What are the responsibilities and job description for the medical billing specialist position at The Arc Rockland?
Job Title: Accounts Receivable Specialist
Reports To: Director of Revenue
Salary: $48,000 - $53,000
Position Summary:
The Accounts Receivable (AR) Specialist manages the complete accounts receivable cycle with a specialized focus on program-based and client-specific billing. Reporting directly to the Director of Revenue, the specialist ensures accurate and timely processing of Medicaid claims, preschool tuition, and client rent contribution billing.
Key Responsibilities & Duties
Medicaid Billing, Claims, & Analytics:
Review, prepare, and submit Medicaid claims accurately and timely via the eMedNY system.
- Monitor claim status, investigate denials or rejections, and prepare and submit appeals with supporting documentation as required.
- Track, manage, and analyze NYS Medicaid recoupments, voids, claim adjustments and rate adjustments, providing variance explanations to the Director of Revenue.
Ensure all billing practices comply with Medicaid rules, HIPAA guidelines, and relevant state/federal regulations.
Client Benefit & Billing Management:
Process and track client contributions, including managing Supplemental Nutrition Assistance Program (SNAP) benefits.
- Calculate individual client rent shortfalls by analizing income sources, including understanding documentation related to Social Security benefits, SSI, and SSDI.
Coordinate with Entitlement Coordinator to verify client income & excess benefits to ensure accurate and compliant rent shortfall billing.
Preschool and Program Billing:
Generate and upload accurate and timely vouchers for preschool tuition and other nonprofit programs in CPSE Portal.
Cash Receipts & Reconciliations:
Process and apply incoming payments to the appropriate customer accounts in NetSuite and retrieving Clinic deposits reports
- Perform account reconciliations regularly to ensure accurate accounts receivable balances.
Research and resolve payment discrepancies and billing issues in a timely manner.
Accounts Receivable Management & Reporting:
Monitor the accounts receivable ageing reports in general ledger and coordinate collection efforts professionally.
- Maintain accurate customer and billing records and assist with month-end and year-end closing procedures.
- Prepare various AR reports and statements for management review before distribution.
Qualifications & Skills
- Experience:
- Minimum of 2 years of proven experience in accounts receivable and billing roles, preferably within a healthcare or nonprofit environment.
- Hands-on experience with Medicaid claims submission and follow-up (eMedNY experience highly preferred).
- Experience analyzing healthcare reimbursements, rate changes, and government benefits (Medicaid, SNAP, Social Security).
- Strong proficiency in accounting software, NetSuite preferably, familiarity with EHR, CureMD a plus, Microsoft Excel (pivot tables, VLOOKUPs)
- Skills:
- Solid understanding of accounting principles (GAAP).
- Exceptional attention to detail and high degree of accuracy in data entry and financial record-keeping.
- Strong analytical and problem-solving skills to investigate and resolve complex discrepancies and perform rate analysis.
- Excellent verbal and written communication skills, with the ability to interact professionally with clients, payers, and internal staff.
Education
- Associate's or Bachelor's degree in Accounting, Finance, or a related field is a plus.
The Arc Rockland is an Equal Opportunity Employer.
The Arc Rockland strives to create and maintain a work environment in which people are treated with dignity, decency, and respect, providing everyone with an equal opportunity to thrive. We are committed to building a diverse and inclusive workplace that values the unique perspectives and contributions of all of our employees – a workplace where every employee can bring their whole self to work.
Salary : $48,000 - $53,000