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Senior Revenue Cycle Associate - 10077 - Mon-Fri 9AM-5PM

Job Details

Job Location

Remote (Off Site) - NY

Secondary Job Location(s)

Corporate Office (Main Office) - Lake Success, NY

Remote Type

Fully Remote

Education Level

High School

Salary Range

$27.00 - $31.00 Hourly

Job Description

Make an Impact.

At WellLife Network, every role plays a vital part in empowering people to live their best lives. As part of one of New York’s largest nonprofit health and human services organizations, you’ll join a team dedicated to compassion, inclusion, and excellence — helping individuals and families thrive every day.

Postion Summary: The Senior Revenue Cycle Associate will review and manage all aspects of the billing and accounts receivable cycle, including charge entry, claim submission, and follow-up on outstanding balances.

Essential Functions:

+ Prepare and submit timely, and accurate claims to private and public insurance payers, including Medicare, Medicaid, and commercial plans.

+ Verify the accuracy and appropriateness of billing codes (CPT, ICD-10, and HCPCS) prior to claim submission.

+ Analyze denied or underpaid claims, identify root causes, and coordinate resolution with payers and internal departments.

+ Serve as an escalation point for complex claim or payment issues requiring advanced knowledge of payer rules, coding and reimbursement guidelines.

+ Ensure compliance with federal and state regulations, payer contracts, and organizational policies.

+ Collaborate with clinical and administrative teams to ensure documentation accuracy and maintain revenue integrity.

+ Support internal and external audits by providing billing documentation and explanations as requested.

+ Maintain confidentiality of all patients and company information in accordance with HIPPA regulations.

+ Perform other related administrative and billing duties as needed.

What You’ll Gain

+ Compensation: Competitive hourly rate based on experience.

+ Robust Benefits: Medical, dental, vision, and 401k retirement plan (with matching).

+ Work-Life Balance: Paid time off, holidays, and personal days.

+ Wellness Program: Free and low-cost gym and wellness access and support.

+ Training & Growth: Ongoing professional development and career advancement opportunities.

+ Meaningful Work: Direct impact on the lives of youth and their families.

+ Supportive Environment: A collaborative team that values your contributions

Qualifications

+ High School diploma/GED required, Bachelor preferred or minimum five (5) yrs. experience required.

+ Proven experience in medical and clinic-based billing, with strong understanding of billing codes, regulations, and reimbursement process.

+ Strong understanding of CPT, ICD-10, and HCPCS coding principles.

+ Knowledge of, HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.