Billing Compliance Auditor

Make a bigger difference

At The Jewish Board, we don’t just make a difference – we make a bigger difference as we serve 45,000 New Yorkers every year. Join our dedicated team that’s been helping communities across New York City for almost 150 years and see just how big of a difference you can make.

Reasons you’ll love working with us:

• If you have a particular age range or population you’re interested in working with, you can find your niche here.  Our clients and staff are as diverse as the city we work in, and include people of all cultures, religions, races, gender expressions, and sexual orientations.

• We’re committed to supporting your career development by encouraging mobility and advancement across different program types and jobs.

• With 70 locations throughout the five boroughs, you can work close to where you live. 

• Generous vacation time and paid holidays will help you achieve a healthy work/life balance.

• We offer an excellent benefits package with affordable, high-quality health and dental insurance with low co-pays.

• You’ll receive ongoing support through high-quality supervision, specialized trainings from our Continuing Education team, and an education benefit.

How you can make a bigger difference: 

The Corporate Compliance department supports the agency in maintaining compliance in all areas of operations. The department focuses on promoting a culture of compliance, preventing, and detecting fraud, waste, and abuse, and educating staff on their rights to report suspected non-compliance. The Billing Compliance Auditor is responsible for supporting The Corporate Compliance Program within one or more of the agency divisions of service, which entails reviewing and evaluating, third party billing compliance issues/concerns within the organization. The Billing Compliance Auditor under the Director of Corporate Compliance for Billing will coordinate with management and staff to ensure that the Jewish Board achieves consistently high levels of compliance with all applicable billing laws and regulations; policies and procedures and the code of conduct and will respond to any matter in a timely manner.  Some responsibilities include:  

• Conduct internal billing/claims audits agency wide.
• Participates and assist in coordinating Compliance Review Committee (CRC) meetings.
• Maintaining a matrix of regulatory updates division wide.
• Act as an independent auditor by reviewing compliance of all departmental procedures, policies, and practices to ensure compliance with agency requirements that mirror billing audits conducted by OMIG, CMS, 3^rd party vendors, and MMCO’s.
• Maintain the recording hub of audits including report findings and performance improvement plans within a designated division of service.
• Identify areas of potential exposure and risk.  Assist in the development of corrective action plans for the resolution of any risk issue and ensure implementation of same.
• Lead or participate in investigations of fraud, waste, and abuse of public funds.
• Respond to alleged violations of rules, regulations, and policies, et. al., evaluate complaints and/or recommend the initiation of any inquiry to their supervisor.
• Work collaboratively with program staff, and other support departments to address and mitigate identified areas of exposure.
• Coordinates the completion of regulatory mandated projects and supports the use of regulatory systems, organizing training activities as needed.
• Conduct trainings to staff around compliance needs, regulations and issues including facilitation of the Compliance piece of the agency.
• Conduct billing audits of services within portfolio at least six times a year (every 2 months) and as directed.
• Participate in the agency wide accreditation preparation process and actual survey.
• Remain up-to-date and knowledgeable of all regulatory and guidance requirements.
• Sustain an environment that fosters team member engagement, equity, inclusion and belonging. Establishes clear objectives tied to department and/or organizational strategic goals.
• Other duties as needed.

TO QUALIFY:

The Jewish Board is currently looking for talented human resources professionals of all cultures, religions, races, and gender expressions with the following qualifications:

• BA/BS required. MS/MA/MBA/MPA/LCSW/LMSW preferred.
• Experience in related fields (i.e., Behavioral Health, CASAC, Public Health, Public Administration, Social Work)
• Experience with state regulators including but not limited to, OCFS, OMH, OPWDD, OMIG, OASAS, DOHMH, NYS DOH, and ACS.
• One year auditing experience preferred.
• Strong interpersonal and verbal communication skills, ability to engage staff at all levels of responsibility.
• Project management and organizational skill along with an ability to work independently is necessary.
• Experience in a not-for-profit or social service setting.
• Prior experience in interpretation of regulation and/or policy development and implementation preferred.
• Excellent organizational, time management, written and verbal communication skills.
• Proven analytical and problem-solving skills.
• Ability to attend agency meetings, held during business hours.
• Certification in Lean Six Sigma preferred.

If you join us, you’ll have these great benefits:

• Generous paid time off in addition to agency holidays and 15 sick days
• Affordable and high-quality medical/dental/vision plans 
• Tuition assistance and educational loan forgiveness
• Free continuing education opportunities 
• 403(b) retirement benefits and a pension
• Flexible spending accounts for health and transportation 
• 24/7 Accessible Employee Assistance Program  
• Life and disability insurance 
• Diversity, equity, and inclusion working groups that are available for you to join, including Confronting Structural Racism (COR), Coalition Against Anti-Semitism (CAAS), and the LGBTQ Steering Committee

Who we are:

The Jewish Board delivers innovative, high-quality, and compassionate mental health and social services to over 45,000 New Yorkers each year. We are unique in serving everyone from infants and their families to children, teens, and adults. We are proud to employ and serve people of all religions, races, cultural backgrounds, gender expressions, and sexual orientations. We are committed to building diverse, equitable, and inclusive teams to help support our mission, and we strongly encourage candidates from historically marginalized backgrounds to apply to work with us.

More on Equal Opportunity:

We respect diversity and accordingly are an equal opportunity employer that does not discriminate on the basis of race, color, creed, religion, national origin, alienage, citizenship status, age, disability, sex, gender, gender identity or expression (including transgender status), sexual orientation, marital status, partnership status, veteran status, genetic information, or any other status protected by applicable federal, state, or local law.

This applies with respect to recruiting, hiring, placement, promotion, transfer, training, compensation, termination, assignments, benefits, employee activities, access to facilities and programs, and all other terms and condition of employment as well as general treatment during employment.

 We will endeavor to make a reasonable accommodation to the known physical or mental limitations of qualified employees with disabilities, without regard to any protected classifications, unless the accommodation would impose an undue hardship on the operation of our business. Any employees who need assistance to perform their job duties because of a physical or mental condition should contact human resources.