Denial Analyst

MISSION STATEMENT:

Are you ready to give back to the community while pursuing your passion? For over 50 years, Acacia Network and its affiliates have been committed to improving the quality-of-life and wellbeing of underserved communities in New York City and beyond. We are one of the leading human services organizations in New York City and the largest Hispanic-led nonprofit in the State, serving over 150,000 individuals every year. Our programs serve individuals at every age and developmental level, from the very young through our daycare programs to mature adults through our older adults centers. Our extensive array of community-based services are fully integrated, bilingual and culturally competent.

POSITION OVERVIEW:

Under the supervision of the Director of Revenue Cycle, the denial analyst will be responsible for timely billing and account receivable functions including claims filing, patient billing and accounts receivable from patients and third-party carriers. The incumbent will closely monitor patient/client accounts.

KEY ESSENTIAL FUNCTIONS:

• Responsibilities include third-party insurance billing and review and processing of payments.
• Knowledge of electronic 835 & 837 processes
• Review of trial balances and adjustment of accounts after payment
• Assist with loading encounters if needed.
• Maintain accurate records of billing claim submission.
• Updating patient’s demographic and generating Billing Reports
• Check patient payments.
• Reviewing EOBs
• Claim denial reconciliation.
• Other duties and responsibilities assigned by the Director.

REQUIREMENTS:

• High school diploma or GED required.
• Minimum of 2 years’ experience in medical billing
• Demonstrate knowledge of medical billing principles and practices
• Understanding of Insurance benefits
• Knowledge of OASAS Article 32, Article 28 & 31 billing rules & compliance
• Excellent computer skills including the Microsoft Windows computer environment, Microsoft Word, Excel, PowerPoint, and electronic communications tools: internet and email.
• Demonstrate use of Nextgen, Epaces and various managed care web portals.
• Must be team-oriented and possess a positive attitude with a willingness to be flexible and helpful.
• Must be able to multitask with strong organizational skills.
• Excellent interpersonal skills and able to communicate both verbally and in written form.
• Commitment to cultural diversity and sensitivity
• Ability to maintain a professional demeanor under pressure and operate with a keen sense of urgency and commitment to quality.

WHY JOIN US?

Acacia Network provides a comprehensive and competitive benefits package to our employees. In addition to a competitive salary, our benefits include medical, dental, and vision coverage. We also offer generous paid time off, including vacation days and paid holidays, to support a healthy work-life balance. We prioritize the well-being of our employees both professionally and personally. As an Equal Opportunity Employer, we encourage individuals from all backgrounds to apply.