Overview
Billing Specialist (Medicaid and Health Insurance) Jobs in Weymouth, MA at The Arc of the South Shore, Inc.
Overview:
The Arc of the South Shore, a non-profit organization providing services to people with disabilities, including Autism, is seeking a billing specialist with experience billing Mass Health (Medicaid) and Private Insurance. This is a fantastic opportunity for a candidate to use their skillset while working for a wonderful organization that supports the local community!
Working under the direction of the Chief Financial Officer, the Billing Specialist will oversee the weekly and monthly billing cycle for multiple programs, while ensuring adherence to billing standards, regulations, and internal policies and procedures.
Core competencies:
MOST IMPORTANT – Must be respectful to all fellow employees, peers, vendors, visitors, and community members at all times
Ability to work both collaboratively and independently, with a strong intrinsic motivational drive
Ability to work under deadlines and manage time appropriately
Exercise discretion in handling confidential information, including sensitive financial matters and HIPAA protected information
Ability to problem solve and think critically
Ability to work with and learn computer systems – we use AR Plus, Economised Time Services, MS Office, as well as countless web interfaces.
Key duties:
Directly responsible for all day-to-day billing operations of the Early Intervention, Day Habilitation, Personal Care Management and Adult Foster Care programs, ensuring strict adherence to policies and procedures;
Directly responsible for entering weekly and monthly Mass Health billings for Day Habilitation, Personal Care Management and Adult Foster Care;
Responsible to understand and maintain compliance with billing requirements promulgated by Mass Health, The Department of Public Health, and private insurance companies
Maintains and ensures all billing systems are up to date with proper reimbursement rates and client data
Processes new admissions and discharges from programs
Performs insurance verifications on a timely basis
Maintains all sheets and records necessary to ensure accurate billing and documents support for billing according to regulatory requirements and internal procedures
Works with Senior Accountant and CFO to coordinate completion of monthly billing tasks to ensure timely end of month revenue and accounts receivable reporting
Resolves day-to-day client specific insurance problems as timely as possible
Ensures that updates to all billing systems are donely timely to meet insurance carrier and Mass Health requirements. Serves as primary liaison between the Agency and a third party billing company
Downloads remittance files from all payers and ensures remittances are appropriately applied to accounts
Reviews remittances for denials and follows up to correct issues on a timely basis
Notifies third party billing company of all payments received and ensures payments are accurately posted to accounts
Reviews unpaid accounts with CFO on a monthly basis
Manages and monitors SNAP client eligibility to ensure that all “eligible” Residential clients are receiving SNAP benefits; completes SNAP applications and re-certifications for the DTA Dept. as needed for each individual;
Documents all Agency-wide billing processes and procedures that utilize the Hill or ETS Billing systems
Education/Experience:
3-5 years experience in billing Medicaid, Department of Public Health, or private insurance.
Comfortable working in Microsoft Excel. Experience with Economised Time Services or AR Plus systems preferred, but not required.
Job Type: Full-time
Pay: $65,000.00 – $70,000.00 per year
Benefits:
Dental insurance
Employee assistance program
Employee discount
Flexible schedule
Flexible spending account
Health insurance
Life insurance
Paid time off
Parental leave
Referral program
Retirement plan
Vision insurance
Schedule:
Day shift
Monday to Friday
Work Location: Hybrid remote in Weymouth, MA
Title: Billing Specialist (Medicaid and Health Insurance)
Company: The Arc of the South Shore, Inc.
Location: Weymouth, MA
