Billing Specialist - Springfield, MA

SUMMARY

The Billing Specialist generates claims and invoices from the EHR system, generates client statements, creates and distributes reports, and resolves billing issues. Additionally, this person works on financial variance reports, and financial reconciliations.

ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Issues and tracks client billing statements
  • Initiates phone and written communication to resolve outstanding client balances
  • Follows up on client billing issues through resolution
  • Review RAs and track denials on log
  • Communicate with sites to investigate and resolve claim denials and appeals
  • Work closely with Regional Billing Coordinator and Regional Billing Consultant to resolve claim denials
  • Maintains fee schedules and paysource data in EHR system
  • Generates claims and invoices as needed
  • Distributes billing violation reports to programs as needed
  • Works on claim discrepancies reconciliation for billing
  • Tracks billing variance report submissions by program directors
  • Quarterly, audits fee for service billing
  • Perform other duties as assigned

COMPETENCIES

  • Possess strong organizational and time management skills
  • Strong problem solving skills, basic billing system knowledge, documentation skills, research and resolution skills, data analysis and multi-tasking skills
  • Ability to perform mathematical computations such as percentages, fractions, addition, subtraction, multiplication and division quickly and accurately
  • Ability to communicate effectively verbally and in writing
  • Ability to interact with employees and customers in a professional manner
  • Ability to speak and write English fluently; Bilingual skills are a plus
  • Ability to work independently or with a team in a fast-paced and high volume environment with emphasis on accuracy and timeliness

QUALIFICATIONS

To perform this position successfully, you must be able to perform each essential duty and responsibility satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties and responsibilities. The requirements listed below are representative of the knowledge, skill and/or ability required.

  • Thorough knowledge obtained through completion of a Bachelor's curriculum of an accredited institution or at least three years of billing and administrative experience.
  • Proficiency in third party billing and insurance reimbursements
  • Knowledge of general accounting functions

EDUCATION/EXPERIENCE: Bachelor Degree from an accredited institution. BH and/or SUD billing required. Coding experience with same preferred

LICENSES/CERTIFICATIONS: None noted.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential duties and responsibilities of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties and responsibilities.

REGULARLY REQUIRED: to sit, use hands to finger, handle or feel objects, tools or controls; reach with hands and arms, and talk or hear.

OCCASIONALLY REQUIRED: to stand, walk, stoop, kneel or crouch and lift and/or move up to 10 pounds

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential duties and responsibilities of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties and responsibilities.

The work environment includes both a typical office environment, with minimal exposure to excessive noise or adverse environmental issues.

SCHEDULING NEEDSNone Noted

Phoenix House is an Equal Opportunity Employer providing equality of opportunity to all who are protected against discrimination by law, regulation or executive order, including veterans and individuals with disabilities. EEO is the Law: Applicants and employees are protected under Federal law from discrimination. Click www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf to learn more.

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Job Location:  Springfield, MA

Job ID: 150