Billing Specialist

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    "requisitionDescription": "<div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p id=\"isPasted\">The Billing Specialist enters all client billing in Thom Billing Revised (TBR) and is responsible for the overall billing process in adherence to MassHealth and all other insurers&rsquo; billing procedures as directed by DPH Billing Manual and Thom Billing Manual. Serves as back to other Billing Specialists.</p><p>&nbsp;</p><p><u>Specific Job Duties and Responsibilities</u>:</p><p>&nbsp;</p><ul><li>Coordinates activities with other EI Billing Specialist in the Framingham office.</li><li>Maintains a collaborative relationship with program office and other Thom offices.</li><li>Works collaboratively with other Thom Billing Specialists, both at the administrative office and at offsite locations.</li><li>Works collaboratively with program staff including service providers Insurance Coordinator to complete weekly billing process.&nbsp;</li><li>Demonstrates knowledge of all aspects of TBR and TC.</li><li>Maintains meticulous records of all communication regarding claim payment, including call logs and email communication.</li><li>Adheres to MassHealth and all other insurers&rsquo; billing procedures as directed by DPH Billing Manual and Thom Billing Manual.</li><li>Ensures that all activity sheets have been submitted by service providers on a weekly basis.</li><li>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.</li><li>Collaborates with service providers to verify billing questions.</li><li>Completes synchronization of billing data from activity sheets from TC to TBR on a weekly basis in accordance to transmission guidelines and dates.</li><li>Bills, posts payments and follows up on claims for services to private health insurers, MassHealth, and the Massachusetts Department of Public Health</li><li>Maintains confidentiality of client information pursuant to federal and state regulations and agency policies.</li><li>Ensures client files are properly maintained, stored, secured, and when appropriate, destroyed in compliance with the agency&rsquo;s document retention and destruction policy</li><li>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.</li><li>Assists in administrative duties including copying, filing and keeping office organized as needed. &nbsp;Assists with all general receptionist duties including answering the telephone, taking referrals, typing correspondence.</li><li>Updates and maintains assessment hours information in TC.</li><li>Designs special reports from TBR upon request of the Program Director.</li><li>Updates billing software and data as needed.</li><li>Communicates with Program Director to share updates on any billing-related problems.</li><li>Assists service providers to complete and submit waivers. Enters waiver information into TC.</li><li>Assists with support, orientation, and training of billing codes and rules to service providers.</li><li>Prepares TBR Reports for each clinical staff person.</li><li>Serves as back to other Billing Specialists.</li><li>Other duties as assigned.</li></ul><p><u>&nbsp;</u></p><p><u>Education and Qualifications</u>:</p><p>&nbsp;</p><ul><li>A minimal educational requirement of a high school diploma or equivalent and be at least 18 years old.</li><li>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.</li><li>Minimum of one year of experience in medical billing.</li><li>Ability and interest in working with a team of professionals.</li><li>Maintain appropriate professional boundaries; promote client confidentiality; and exhibit flexibility, sensitivity to cultural differences, and teamwork.&nbsp;</li><li>Experience with Microsoft Word and Excel.</li><li>Excellent file management skills.</li><li>Excellent verbal and written communication skills</li><li>Outstanding customer service skills.</li><li>Ability to problem solve, make recommendations, and implement solutions.</li><li>Ability to work flexibly and collaboratively with colleagues and representatives from a variety of stakeholder groups.</li><li>Ability to learn customized software specifically for Early Intervention billing.</li></ul><p>&nbsp;</p><p>&nbsp;</p><p>&nbsp;</p><p>&nbsp;</p><p>&nbsp;</p><p>&nbsp;</p><p>&nbsp;</p><p>&nbsp;</p><p>&nbsp;</p><p>&nbsp;</p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div>\n",
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