Medical Billing Specialist

1 week ago


Taunton, Massachusetts, United States Volunteers of America Massachusetts Full time
:

POSITION: Medical Billing Specialist

PROGRAM: Volunteers of America of Massachusetts-Across Programs

REPORTS TO: Director of Revenue Cycle Management

FUNCTION:

Medical Billing Specialist determines whether a person is currently enrolled or eligible for enrollment in Medicaid and/or Medicare and/or Medicare and other forms of government aid related to health care. Medical Billing Specialist works closely with stakeholders, and VOAMASS programs to ensure that new clients are admitted into the programs. Medical Billing Specialist enters persons served into the EHR, schedules diagnostic sessions, and helps manage the waitlist for persons served. Medical Billing Specialist manages prior authorizations and reauthorizations for all VOAMASS programs. Medical Billing Specialist works closely with the Director of Revenue Cycle Management to ensure that we are efficiently submitting claims, accurately posting payments, resolving denials, and updating the EHR billing system. Will also help with payment posting and will help with the enhancement of company financial operational objectives for managed care organizations. Medical Billing Specialist will assist the BHS receptionist team, when needed.

PRINCIPLE ACTIVITIES:

1. Coordinates closely with the intake department and checks eligibility for all individuals that VOAMASS serves to determine Medicaid and/or Medicare and/or Medicare enrollment or eligibility for enrollment.

2. Screens and schedules all new client appointments and manages the waitlist for services.

3. Documents insurance verification information, cross references address listed on insurance verification, and documents individuals who are ineligible and eligible but not enrolled in Medicaid and/or Medicare and/or Medicare insurance.

4. Collects co-payments and manages persons served account and benefits.

5. Manages prior authorizations and reauthorizations for all VOAMASS programs. Coordinates with program leadership to ensure that authorizations for services are completed correctly and on-time.

6. Communicate effectively with client's integrated care team and VOAMASS programs to prevent insurance issues, correct insurance issues, and resolve gaps in insurance coverage.

7. Participate in program and professional supervision, attend required staff meetings and trainings, and contribute to team-based collaborative planning.

8. Medical Billing Specialist will assist the BHS receptionist team, when needed.

Effect on End Results:

1. Increase Medicaid and/or Medicare coverage for persons served and prevent loss of insurance.

2. Increase overall workflow from referrals, to schedule, to appointments.

3. Increase accuracy of prior authorizations and billing collections and decrease number of billing errors or incorrect payments.

Requirements:

QUALIFICATIONS:

Minimum of two years' experience in health plan, ancillary, or supplemental network enrollment work. Knowledge of Medicaid and/or Medicare and/or Medicare enrollment services and process. Excellent communication skills, organization skills, and computer skills are required. Experience with CPT codes and billing of managed care operations.

Compensation details: Hourly Wage

PI1816229b0d0f



  • Taunton, Massachusetts, United States State of Massachusetts Full time

    The Recovery from Addictions Program (RAP), operated by the Department of Mental Health (DMH), is seeking self-motivated individual to be the Clinical Training Specialist to address the training needs of all Nursing, Clinical, Medical, and Aftercare Training Specialist, Clinical, Recovery, Addiction, Training, Mental Health, Healthcare


  • Taunton, Massachusetts, United States Percy Full time

    Job Description Job Description At Percy, we're building new ways to help people find meaningful full-time career opportunities in the Taunton, MA area. We're currently looking for someone looking to get their start in the real estate industry by joining a local community as an Recertification SpecialistAs a compliance specialist, your main responsibilities...


  • Taunton, Massachusetts, United States Percy Full time

    Job DescriptionAt Percy, we are creating innovative ways to assist individuals in discovering meaningful full-time career prospects in the Taunton, MA region. We are currently seeking an individual interested in entering the real estate field by becoming a part of a local community as a Recertification Specialist.As a compliance expert, your primary duties...

  • EVSE Specialist

    1 week ago


    Taunton, Massachusetts, United States Granite City Electric Supply Full time

    Granite City Electric Supply is the area's premiere electrical distributor serving electrical contractors as well as residential, commercial and industrial customers for over 90 years. With 27 branches covering Massachusetts, Rhode Island, New Hampshire, Vermont and Connecticut, we are the largest regional independent electrical supply company and the...


