Third Party Biller

Acacia Network, the leading Latino integrated care nonprofit in the nation, offers the community—from children to seniors—a pathway to behavioral and primary healthcare, housing, and empowerment. We are visionary leaders transforming the triple aim of high quality, great experience at a lower cost. Acacia champions a collaborative environment to deliver vital health, housing, and community-building services, work we have been doing since 1969. With offices in Albany, Buffalo, Syracuse, Orlando, Tennessee, Maryland, and Puerto Rico, we’ve expanded quickly by hiring talented individuals like you.

About the role

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 receivables from patients and third-party carriers. The incumbent will closely monitor patient/client accounts.

Responsibilities

• 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
• Update patient’s demographic and generate billing reports
• Check patient payments
• Review Explanation of Benefits (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 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 multi-task 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

Benefits

• Comprehensive and competitive benefits package
• Medical, dental, and vision coverage
• Generous paid time off, including vacation days and paid holidays

We prioritize the well-being of our employees both professionally and personally.