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Thom Child and Family Services · 3 hours ago

Billing Specialist

Norwood, MA

Full-time

Onsite

Mid Level

$33K/yr - $38K/yr

3+ years exp

Thom Child and Family Services is seeking a Billing Specialist responsible for managing the overall billing process in adherence to MassHealth and other insurers' procedures. The role involves coordinating with other billing specialists, maintaining records, and ensuring compliance with billing guidelines.

CharityChild CareChildrenConsultingHealth CareMedicalNon Profit

Responsibilities

Coordinates activities with other EI Billing Specialist in the Framingham office

Maintains a collaborative relationship with program office and other Thom offices

Works collaboratively with other Thom Billing Specialists, both at the administrative office and at offsite locations

Works collaboratively with program staff including service providers Insurance Coordinator to complete weekly billing process

Demonstrates knowledge of all aspects of TBR and TC

Maintains meticulous records of all communication regarding claim payment, including call logs and email communication

Adheres to MassHealth and all other insurers’ billing procedures as directed by DPH Billing Manual and Thom Billing Manual

Ensures that all activity sheets have been submitted by service providers on a weekly basis

Reviews activity sheets for completeness on a weekly basis including verifying that a case note is available for each service listed on the Activity Sheets

Collaborates with service providers to verify billing questions

Completes synchronization of billing data from activity sheets from TC to TBR on a weekly basis in accordance to transmission guidelines and dates

Bills, posts payments and follows up on claims for services to private health insurers, MassHealth, and the Massachusetts Department of Public Health

Maintains confidentiality of client information pursuant to federal and state regulations and agency policies

Ensures client files are properly maintained, stored, secured, and when appropriate, destroyed in compliance with the agency’s document retention and destruction policy

Assists with record requests from Framingham office and external partners by obtaining necessary documentation from offsite locations as well as from client files stored onsite or stored electronically

Assists in administrative duties including copying, filing and keeping office organized as needed. Assists with all general receptionist duties including answering the telephone, taking referrals, typing correspondence

Updates and maintains assessment hours information in TC

Designs special reports from TBR upon request of the Program Director

Updates billing software and data as needed

Communicates with Program Director to share updates on any billing-related problems

Assists service providers to complete and submit waivers. Enters waiver information into TC

Assists with support, orientation, and training of billing codes and rules to service providers

Prepares TBR Reports for each clinical staff person

Serves as back to other Billing Specialists

Other duties as assigned

Qualification

Medical billingInsurance billing knowledgeThom Billing Revised (TBR)Microsoft WordMicrosoft ExcelFile managementCustomer serviceVerbal communicationWritten communicationProblem solvingTeamwork

Required

A minimal educational requirement of a high school diploma or equivalent and be at least 18 years old

A minimum of three years administrative experience with strong interpersonal skills, general knowledge of insurance billing, computer literacy, strong organizational skills and the ability to work independently

Minimum of one year of experience in medical billing

Ability and interest in working with a team of professionals

Maintain appropriate professional boundaries; promote client confidentiality; and exhibit flexibility, sensitivity to cultural differences, and teamwork

Experience with Microsoft Word and Excel

Excellent file management skills

Excellent verbal and written communication skills

Outstanding customer service skills

Ability to problem solve, make recommendations, and implement solutions

Ability to work flexibly and collaboratively with colleagues and representatives from a variety of stakeholder groups

Ability to learn customized software specifically for Early Intervention billing