The Billing Manager perform various functions in ensuring the effective management of the medical billing
department

Essential Duties and Responsibilities
The essential duties but are not limited to the following activities:

• Manage and support a team of 2 billing specialist for department
• Ensure that all claims are free of errors and ready for billing by following the established eCW claim
based billing guide
• Submit claims and correct denied claims following PRI billing workflow
• Work directly with the insurance company to get claims processed and paid
• Review claims as coded by providers to produce and submit claims to insurance companies for
payment
• Communicate discrepancies in payments to your supervisor
• Communicate discrepancies with claims to the clinical department and your supervisor
• Report and coordinate with the Healthcare Revenue Cycle Manager to resolve all software issues and
system configuration request
• Review the preliminary batch reports and correct all errors in the billing batches and submit the claims
to the insurance
• Ensure that all payments are posted and applied to the client’s accounts
• Ensure that all remittances are reconciled
• Submit secondary billing if applicable in a timely manner with appropriate supporting documentation
• Review and appeal denied and unpaid claims re-verifying insurance, if necessary, within the standard
billing cycle timeframe and update the patient’s demographics
• Submit claims for the NYS Managed Care Supplemental Payment Program, NYS Medicaid Managed
Care Shortfall Program, ADAP and other claims as assigned
• Monthly cash collection report
• Ensure that all payments received are entered in the Practice Management system
• Monitor the billing staff and ensure that all claims are submitted and resubmitted within a timely
manner
• Ensure that all billing staff follow the established department protocol
• Download and post Medicaid remits
• Obtain required referral/authorization for patient visit
• Assist with credentialing and contracting as needed
• Stay current with industry changes, attend approved webinars and trainings
• Coordinate time off requests of billing staff to ensure the daily functions of the department is not
negatively affected
• Allocate work, and resolve problems among billing office personnel
• Any other duties as assigned

Effective September 13, 2021, all newly hired Project Renewal staff must: 1) provide one-time status verification of being fully vaccinated against Covid-19 OR 2) provide verification of first does of a two-dose series of Covid-19 vaccination.

To apply, submit your resume with a cover letter indicating position and salary requirements to: careers@projectrenewla.org