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    Billing Specialist Greater Springfield Senior Services, Inc - Human Service Forum

    Human Service Forum
    Human Service Forum Springfield, United States

    2 weeks ago

    Default job background
    Description
    Full-time, 35 hours per week

    NOT remote

    Do you enjoy a fast-paced environment with varied tasks?

    The successful candidate will be responsible for one or more of the following billing functions: Providers, Consumers, MassHealth, Senior Care Options (SCO), One Care (OC), PACE, ACO and Medicare

    Process the Caregiver Logs for the Adult Family Care (AFC) program

    Submit billing to MassHealth, using the appropriate software, for the AFC and Personal Care Management (PCM) programs, including initial billing, resubmittals and adjustments, and summarize in an approved format for ease of recording in the agencys accounting software

    Track all billings, payments, voids, denials and recoupments in an appropriate format to ensure ease of reconciliation to accounting software

    Research any audit or payment issues reported by MassHealth and communicate any issues with the appropriate program supervisors

    Submit billing to various SCO, OC, PACE, ACO and/or Medicare entities according to contract terms and billing requirements including initial billing, resubmittals and adjustments, and summarize in an approved format

    Summarize all remittance advices received from the SCO, OC, PACE, ACO and Medicare entities

    Process all provider billings and act as liaison with providers with respect to all billing issues

    Generate monthly invoices for consumers

    Answer telephone inquiries from consumers regarding invoice questions or concerns and research consumer charges and payments as necessary

    Enter consumer co-payments into appropriate software and submit summary report to the Accountant along with the checks, money orders, or cash

    Respond to requests for verification of payments for consumers related to housing assistance, long-term care insurance, or other needs

    Participate in the cross-training of job duties in the Fiscal Department and provide coverage in the absence of other Fiscal Department staff


    Minimum Qualifications:

    Associates Degree in related field with over three years of relevant experience; or High school diploma, or equivalent, with over five years of relevant experience.

    Strong computer skills including thorough working knowledge of Windows, Word, Excel and Outlook; Good time management and organizational skills.

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    Billing Specialist Greater Springfield Senior Services, Inc

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