Social Care Network Billing Specialist
$55,000–$70,000 year
On-siteNew York City, New York, United States
Job Summary
Prepare and submit monthly billing and reimbursement documentation for SCN-funded services, including screenings, navigation, nutrition supports, and housing-related activities. Review service documentation for completeness, compliance, and eligibility prior to claim submission, while tracking payments, denials, recoupments, and outstanding claims. Monitor billing activity and coordinate with program staff to resolve missing documentation or billing discrepancies. Maintain accurate billing records, assist with audits and reconciliation processes, and ensure activities comply with NYSDOH, OHIP, and Medicaid requirements. Identify trends impacting reimbursement and support data entry within the SCN IT Platform.
Required Qualifications
- Associate's or Bachelor's degree in accounting, healthcare administration, finance, or related field
- Minimum 2 years of experience in Medicaid billing, healthcare reimbursement, social services billing, or managed care operations
- Experience with New York State Medicaid systems or fee-for-service reimbursement
- Strong attention to detail and organizational skills
- Ability to interpret billing guidelines and compliance requirements
- Proficiency in Microsoft Excel and reporting systems
- Strong communication and follow-up skills
- Mission alignment and commitment to affirming, youth-centered practice
- Cultural humility and ability to work effectively with diverse LGBTQ+ youth populations
- Trauma-informed, strengths-based approach to service delivery and collaboration
- Clear communication, professionalism, and accountability
- Adaptability, sound judgment, and ability to respond calmly in fast-paced environments
- Medicaid & SCN Billing Expertise
- Regulatory Compliance
- Billing Accuracy & Documentation
- Revenue Cycle Management
- Quality Assurance
- Data Integrity & Reporting
- Ability to manage
- Attention to detail
- Collaboration across teams and effective relationship-building with participants, partners, and staff
- Problem-solving & prioritization
- Technology & Systems Proficiency
Desired Qualifications
- Experience working with electronic health records, care management systems, or billing platforms
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