Mission Statement: “To empower and inspire people of all communities to identify, pursue and sustain healthy, meaningful lives”.

MHAW strives to develop an authentic, diverse workforce that embraces, creates, respects and demonstrates diversity, equity, and inclusiveness in the work environment, towards one another and those we serve. We recognize that our agency is strongest when we all embrace the full spectrum of diversity and experience. We actively seek to employ a diverse workforce representative of the communities we serve.

MHAW is a pro-vaccination agency, and has required all staff to be fully vaccinated and encourages service recipients to be vaccinated against Covid-19.

Position: Behavioral Health Billing Coordinator

Salary: $50,000, plus competitive benefits packages

Location & Hours: Ronkonkoma, NY – 37.5 hours per week

Availability: Immediate

Position Summary:

The Behavioral Health Medical Biller will be responsible for checking client eligibility, reviewing reports, preparing monthly billing charts, the timely submission of behavioral health claims, follow-up on denials and all other tasks as they directly relate to all aspects of the revenue cycle.

General Responsibilities:

• Check eligibility and benefits verification for each client monthly

• Process and manage multiple insurance reports to ensure accurate client insurance information is housed in the billing application(s) needed to secure payment from third party insurances and to identify secondary or tertiary insurances.

• Obtain, update and maintain 3rd party authorization for multiple lines of service
• Generate and review pre-billing reports for accuracy and completeness. Obtain any missing information and address/resolve discrepancies with program directors.

• Prepare, review, and transmit claim batches using various billing software, including electronic and paper claim processing for payers such as Medicaid, Medicaid Managed Care and Medicare
• Following up on unpaid claims within standard billing cycle timeframes
• Communication with administrative staff, program directors, and insurance representatives in order to identify accurate insurance coverage and reconciliation of discrepancy in claims data/denials/payments if necessary
• Researching and appealing denied claims

• Contact and follow up with contracted insurance plans to reconcile delinquent client accounts
• Export, merge and compile claims data from multiple systems, for reporting (i.e. CSV files & Excel)

• Analyze data and perform data entry tasks related to the revenue cycle as needed
• Follow all work processes, procedures, while maintaining compliance to the rules and regulations set forth by the agency
• Strive to deliver high-quality results at all times in accordance with agency standards
• Protect and keep all client information confidential
• Actively improve job knowledge and skills by keeping up to date with insurance requirements and changes

• Must have a minimum of 3 years’ experience in medical or healthcare billing
• 1 to 3 years’ experience billing Medicaid, Medicaid Managed Care and Medicare claims
• Experience with the electronic and paper systems used in billing healthcare services.
• Must exhibit excellent computer skills; ability to manage multiple systems as needed (Cerner, EPaces, Microsoft Word, Access, Excel and multiple E.H.R. platforms)
• Must be a self-starter, exhibit above average critical thinking, attention to detail, communication and analytical skill
• Strong organizational and time management skills