ORGANIZATION SUMMARY:

Western New York Integrated Care Collaborative (WNYICC) is an innovative non-profit corporation, incorporated in 2016. As the Community Care Hub of a multi-county Social Care Network of Community-Based Organizations (CBOs) and government agencies, we are strategically positioned to respond to and capitalize on opportunities to advance community-based integrated health care and to bring sustainability to community-based programs and services which address social determinants of health. WNYICC’s role in the network is to provide administrative contracting, billing, technical support, training, and quality assurance on a regional level. The WNYICC Network works collaboratively to navigate the changing healthcare landscape together to improve health outcomes in our Western New York community.

POSITION SUMMARY:

The Billing and Accounts Specialist is responsible for executing billing and coordinating accounts and financial services for social and healthcare services.

• WNYICC is an inclusive organization. We encourage applicants from a diverse background.
• Position reports to Director of Business and Accounts and Chief Financial Officer and is valued member of our Business and Finance Team.

QUALIFICATIONS:

• Assist Director of Billing and Accounts in administrative tasks for the Billing and Finance Team
• Successful experience providing medical billing, invoicing, and/or grant management.
• Strong attention to detail with accuracy in data entry and analysis, in a high volume environment
• Strong computer/technology skills preferred including: medical billing systems, electronic health record, Microsoft Office-Suite, Outlook, spreadsheets, and more.
• Experience with HIPAA regulations and billing health insurance is preferred.
• Ability to relate effectively to diverse groups of people from all social and economic segments of the community with a track record of building authentic, constructive relationships with others.
• Ability to multi-task and willing to take on new projects and tasks in a fast-paced environment.
• Comfortable working both in a Team environment and independently.
• This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.

RESPONSIBILITIES:

• Process and coordinate billing of WNYICC programs.
• Submit medical billing claims for claims-based services
• Prepare and submit invoices for invoice-based services; Review outgoing invoices for accuracy
• Receive invoices from partners and reconcile claims
• Perform posting charges
• Perform completion of claims to payers
• Conduct duties in a professional and timely fashion
• Submit billing data to the appropriate insurance providers
• Process claims
• Work with our revenue cycle management contractor to resolve denial instances
• Achieve maximum reimbursement for services provided
• Conduct Medicare and commercial insurance reviews
• Conduct NY Medicaid reviews
• Conduct audits
• Work directly with our sub-contracted delivery partners to ensure accuracy in invoices and payments to partners.
• Maintain grant budget reports and ensure grants’ financial requirements and deadlines are met.
• Provide training and support to WNYICC partners on billing and invoicing processes and requirements.
• Provide support for assigned workgroups and committees of the Network.
• Demonstrate excellent customer service on phone, in-person, via email and in all aspects of employment at WNYICC.
• Communicates in a positive manner both internally and externally to partners.

The Billing and Accounts Specialist is responsible for executing billing and coordinating accounts and financial services for social and healthcare services.

• WNYICC is an inclusive organization. We encourage applicants from a diverse background.
• Position reports to Director of Business and Accounts and Chief Financial Officer and is valued member of our Business and Finance Team