Accounts and Billing Specialist

Job Description

Job Description

ABOUT JFS

For more than 150 years, Jewish Family Services of Western New York has been committed to providing high quality services to all in need in the interest of helping to "repair the world." Our services are guided by the essential connection between mental well-being, physical wellness, and positive self-worth. Our reputation is the result of our exceptional staff. In addition to offering competitive compensation and truly exceptional benefits, we are committed to providing a supportive work environment in which all employees are able to contribute their best.

OUR VALUES

Be a Mensch : We are ethical, kind, and admirable. We assume good intent and act with integrity. We are thoughtful and deliberative in how we support our clients, each other, and the community. “Choose generosity over judgment—every time”

Be Purpose-Built : We create spaces and programs that respect clients’ individuality and opens access. We strive to meet the individual where they’re at and give them the tools to be successful

Be Resolute : We work with tenacity to identify problems, seek out solutions, and get things done. Even small steps forward are acts of resilience.

SUMMARY

The Accounts and Billing Specialist is responsible for helping clients understand their insurance coverage, account balances, and financial responsibilities. This role focuses on providing clear, compassionate communication to ensure clients are informed about their benefits, co-pays, and any out-of-pocket costs. Key duties include explaining billing statements, setting up payment arrangements, resolving account discrepancies, and assisting clients with questions related to claims or balances. The position works closely with clinical and administrative staff to support a positive client experience. A strong understanding of behavioral health and medical billing, CPT and ICD-10 coding, and insurance regulations is essential to ensure compliance and effective account resolution.

WHAT YOU'LL DO

• Serve as the primary point of contact for clients regarding billing inquiries, insurance coverage, and account balances.
• Communicate clearly and compassionately with clients to explain benefits, co-pays, deductibles, and out-of-pocket expenses.
• Review and interpret Explanation of Benefits (EOBs) to help clients understand payment and denial information.
• Establish and manage payment arrangements, following agency policies and financial guidelines.
• Investigate and resolve account discrepancies, billing errors, or denied claims in a timely manner.
• Notifying clients of overpayment and ensuring refund is issued with 60 days in collaboration with finance team.
• Collaborate with clinical and administrative staff to verify client insurance coverage and ensure accurate claim submission.
• Maintain detailed and confidential client account records in compliance with HIPAA and agency standards.
• Maintain up-to-date knowledge of billing regulations, payer policies, and coding updates.
• Monitor outstanding balances and follow up with clients and payers as needed to ensure timely payment.
• Collaborate with providers, front office staff, and other departments to resolve billing discrepancies.
• Support a positive client experience by providing responsive, respectful, and solution-oriented service.
• Assist in preparing client statements and responding to billing inquiries.
• Attend agency and department in-service training and staff meetings as well as any other agency related activities as required.

QUALIFICATIONS Education and Experience

Knowledge, Skills & Abilities :

Competencies :

Expectation Based on Agency Values :

WORKING CONDITIONS

PHYSICAL REQUIREMENTS

COMPENSATION & BENEFITS

The above pay range is a good faith estimate for the position at the time of posting. Final compensation may vary based on factors including, but not limited to, background, knowledge, skills, and abilities.

Jewish Family Services of Western New York is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.