
Position Type
Full Time
Education Level
2 Year Degree
Salary Range
$55,000.00 - $60,000.00 Salary/year
Job Shift
Monday - Friday 9 AM - 5 PM
Description
The Bridge's mission is to change lives, by offering help, hope, and opportunity to the most vulnerable in our community. We offer a comprehensive range of evidence-based rehabilitative services, including mental health and substance abuse treatment, housing, vocational training and job placement, healthcare, education, and creative arts therapies.
The Billing and Credentialing Coordinator is responsible for coordinating the credentialing process for agency providers. This position will also perform billing for selected programs.
Essential Position Functions:
- Process agency wide provider and agency enrollment, credentialing, and revalidation through CAQH.
- Manage payer-provider roster updates and practice information requests.
- Effectively manage clearinghouse claims issues.
- Manage Excess Income process for all billable programs.
- Analyze and report on accounts receivable.
- Research/Investigate/Resolve and communicate complex eligibility issues.
- Perform other tasks assigned by the supervisor.
Required Knowledge, Skills, and Abilities:
- High school diploma or Equivalent
- Associate degree in healthcare services, health information management, or a related field from college preferred, or a Certificate from a technical school for billing
- Certified Biller or Certified Provider Credentialing Specialist
- Certificate/Diploma or proven knowledge in Medical Reimbursement and Coding
- 3-5 years of healthcare billing and credentialing experience.
- Strong knowledge of Managed Care Payer rules and regulations.
- Knowledge of Medicare LCD and NCCI Edits.
- Knowledge of OMH and OASAS regulations and procedures.
- Versed in third-party payer, Medicaid, and Medicare billing and payment procedures.
- Provider credentialing and Medicaid Excess Income process and procedure.
- Not-for-profit and Behavioral Health regulations.
- General competence with computer systems.
- Knowledge of, NYS ePaces/ eMedNY systems and AWARDS is a plus.
- Experience with clearinghouses.
- Interpersonal skills are required for effective communication/troubleshooting with program personnel and insurance plan contacts.
Job Summary
Full Time
$47k-60k (estimate)
05/01/2024
05/14/2024
The following is the career advancement route for Billing and Credentialing Specialist positions, which can be used as a reference in future career path planning. As a Billing and Credentialing Specialist, it can be promoted into senior positions as a Compliance Manager - Healthcare that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Billing and Credentialing Specialist. You can explore the career advancement for a Billing and Credentialing Specialist below and select your interested title to get hiring information.
