Description

Life at Healthy Alliance

At Healthy Alliance, our purpose is to improve health and empower communities facing barriers. Every community has its own needs, affecting the health of those who live, learn, work, and play within them. Our network brings together organizations, big and small, to coordinate and collaborate so that all communities have reliable access to the resources they need. Why? Because every New Yorker deserves the same opportunity to be healthy.

Designated as the Social Care Network (SCN) Lead Entity for the Capital Region, Central NY, and North Country under New York’s 1115 Waiver Amendment’s SCN & Health-Related Social Needs (HRSN) Program, we are responsible for ensuring that there is a seamless, consistent end-to-end process for screening, navigation, and the delivery of services – including food, housing, and transportation to thousands of Medicaid Members. Transformative in nature, this novel Program will further sustain our vision of cultivating a world wherein everyone has a fair and just opportunity to be as healthy as possible.

As a 2019-2024 Albany Business Review’s Best Places to Work and a 2021-2025 Modern Healthcare’s Best Places to Work in Health Care award recipient, we strive to maintain a culture wherein high-performing, mission-driven team members collectively work toward better health for all. Dedicated to promoting a culture built upon autonomy, mastery, and purpose, we believe our differences in strengths and perspectives play an integral role in propelling us forward, while our core values ground us, serving as the common thread that unites our team.

Why You Should Join Healthy Alliance

We offer amenities, professional development opportunities, events, and programming that support the interests of our teams while expanding and enriching our culture. Some of the benefits you can expect when you join Healthy Alliance include:

Competitive compensation package
Comprehensive insurance benefits available the 1st of the month after hire, including but not limited to medical, dental and vision, group short-term disability and life insurance with buy-up options, flexible spending and HSA company-contributed accounts, and more
401K with a company match
Unlimited paid time off after 90 days of employment
Company-sponsored training and certification opportunities
Hybrid work environment and people-first workplace
A workplace that values safety, respect, employee engagement, recognition, and diversity
Salary range: $46,100-$53,800 per year, commensurate with experience

Who You Are

The Finance Liaison is responsible for working directly with network partners through on-site and remote communication to ensure successful implementation and execution of Healthy Alliance’s Social Care Network (SCN) health-related social need (HRSN) services billing requirements.

What You’ll Do

Operate as the primary point of contact for assigned partners for all matters related to SCN financial activities.
Manage finance onboarding and training support for Healthy Alliance’s SCN with the Training department.
Oversee SCN partner HRSN billable service submissions for timely submission and completeness, following up with the partner’s financial point of contact as needed.
Monitor SCN partner HRSN billable claims for pends/denials requiring follow-up and work with partners to resolve claim issues.
Review HRSN service payments to be made to partners and initiate the payment process.
Receive partner capacity building expense documentation and review for appropriateness and completeness before submitting for payment.
Collaborate with internal cross-functional teams to meet partner needs and ensure positive partner experiences.
Hold monthly check-in meetings with assigned partner financial points of contact.
Identify partner needs and connect to appropriate Healthy Alliance stakeholders.
Use Healthy Alliance tools and resources to inform partner communications and meetings.
Track and communicate monthly partner financial performance to internal and external stakeholders.
Exercise discretion and professional judgement to maintain project-specific timelines and communicate project expectations and timelines with internal and external stakeholders.
Maintain current knowledge and understanding of Medicaid and local transformation, including Waiver programs, Triple Aim, and Value-Based Purchasing (VBP).
Perform other responsibilities and duties as assigned.

How You’ll Contribute

Financial Communication and Revenue Cycle Issue Resolution: Resolve revenue cycle and billing issues accurately while clearly explaining complex financial and insurance concepts to internal teams and external stakeholders.
Revenue Cycle and Insurance Knowledge: Apply Medicaid and revenue cycle knowledge to interpret payer rules, billing requirements, and reimbursement processes.
Billing Accuracy, Documentation, and Decision: Maintain high attention to detail, interpret Operational Manuals correctly, analyze issues, and make sound decisions or escalations.
Timeliness, Adaptability, and Stakeholder Collaboration: Meet filing deadlines, adapt to Medicaid and process changes, and collaborate effectively across internal Finance and Operations teams and external partners.

This job description is not designed to cover or contain a comprehensive listing of task activities and/or duties that are required of the employee for this job. Responsibilities and activities may change at any time with or without notice.

Requirements

What You’ll Need

Education

Associate degree in a related field or equivalent experience, such as accounting or business-related fields.

Professional Work Experience

Equivalent work experience in government/health payor billing may be considered in lieu of degree requirements.
Minimum of 2+ years of claims billing experience.

Knowledge, Skills, and Abilities

Excellent written and verbal communication skills for all levels of management.
Strong working knowledge of Office 365 Suites in addition to moderate technical and analytical skills to compile data for planning and reporting purposes.
Analytical thinker, able to plan for growth and execute.
Ability to manage multiple detailed projects simultaneously and adjust as needed.
Ability to identify the source of a problem and propose a timely solution within budget.
Strong leadership skills to guide and direct a team.
Demonstrated commitment to the values of diversity, inclusion, and equity.
Strong community awareness and astuteness.
Embody Healthy Alliance’s vision, mission, and goals.
Perform all work in accordance with Healthy Alliance core competencies and values.

Your next career opportunity is at Healthy Alliance!

This position involves sedentary work that primarily involves sitting/standing, use of typical office equipment such as a computer, laptop, and cell phone. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Equal Opportunity Employer

Healthy Alliance is an Equal Opportunity Employer and does not discriminate against any employee or applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran status, race, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable laws, regulations and ordinances. We adhere to these principles in all aspects of employment, including recruitment, hiring, training, compensation, promotion, benefits, social and recreational programs, and discipline. If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to hr@healthyalliance.org.

Privacy Requirement

This job function involves potential access / interaction with protected health information. Position will be required to abide by company policies and procedures that support federal, state, and local HIPAA regulations. Any violations will be subject to company policy which includes disciplinary actions up to and including separation of employment.

Healthy Alliance is an At-Will Employer.

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