Y-Axis Jobs Logo
Send us feedback
telephone  +91 7670 800 001
Log in Sign up Try Premium
Billing & Collections Specialist at Venture Forthe Inc
Town of Cheektowaga, New York, United States -
Full Time

Start Date

Immediate

Expiry Date

05 Jan, 26

Salary

0.0

Posted On

07 Oct, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Billing, Collections, Claims Management, Reimbursement, Accounts Receivable, Denial Resolution, Payment Posting, Remittance Reconciliation, Medicaid, Home Health, Microsoft Excel, Policy Awareness, Communication, Problem Solving, Attention to Detail, Time Management

Industry

Hospitals and Health Care

Description
Description Venture Forthe, Inc. is a premium person-centered agency in Western and Central, New York, helping individuals with disabilities live independently. We believe in hiring great people to do meaningful work — and it starts with you. Billing & Collections Specialist will ensure that all audited services are submitted to funders in accordance with established policies, guidelines, and regulations (including all state and federal directives) and confirm full reimbursement for service as outlined in established contracts. Duties Work distributed Aging Reports in a timely manner to resolve denied claims and short payments. Monitor assigned work groups in VFI’s clearinghouse for claim denials and make necessary corrections to ensure payment for services. Status all unpaid claims over 45 days to ensure funder has received the submitted claim. Submit all claim appeals within funder’s established filing limits. Ensure no claim is denied for “Claim filing limits expired”. Maintain less than 6% outstanding Accounts receivable over 90 Days Communicate identified denial trends and reimbursement rate differences to supervision. Identify and resolve all overpayments Ensure accurate payment posting and remittance reconciliation Independently review relevant publications to maintain awareness of changing billing policies, guidelines, and regulations. Requirements QUALIFICATIONS: Highschool Diploma or equivalent with 6 months prior experience working in the home healthcare field Strong background in New York Medicaid, Home Health or related field Microsoft Excel knowledge (preferred)
Responsibilities
The Billing & Collections Specialist will ensure that all audited services are submitted to funders according to established policies and confirm full reimbursement for services. The role involves resolving denied claims, monitoring unpaid claims, and maintaining accurate payment posting.