Responsible for. Regularly monitor data quality and submission to meet funder requirements, such as those required by the local CoC, Maven, and annual certifications. Duties include ongoing review of operations chart documentation, and Medicaid billing.

Responsibilities:

• Provide training and guidance applicable to supportive housing regulations including, but not limited to, NY State OMH, NYC DOHMH & DHS, HUD McKinney, and Medicaid OMIG.
• Perform on-site program operation reviews in all residential programs (Brooklyn, Bronx, Manhattan), and provide.
• Supervise the process of Medicaid authorizations including expiration dates, recertification, and invoicing.
• Create and execute staff trainings on regulations, audit prep, and new policies.
• Assist in the preparation and submission of required HUD documentation
• Assist with all Corrective Action Plans and other responses to regulatory agencies.
• Lead residential program audits and monitoring visits.
• Attend staff meetings, supervision, and trainings as required.
• Any other duties as assigned.

Essential 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.

The Bridge Inc. is an Affirmative Action / Equal Opportunity Employer