Billing Specialist

Role summary

Billing Specialist is a role at Elmcor Youth & Adult Activities Inc in New York, New York, United States (on-site). Posted 2026-08-27. Salary: USD 55,000 per year. Experience level: 5-10.

Job title

Billing Specialist

Company

Elmcor Youth & Adult Activities Inc

Location

New York, New York, United States

Work arrangement

on-site

Category

Software Engineering

Salary

USD 55,000 per year

Experience level

5-10

Date posted

2026-08-27

Job description

Job Title:

Billing Specialist

Summary:

Responsible for accurate and timely billing, claim follow up, denial resolution, self-pay financial assessments, and payment follow up for Medicaid, Medicare, managed care, commercial insurances and self-pay services using InSync by Qualifacts and the Inovalon clearinghouse.

Reporting Relationship:

Reports to the Billing Manager

Schedule:

Monday - Friday 10AM - 6PM , Subject to change based on program need.

Location :

Queens, NY

Position Type:

Fulltime, Non-Exempt

Responsibilities:

Core duties and responsibilities include the following. Other duties may be assigned as needed.

Verify participant’s eligibility for Medicaid, Medicare and private insurances

Process Insurance payments to participant accounts in computerized system.

Make sure all participants are pre certified, pre authorized, and authorization for participant SUD billing.

Submit accurate electronic claims through InSync and Inovalon, the agency’s clearinghouse.

Researches rejected, denied and unpaid claims; completes corrections, resubmissions, appeals and payer follow-up through resolution.

Reviews remittance and payment information and identifies underpayments, recoupments, missing payments and posting discrepancies

Responds to participant billing and statement inquiries.

Makes recommendations to management for write-offs.

Handles appeals and follow-up for managed care and out-of-network claims.

Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully.

Conducts financial assessments for self-pay participants in accordance with agency policies and established fee schedules.

Explains self-pay responsibilities, payment expectations and available payment arrangements to participants.

Monitors self-pay balances and follows up with participants regarding outstanding payments and agreed-upon payment plans.

Maintains accurate documentation of financial assessments, payment arrangements, and participant communication and collection activity.

Escalates delinquent accounts and recommends appropriate next steps to the Billing Manager.

Works assigned A/R by age and timely-filing risk; documents all billing activity and follow-up dates; maintains billing and collection trackers; escalates unresolved barriers to the Billing Manager.

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience:

Bachelor’s degree or existing staff with over 5 years of experience.

Knowledge of billing software, (Preferably EPACES, Insync and Inolvalon)

Attention to detail

Good record keeping skills, outstanding communication skills and excellent interpersonal skills

Must have computer skills.

Must successfully complete a criminal background check, obtain clearance from the Office of Children and Family Services and be drug free.

Other Skills/Abilities:

Researches rejected, denied and unpaid claims; completes corrections, resubmissions, appeals and payer follow-up through resolution.

Excellent judgment and discretion; ability to handle multiple priorities simultaneously, meet deadlines, and handle work-related stress is required.

Friendly, courteous, service-oriented, professional, outgoing, and customer service oriented.

Detail oriented while maintaining an extremely positive attitude.

Must be able to work independently and productively with minimum supervision.

Recognize problems, identify possible causes and resolve routine problems.

Team player with a "can do" attitude that can work in a fast-paced environment.

Ability to establish and maintain professional atmosphere for employees, participants and customers

Benefits:

We offer a comprehensive benefits package that includes health, dental, and vision insurance, paid time off, retirement plans, and additional employee perks.

15 Vacation Days Annually

12 Sick Days

Floating Holiday 1 annually

401K retirement plan with 3% match after 90 days of employment

Medical Benefits after 30 days of employment with Cigna

Dental/Vision eligible after 90 days of employment

Access to Gym/Weight Room

Access to Boxing Ring

Short Term Disability

Life, Accidental Insurance available through Aflac

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