- 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 agency's 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
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Billing Specialist
3 weeks ago
Western New England University Springfield, United StatesBilling Specialist · The Billing Specialist is responsible for accurately and timely information being reflected on students' bills. This position works independently with billing information, transactions and invoices for students and is also responsible for sponsored billing. ...
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Billing Specialist
1 week ago
Accounting Now Chicopee, United StatesAccounting Now has an immediate need for a Billing Specialist in the Greater Springfield area Our client is in the construction industry and prefers anyone with a construction background · This is a great opporutnity to work with a well-respected organization in their industry an ...
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Dental Billing Specialist
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Dental Care Alliance Springfield, Massachusetts, United States PermanentOverview: · Our Baystate Dental Central Billing is currently seeking a Billing Specialist to join our team. This Central Billing Office Representative will bill, correct, and enter claim information in the billing system as assigned by leadership as part of the revenue cycle team ...
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Billing Specialist
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Creative Financial Staffing Springfield, United StatesOur client is a growing company in Springfield, MA. They are currently seeking a Billing Specialist to join the accounting and finance team. · Why work here? · Family-run company that has been in business for over 40 years · Staff is friendly, dedicated to maintaining the company ...
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Billing Specialist
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Creative Financial Staffing (CFS) Springfield, United StatesJob Description · Job DescriptionOur client is a growing company in Springfield, MA. They are currently seeking a Billing Specialist to join the accounting and finance team. · Why work here? · Family-run company that has been in business for over 40 years · Staff is friendly, ded ...
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Billing Specialist
2 weeks ago
Western New England University Springfield, United StatesBilling Specialist · The Billing Specialist is responsible for accurately and timely information being reflected on students' bills. This position works independently with billing information, transactions and invoices for students and is also responsible for sponsored billing. ...
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Claims Support Specialist-Physician Billing
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Baystate Health Springfield, United States**The Physician Billing Claim Support Specialist is responsible for ensuring accurate and complete claim submissions for the Baystate Medical Practices. Utilizing multiple insurance edit reports and computer programs, this role updates claim elements to allow for effective and ti ...
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Billing Specialist
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Creative Financial Staffing Windsor, United StatesThe Billing Specialist opportunity is with a GROWING, industry-leading, privately held organization that has been in business for 80 years · The last few years this organization has seen record growth year over year. · Industry-leading, privately held organization that has been ...
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Billing Specialist
1 week ago
Creative Financial Staffing Windsor, United StatesThe Billing Specialist · opportunity is with a · GROWING , industry-leading, privately held organization that has been in business for · 80 years · The last few years this organization has seen record growth year over year. · Industry-leading, privately held organization tha ...
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Claims Support Specialist-Physician Billing
1 week ago
Baystate Health Springfield, United States**The Physician Billing Claim Support Specialist is responsible for ensuring accurate and complete claim submissions for the Baystate Medical Practices. Utilizing multiple insurance edit reports and computer programs, this role updates claim elements to allow for effective and ti ...
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Claims Support Specialist-Physician Billing
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Baystate Health Springfield, United StatesThe Physician Billing Claim Support Specialist is responsible for ensuring accurate and complete claim submissions for the Baystate Medical Practices. Utilizing multiple insurance edit reports and computer programs, this role updates claim elements to allow for effective and time ...
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Claims Support Specialist-Physician Billing
1 week ago
Baystate Health Springfield, United StatesThe Physician Billing Claim Support Specialist is responsible for ensuring accurate and complete claim submissions for the Baystate Medical Practices. Utilizing multiple insurance edit reports and computer programs, this role updates claim elements to allow for effective and time ...
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Billing Specialist
2 weeks ago
All Star Incentive Marketing Fiskdale, United StatesAll Star Incentive Marketing in Fiskdale, MA is looking to hire a full-time Billing Specialist. · Are you a detail-oriented professional with a knack for numbers and a passion for ensuring accuracy? Join our dynamic Sales Support team, where you'll play a crucial role in managi ...
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Billing Specialist
3 weeks ago
All Star Incentive Marketing Fiskdale, United StatesAll Star Incentive Marketing in Fiskdale, MA is looking to hire a full-time Billing Specialist. · Are you a detail-oriented professional with a knack for numbers and a passion for ensuring accuracy? Join our dynamic Sales Support team, where you'll play a crucial role in managi ...
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Billing Specialist
2 weeks ago
All Star Incentive Marketing Fiskdale, United StatesJob Description · Job DescriptionAll Star Incentive Marketing in Fiskdale, MA is looking to hire a full-time Billing Specialist. · Are you a detail-oriented professional with a knack for numbers and a passion for ensuring accuracy? Join our dynamic Sales Support team, where you' ...
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Billing Specialist
3 weeks ago
All Star Incentive Marketing Fiskdale, United StatesJob Description · Job DescriptionAll Star Incentive Marketing in Fiskdale, MA is looking to hire a full-time Billing Specialist. · Are you a detail-oriented professional with a knack for numbers and a passion for ensuring accuracy? Join our dynamic Sales Support team, where you' ...
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Billing Specialist
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Phoenix House California Lake View Terrace, United States*** · Reporting to the Controller, the DMH Billing Specialist is responsible for timely processing and submission of claims using the Welligent electronic health record system (EHRS) and hard copy documents, assuring compliance with Medi-Cal, Los Angeles County Department of Ment ...
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Human Service Forum Springfield, United StatesFull-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), P ...
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Human Service Forum Springfield, United StatesFull-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), P ...
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Clearview Health and Wellness Group Longmeadow, United StatesMedical Billing/Collection Specialist · Who we are: Clearview is a mental health clinic providing a variety of therapy/counseling services. · We strive to be a client centric clinic staffed by highly trained professionals focused on total health and wellness. We have an amazing t ...
Billing Specialist - Springfield, United States - Greater Springfield Senior Services, Inc. (GSSSI)
Description
Job Description
Job DescriptionFull-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
Minimum Qualifications: Associate's 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.
Public Service Loan Forgiveness (PSLF)
If you are employed by a not-for-profit organization such as GSSSI, you may be eligible for the PSLF Program for student loans.
Job Posted by ApplicantPro