Billing Specialist

5 days ago


Lowell, Massachusetts, United States Thom Child And Family Services Full time
Job Summary

Thom Child and Family Services is seeking a highly skilled Billing Specialist to join their team. The ideal candidate will have excellent communication and interpersonal skills, as well as a strong understanding of billing regulations and procedures.

Key Responsibilities
  • Input new client information into the billing system on a regular basis.
  • Process referral information, enter PA information obtained from Intake Coordinator and Insurance Coordinator.
  • Ensure that all activity sheets have been submitted by service providers on a weekly basis.
  • Review activity sheets for completeness.
  • Verify that a case note is available for each service listed on the activity sheets.
  • Input billing data from activity sheets on a weekly basis.
  • Verify Medicaid identification numbers are still eligible on a weekly basis.
  • Verify client's commercial insurance is still valid on a regular basis.
  • Update changes in insurance information in the billing system and submit changes to Thom in a timely manner.
  • Coordinate with Intake Coordinator to ensure that prior approval is obtained before services are delivered and that PA number and dates are logged into the billing system.
  • Transmit billing data to Thom according to transmission guidelines and dates.
  • Update and maintain the assessment count function in the billing system.
  • Design special reports from the billing computer upon request of the directors.
  • Update billing software and data as needed.
  • Keep program director updated on any billing-related problems.
  • Provide administrative assistance as needed.
Requirements
  • Knowledge of 3rd party, Medicaid, and DPH Early Intervention billing regulations.
  • Working knowledge of all aspects of the Thom client billing system.
  • Maintain appropriate professional boundaries; promote client confidentiality; and exhibit flexibility, sensitivity to cultural differences, and teamwork.
  • Experience with Microsoft Word and Excel.
  • Excellent verbal and written communication skills.
  • Ability to problem solve, make recommendations, and implement solutions.
Benefits
  • Competitive salary.
  • Comprehensive benefits package.
  • Generous vacation, personal, and sick/long-term illness time.
  • Paid holidays.
  • 403(b) with employer matching.
  • Section 125 flexible benefits plan.
  • Employer-sponsored long-term disability insurance.
  • Employer-sponsored life insurance.
  • Employer-sponsored accidental death and dismemberment insurance.
  • Employee assistance program.
  • Stipend for continuing education and conference fees.
  • Mileage reimbursement.

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