Billing Specialist - Worcester, Massachusetts, United States
3 days ago
Job description
Overview
Billing Specialist
YOU, Inc., an Affiliate of Seven Hills Foundation
Pay: $ $24.04/hourly
Are you detail-oriented and passionate about ensuring smooth billing operations? Join YOU, Inc. as a Billing Specialist, where you will play a vital role in supporting outpatient services by managing claims, following up on unpaid balances, and ensuring regulatory compliance.
Your Role
As a Billing Specialist, you will handle third-party claims, follow up on unpaid client copays and deductibles, and collaborate with administrators to resolve claim issues. Your organizational skills, knowledge of medical terminology, and ability to analyze and resolve billing discrepancies will ensure timely and accurate claims processing.
Benefits for Full-time employees:
- Health Insurance: Offered through Blue Cross Blue Shield, with generous company contribution.
- Enhanced Retirement Plan: 25% - 33% Employer match based on tenure.
- Student Loan Assistance: Consolidation, counseling, & limited employer contribution
- Discounted Tuition with College & University Partnerships
- Tuition Assistance: Reimbursed or prepaid college coursework
- Home Mortgage Initiative: Favorable down payment (3-5%), reduced closing costs co-paid by Seven Hills
Work-Life Balance:
- Generous Accrued Paid Vacation: 3 weeks in your first year
- Vacation Cash-Out Option
- 3 Paid Personal Days
- 11 Paid Holidays
- Accrued Paid Sick Time
Benefits for Part-time Employees:
- Accrued Paid Sick Time
- Enhanced Retirement Plan: 25% - 33% Employer match (Minimum of 20 worked hours per week)
- Student Loan Assistance: Consolidation and free debt counseling
- Personal PTO - (Minimum 20 hour regular part-time schedule - does not apply to per diem)
Why Join YOU, Inc.?
- Be part of a mission-driven organization dedicated to providing quality services.
- Collaborate with a supportive team in a dynamic work environment.
- Opportunities for professional growth and skill development.
Ready to Excel in a Meaningful Role?
Apply now to join our team and contribute to making a difference in the lives of those we serve.
YOU, Inc. is an equal-opportunity employer committed to fostering diversity and inclusion
Responsibilities
- Follow up on third-party claims for outpatient services, including unpaid client balances.
- Contact payor claims departments to determine claim status and resubmit paper/electronic claims as necessary.
- Collaborate with site administrators to address claim problems, denials, and appeals.
- Run and review EHR reports, including insurance-based "scrubber" reports.
- Maintain accurate documentation and ensure compliance with state and federal regulations.
- Attend insurance-related meetings or webinars to stay informed about updates.
- Assist with special projects using Excel and communicate results effectively.
Qualifications
- Education: High school diploma, GED, or HiSET required.
- Experience: 1-3 years of related experience in billing or healthcare administration preferred.
- Skills:
- Proficiency in documentation and record-keeping.
- Familiarity with medical terminology and insurance processes.
- Strong organizational and multitasking abilities.
- Analytical skills and attention to detail.
- Physical Requirements: Ability to sit and stand for extended periods, lift up to 50 pounds, and work in a noisy environment.
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