Accounts Receivable and Billing Specialist

About Us

We're more than just quality treatment for substance use disorders. We're a total health community. At SSTAR, our mission is healing the community, one person at a time. We will provide a personal level of healthcare and addiction treatment that addresses the mental, physical, and spiritual well-being of everyone we touch. SSTAR is a Federally Qualified Health Center (FQHC) which affords our employees eligibility to apply for one of our three Loan Repayment Programs, including the HRSA LRP.

The Accounts Receivable and Billing Specialist is responsible for managing the billing process with third-party payers by submitting accurate claims, following up on outstanding invoices, resolving billing discrepancies, and ensuring timely payment for services rendered by adhering to relevant regulations and payer guidelines.

Benefits

• 403B
• Dental insurance
• Disability insurance through Massachusetts PFML
• Employee discounts, cell phone, eyewear etc.
• Health insurance
• Life insurance
• Paid time off
• Vision insurance
• Flexible Spending Account
• Opportunities to earn CEU's
• Voluntary Benefits including but not limited to, Disability, Life, Critical Illness, Accident and Disability Insurances

Duties & Responsibilities

• The Accounts Receivable and Billing Specialist is responsible for preparing and electronically submitting accurate claims to insurance companies, verifying patient demographics and insurance information.
• Identifying and correcting billing errors on claims before submission to maximize reimbursement.
• Tracking claim statuses, following up on outstanding claims with payers, and addressing claim rejections or denials.
• Maintaining patient account records, updating billing information, and resolving billing inquiries.
• Staying updated on billing regulations and payer-specific guidelines to ensure compliance.
• Reviewing and appealing denied claims based on medical necessity and insurance policies.
• The Accounts Receivable and Billing Specialist is responsible for generating reports on billing metrics, identifying trends, and communicating findings to relevant stakeholders.
• Distribute insurance payments in EMR.
• The Accounts Receivable and Billing Specialist is responsible for preparing write-offs periodically and submit them for review.
• Answers patient's billing and insurance inquiries and complaints.
• Other duties as required.

Education & Experience

• GED/HS diploma required.
• Minimum of three (3) years of healthcare office experience or completion of a medical billing program.
• Proficiency in medical billing codes (CPT, ICD-10, HCPCS)
• Computer proficiency with billing software and electronic health records (EHR) systems
• Maintains strict confidentiality adhering to all HIPAA & 42 CFR regulations
• Strong organizational, communication, and relationship-building skills.
• Excellent oral and written communication skills.
• Ability to prioritize while meeting all deadlines and demonstrating a high level of reliability and efficiency.
• Ability to work in a very fast-paced environment and adapt to changes.
• Highly detail-oriented and ability to multi-task.
• Proficient in Microsoft Office Suite
• Must work well in a team-oriented environment.

SSTAR is committed to being an equal opportunity employer. We believe that no one should be discriminated against for any reason and all hiring decisions are made with an inclusive lens and free from bias with regards to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by federal, state, or local law. As an equal opportunity employer, we are focused on empowering and uplifting the lives of our staff, our clients and those in the broader communities around us. We recognize that diverse perspectives and backgrounds enable the healthcare community to be strong. Not only will you be welcomed and embraced at SSTAR, but your unique thoughts and perspectives will be celebrated and valued.