  • Taunton, Massachusetts, United States State of Massachusetts Full time

    The Department of Youth Services (DYS) is seeking dynamic, positive, service and career-minded individuals to fill the role of Juvenile Justice Youth Development Specialist. Selected candidates will work with juvenile justice involved young people ages years old (most of the youth served are years old) in DYS residential facilities. You will learn the...


  • Taunton, Massachusetts, United States Equipment Corporation of America Full time

    Equipment Corporation of America (ECA)With six (6) branch Locations and three remote sales offices across Eastern North America, ECA is always looking for hard working dedicated people. As a 100-year-old family owned business, ECA seeks individuals looking for a company with big opportunities and a family business culture. In addition to a great working...


  • Taunton, Massachusetts, United States Justice Resource Institute Full time

    Who we are looking for: Are you the Therapeutic Support Specialist we have been looking for? JRI's Flexible Support Services program aims to help youth and families by allowing for their voice to be heard, empowering them through psychoeducation and education related to systems, enhancing relationships and family dynamics, advocacy, validation, and breaking...


  • Taunton, Massachusetts, United States MASS Full time

    The Recovery from Addiction Program (RAP) operated by the Department of Mental Health (DMH) is seeking experienced professionals to serve as the Nursing Supervisor (RN IV). The selected candidates will be responsible in providing a safe and therapeutic environment of care by ongoing evaluation, education and supervision of staff to ensure best practice is...


  • Taunton, United States Angels Healthcare Companies Full time

    Angels Neurological Centers group is seeking additional part-time or full-time medical billing specialists to work alongside a dedicated team of hard-working colleagues. The applicant should be hard working, capable of working in fast-paced, high-tech environment, able to respond to patients with pleasant demeanor in face-to-face interactions, via...


  • Taunton, United States Angels Healthcare Companies Full time

    Angels Neurological Centers group is seeking additional part-time or full-time medical billing specialists to work alongside a dedicated team of hard-working colleagues. The applicant should be hard working, capable of working in fast-paced, high-tech environment, able to respond to patients with pleasant demeanor in face-to-face interactions, via...

  • PPR Specialist

    1 month ago


    Taunton, United States University of Massachusetts Medical School Full time

    Overview: POSITION SUMMARY: The Public Provider Reimbursement (PPR) Department withinHealth Care Finance Solutions (HCFS) unit conducts statewide business services for several health and human services agencies of the Executive Office of Health and Human Services (EOHHS) to maximize revenue for the Commonwealth of Massachusetts. Revenue is obtained from...

  • PPR Specialist

    4 weeks ago


    Taunton, United States University of Massachusetts Medical School Full time

    Overview: POSITION SUMMARY: The Public Provider Reimbursement (PPR) Department withinHealth Care Finance Solutions (HCFS) unit conducts statewide business services for several health and human services agencies of the Executive Office of Health and Human Services (EOHHS) to maximize revenue for the Commonwealth of Massachusetts. Revenue is obtained from...

  • PPR Specialist

    2 weeks ago


    Taunton, United States University of Massachusetts Medical School Full time

    Overview: POSITION SUMMARY: The Public Provider Reimbursement (PPR) Department withinHealth Care Finance Solutions (HCFS) unit conducts statewide business services for several health and human services agencies of the Executive Office of Health and Human Services (EOHHS) to maximize revenue for the Commonwealth of Massachusetts. Revenue is obtained from...

  • Claims Specialist

    2 days ago


    Taunton, United States RemX Full time

    RemX is seeking a Claims Specialistin the Taunton, MA area! Responsibilities: Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing Research, analyze and appropriately resolve rejected claims Ensure approval of claims by performing appropriate edits and/or reversals to ensure maximum payer...

  • Claims Specialist

    3 weeks ago


    Taunton, United States PharMerica Full time

    Our Company: PharMerica Overview: **_ Join our PharMerica team!_**_ PharMerica is a _**_closed-door pharmacy_**_ where you can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a _**_non-retail pharmacy_**_ environment. Our organization is in _**_high growth mode_**_, which means _**_advancement...


  • Taunton, United States Aware Recovery Care Full time

    Job DescriptionJob DescriptionWhy You’ll Love This Peer Support Specialist Job Do you have passion for meeting people where they are and supporting them on their road to recovery? Do you have a passion for coming alongside and supporting people? Want to use your personal experience to make a difference in the lives of those struggling with substance...


