Job Details

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:

1. Prepare and submit timely, and accurate claims to private and public insurance payers, including Medicare, Medicaid, and commercial plans.
2. Verify the accuracy and appropriateness of billing codes (CPT, ICD-10, and HCPCS) prior to claim submission.
3. Analyze denied or underpaid claims, identify root causes, and coordinate resolution with payers and internal departments.
4. Serve as an escalation point for complex claim or payment issues requiring advanced knowledge of payer rules, coding and reimbursement guidelines.
5. Ensure compliance with federal and state regulations, payer contracts, and organizational policies.
6. Collaborate with clinical and administrative teams to ensure documentation accuracy and maintain revenue integrity.
7. Support internal and external audits by providing billing documentation and explanations as requested.
8. Maintain confidentiality of all patients and company information in accordance with HIPPA regulations.
9. Perform other related administrative and billing duties as needed.

• 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

• 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.