Tompkins County Whole Health is seeking an experienced Medical Billing Specialist to oversee the department’s day-to-day medical billing functions. This is a 40-hour-per-week position with a hire rate of $31.48/hour and a working rate of $34.13/hour after nine months.
The role performs specialized, full-cycle billing across multiple mental health and public health programs. Responsibilities include reviewing claims for accuracy and readiness, submitting electronic and paper claims, resolving complex denials and underpayments, processing appeals, reconciling payments and adjustments, monitoring accounts receivable, and coordinating provider and service-location enrollment.
The position also serves as a key resource to clinical, program, fiscal, and administrative staff. It interprets changing Medicaid, Medicare, managed care, and commercial insurance requirements; develops procedures for new or expanding services; trains staff; and works with payers, eMedNY, clearinghouses, EHR vendors, and other partners to resolve billing issues. The work supports department revenue, regulatory compliance, and accurate service delivery.
Minimum qualifications
- Option A: Bachelor’s degree in health information technology, medical billing and coding, accounting, business administration, health administration, or a closely related field, plus 1 year of full-time paid medical billing experience that included electronic claims and Medicaid, Medicare, or commercial-insurance reimbursement.
- Option B: Associate degree in a related field, plus 3 years of full-time paid medical billing experience that included electronic claims and Medicaid, Medicare, or commercial-insurance reimbursement.
- Option C: High school diploma or equivalent, plus 5 years of full-time paid medical billing experience that included electronic claims and Medicaid, Medicare, or commercial-insurance reimbursement.
- Option D: Any combination of education and experience within the above limits.
Preferred experience
- Billing New York Medicaid and behavioral-health services
- Experience with eMedNY and an electronic health record
- Recognized medical billing/coding credential
Other requirements
- Must maintain any payer, portal, identity-verification, exclusion-screening, or confidentiality requirements necessary for billing functions.
- Appointment may be contingent on background or exclusion checks required for access to Medicaid, Medicare, payer, or health-information systems.
Location
New York, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
1 month ago