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Educational Alliance, Inc. Medicaid Accounts Receivable Specialist in New York, New York

Position : Medicaid Accounts Receivable Specialist

Location: New York City, Lower East Side

M-F 9am to 5pm

Hybrid Role

Educational Alliance, an over 130-year-old New York institution, is a vibrant, dynamic organization serving New Yorkers from all walks of life. We serve everyone regardless of the language they speak, where they come from, or their socioeconomic status. We believe that everyone should have a chance to live a better life and that arts and culture, education, health and wellness, and social services can help lay that foundation.

JOB PURPOSE

Serve as the Medicaid/Medical Accounts Receivable Specialist. Analyze and report on Medicaid revenue, reconcile cash received and open accounts receivables.

Incorporate accounting principles, practices, and procedures to ensure accurate and timely reporting.

KEY RESPONSIBILITIES AND ACCOUNTABILITIES

  • Work with Millin (outsourced Billing Management Provider) to create AR Reports on a monthly basis.

  • Ensure cash clearing account is monitored and analyzed.

  • Track claim adjustments and recoupments in Millin system by month and fiscal years.

  • Provide Finance with a report on a quarterly basis to determine what billable services have not been captured and reason.

  • Ensure cash is applied properly to open accounts receivable.

  • Track advances if applicable.

  • Track adjustments to determine proper revenue for the current fiscal year based on dates of services and prior fiscal year.

  • Track all rate adjustments to ensure billed and/or received.

  • Monthly Revenue Reconciliation

  • Work with AR Specialist to ensure proper cash is recorded.

  • Investigate denials with Medical Billing Manager.

  • Track NYS Medicaid Recoupments.

  • Interact with clinical staff to ensure completion and accuracy of records.

  • Knowledge of Medicaid Rules Preferred

  • Prepare ad-hoc reports for budget analysis

    Skills:

  • Strong Excel Skills, emphasis on formulas and data entry, a must.

  • Ability to work independently in fast paced environment.

  • Ability to travel: Hybrid schedule - 2-3 days onsite (in office).

  • Assist with Annual Audit.

  • Strong Attention to detail, analytical and organizational skills.

  • Minimum-2 years Associate Degree in accounting/business administration, 4 year degree preferred.

  • Previous Medicaid, Medicare, and Private Insurance Billing experience required.

  • Maintain adherence to HIPAA guidelines and regulations.

    Benefits:

  • Generous PTO Policy

  • Competitive Salary

  • Medical, Dental & Vision

  • Pension Plan

  • 403(b) Retirement Plans

  • Discount Perks for Movies, Broadway Shows, Amusement Parks, etc.

  • Free Gym Membership to our Manny Cantor Center Gym & 14th St Y Gym

  • Discounts to programs at Educational Alliance

  • Tuition Reimbursement

  • Employee Referral Reward

    Limitations and Disclaimer

    The above job description is meant to describe the general nature and level of work being performed; it is not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required for the position.

    EEO Info

    Educational Alliance is committed to workplace diversity and inclusion. We are equal opportunity employers and do not discriminate in hiring or employment on the basis of race, color, religion, national origin, gender identity and expression, marital status, sexual orientation, age, disability, veteran status, or any other characteristic protected by federal, state, or local law. Educational Alliance takes affirmative action in support of its policy to employ and advance in employment individuals who are minorities, women, protected veterans, and individuals with disabilities.

    Educational Alliance is an Equal Opportunity Employer.

    For further information about Educational Alliance, please visit https://edalliance.org .

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