  • Taunton, United States Aware Recovery Care Full time

    Job DescriptionJob DescriptionWhy You’ll Love This Peer Support Specialist Job Do you have passion for meeting people where they are and supporting them on their road to recovery? Do you have a passion for coming alongside and supporting people? Want to use your personal experience to make a difference in the lives of those struggling with substance...


  • Taunton, United States PharMerica Full time

    Our Company: PharMerica Overview: Our **Point of Sale Adjudicators **are crucial to our 3rd Part Claims activities and our business. This is an excellent opportunity to move from a retail pharmacy to office environment for those who are willing to learn claims, billing and insurance processing. Pharmacy Technician experience and/or knowledge of...

  • EVSE Specialist

    1 month ago


    Taunton, United States Granite City Electric Supply Full time

    Granite City Electric Supply is the area's premiere electrical distributor serving electrical contractors as well as residential, commercial and industrial customers for over 90 years. With 27 branches covering Massachusetts, Rhode Island, New Hampshire, Vermont and Connecticut, we are the largest regional independent electrical supply company and the...

  • EVSE Specialist

    4 weeks ago


    Taunton, United States Granite City Electric Supply Full time

    Granite City Electric Supply is the area's premiere electrical distributor serving electrical contractors as well as residential, commercial and industrial customers for over 90 years. With 27 branches covering Massachusetts, Rhode Island, New Hampshire, Vermont and Connecticut, we are the largest regional independent electrical supply company and the...


  • Taunton, United States State of Massachusetts Full time

    The Recovery from Addictions Program (RAP), operated by the Department of Mental Health (DMH), is seeking self-motivated individual to be the Clinical Training Specialist to address the training needs of all Nursing, Clinical, Medical, and Aftercare Training Specialist, Clinical, Recovery, Addiction, Training, Mental Health, Healthcare

  • EVSE Specialist

    1 week ago


    Taunton, United States Granite City Electric Supply Full time

    Granite City Electric Supply is the area's premiere electrical distributor serving electrical contractors as well as residential, commercial and industrial customers for over 90 years. With 27 branches covering Massachusetts, Rhode Island, New Hampshire, Vermont and Connecticut, we are the largest regional independent electrical supply company and the...

  • Travel Nurse RN

    4 weeks ago


    Taunton, United States Medical Solutions Full time

    Job DescriptionMedical Solutions is seeking a travel nurse RN Director of Nursing for a travel nursing job in Taunton, Massachusetts.Job Description & RequirementsSpecialty: Director of NursingDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: Travel We’re seeking talented healthcare professionals whose adventure game is...

  • Travel Nurse RN

    1 week ago


    Taunton, United States Medical Solutions Full time

    Job DescriptionMedical Solutions is seeking a travel nurse RN Manager, Nursing Home for a travel nursing job in Taunton, Massachusetts.Job Description & RequirementsSpecialty: Nursing HomeDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: Travel We’re seeking talented healthcare professionals whose adventure game is as...


  • Taunton, United States IASIS Healthcare Full time

    Patient Service Specialist IClick Here to Apply OnlineJob DescriptionLocation: Steward Medical Group - NorthPosted Date: 6/1/2023About Steward Health CareNearly a decade ago, Steward Health Care System emerged as a different kind of health care company designed to usher in a new era of wellness. One that provides our patients better, more proactive care at a...


  • Taunton, United States IASIS Healthcare Full time

    Patient Service Specialist IClick Here to Apply OnlineJob DescriptionLocation: Steward Medical Group - NorthPosted Date: 6/1/2023About Steward Health CareNearly a decade ago, Steward Health Care System emerged as a different kind of health care company designed to usher in a new era of wellness. One that provides our patients better, more proactive care at a...

  • Biller

    4 weeks ago


    Taunton, United States Steward Medical Group - North Full time

    Job Type: Full Time Department: Med Spec of Taunton - Unalloc KEY RESPONSIBILITIES: (Use bullets for specific responsibilities) Provides superior customer service to internal and external clients, customers, and patients as referenced in the “Service Excellence Standards." Practices and promotes a "patient-centered care model" within administrative...

  • Finance/Acct 2

    6 days ago


    Taunton, United States A-Line Staffing Solutions Full time

    A-Line staffing is hiring a Medical Insurance Billing Associate this position has career growth potential with full time / 40 hours per week. If interested in this Medical Insurance Billing Associate position APPLY NOW for IMMEDIATE consideration Bri Finance, Staffing, Medical, Associate, Billing, Insurance, Banking