Billing Associate - FIN074 - Mon-Fri 9AM-5PM

About WellLife Network: WellLife Network is a leading health and human services organization dedicated to supporting individuals and families across New York City and Long Island. Recognized as a 2023 top-rated nonprofit, WellLife Network empowers people to overcome life’s challenges and achieve greater independence, well-being, and inclusion. We offer a comprehensive suite of programs spanning mental health, developmental disabilities, substance abuse, housing, and employment support, all grounded in a commitment to compassionate, high-quality care. Central to our mission is an unwavering dedication to diversity, equity, inclusion, and belonging (DEIB) within our organization and in the communities we serve. As a trusted community partner, WellLife Network fosters a nurturing environment where everyone has the opportunity to thrive and realize their fullest potential.

Position Summary:  Under the direction of the Revenue Cycle Management Team, the Billing Associate is responsible for providing effective and accurate processing claims, processing and posting of insurance/client payments and refund requests for RCM. Researches, troubleshoots, and analyzes billing, follow up and posting payments.

1. Complete billing in a manner consistent with all applicable procedures, policies, rules and regulations.
2. Prepares and submits clean claims to various insurance companies either electronically or by paper.
3. Manage all denials and rejections.
4. Manage and maintain all billing reports which ensure collections and reduce denials (Unbilled Charges report, Billed vs. Paid, Billing Transaction Audit report, etc.).
5. Process third party recoveries.
6. Responsible for adjustments and write-offs of uncollectible client ledger accounts.
7. Resolve discrepancies in terms of inaccurate payment levels received.
8. Work collaboratively with staff in the Programs to ensure billing information is accurate and appropriate and that billing is completed in an expedient manner.
9. Practice best practices for insurance and patient collections while maintaining excellent public relations.
10. Work collaboratively with the Eligibility and Enrollment Services department and Programs to ensure resolution of issues re: individuals’ eligibility (Medicaid, Commercial, Medicaid Managed Care, etc.).
11. In a team approach, work with the Programs and Verifications unit regarding Eligibility and Authorizations.
12. Reduce risks by understanding collection practices, clean claims and timely filing guidelines, refund requirements and other regulations.
13. Performs office related support tasks, clerical duties and/or general office duties which may include creating reports, typing, faxing, and calling insurance carriers.
14. Other duties as assigned.

High school diploma or equivalent. Prior 2- 3 years billing experience in a clinic or medical center. Must have knowledge of CPT & ICD Codes for Medicaid, Medicare, Managed Care and Third-Party Insurance billing procedures and how claims are processed through them is a must. Proficient in electronic billing systems, Word, Excel required. Strong interpersonal skills with the ability to relate to all levels of the organization and external clients are required. Attention to detail and effective process management skills required.

BENEFITS AND PERKS: At WellLife Network, we prioritize our employees' growth and well-being with a comprehensive benefits package that includes medical, vision, and dental insurance, 401(k) matching, and flexible spending accounts. Enjoy perks like Summer Fridays, gym passes, and life insurance options. Our commitment to career advancement includes tuition assistance, mentorship, leadership training, and more. As a qualifying employer for Public Service Loan Forgiveness, WellLife Network supports your career and financial goals while helping you make a meaningful community impact. Join us to experience a workplace that invests in your success and well-being!