Office Manager/Billing Specialist

Company Description

Rivers of Hope is deeply committed to empowering the community by educating individuals about their rights and available insurance programs. We provide advocacy and support to those navigating complex personal or family challenges. Our organization assists adult children caring for their parents through small financial, tax-free stipend relief and supports parents of adult children with disabilities, including attending IEP meetings. Rooted in compassion, Rivers of Hope strives to provide encouragement and assistance to those in need.

Role Description

This is a full-time on-site role for an Office Manager/Billing Specialist located in Taunton, MA. The Office Manager & Billing Specialist oversees day-to-day office operations to ensure smooth workflow, efficient communication, and professional customer service. This role will also manage medical billing functions using numerous insurance software, including claims submission, error correction, payment posting, aging reports, and follow-up with payers.

The ideal candidate is organized, dependable, detail-oriented, and able to multitask in a fast-paced healthcare environment.

Office Management Experience:

· Maintain a clean, organized, and professional office environment.

· Greet and assist visitors, clients, and staff in a friendly and respectful manner.

· Answer phones, route calls, take messages, and schedule appointments.

· Manage incoming/outgoing mail, faxes, and emails.

· Maintain office supplies, forms, and inventory.

· Assist with onboarding new employees and collecting required documentation.

· Coordinate staff schedules, meetings, and care team communications.

· Maintain confidentiality and compliance with HIPAA.

Medical Billing – Software
(CollaborateMD a plus)

· Submit claims for AFC, GAFC, private care, VA clients, and other services.

· Review documentation for accuracy before billing.

· Correct claim errors, denials, and resubmit promptly.

· Verify client insurance and eligibility as needed.

· Post payments and reconcile accounts.

· Run aging reports, track unpaid claims, and follow up with payers.

· Maintain billing logs and weekly/monthly reports for leadership.

· Communicate professionally with payers, vendors, and auditors.

· Ensure all billing meets MassHealth and payer compliance standards.

Required Skills & Experience

· Prior experience in office administration OR medical billing preferred.

· Experience with CollaborateMD or willingness to be trained.

· Strong computer and data entry skills.

· Excellent communication: phone, email, and in-person.

· Ability to multitask and stay organized with deadlines.

· Familiarity with HIPAA and confidentiality.

· Positive attitude, professional behavior, and strong work ethic.

Qualifications

• Experience in home care, AFC/GAFC, VACCN, MassHealth and other insurance billing
• Knowledge of CPT/HCPCS codes and EDI billing
• Bilingual a plus. Strong Communication and Customer Service skills
• Proficiency in Office Administration and Administrative Assistance tasks
• Experience in handling and maintaining Office Equipment
• Excellent organizational and time management abilities
• Familiarity with billing processes and basic financial management
• Proficiency in relevant software and tools (e.g., MS Office Suite)
• Ability to work independently and collaboratively in an on-site environment
• Previous experience in a similar role is an advantage

Physical & Work Requirements

· Ability to sit, stand, and use a computer for extended periods.

· Ability to lift up to 20 lbs occasionally (files, supplies, etc.).

· Must maintain professionalism, confidentiality, and compassion.

Performance Expectations

· Timely claim submission with low denial rates

· Accurate documentation and communication with admin and nursing staff

· Weekly billing reports

· Organized office environment

· Cooperative, supportive teamwork culture

Benefits

· Competitive pay

· Paid training

· PTO

· Opportunity for growth