Billing Specialist

Billing Associate requires daily management of assigned accounts with regular and consistent follow-up on processing/reconciling claims and denied claims. Must be able to work independently with outside agencies to research and resolve billing and claims.  This is a full time hybrid position, 2 days in office and 3 days home. Location: Stoughton, Massachusetts Hours: 830am to 4:30pm, 35 hours a week Days: Monday - Friday Preferred Experience Claims billing Reconciliation Working with small or large volumes of data in Excel or Access Mass Health Provider On-Line Service Center or other web based billing portals Essential Functions Process billing as need to payers of assigned accounts Investigate denials and resolve all claims for payment Maintain Account Receivable spreadsheets and balances Work with outside and internal departments to resolve consumer issues related to Billing Follow internal Billing procedures for all tasks assigned Report any payer related issues to Seniors and/or Billing Supervisor Provide analysis of software performance and provide suggestions/results to Billing Supervisor when prompted All other duties assigned by the Billing Supervisor Ability to maintain confidentiality and an understanding of the Fiscal Intermediary Program and PCA Program Must report all suspected incidents of consumer sexual abuse, physical abuse and neglect to the Disabled Person Protection Commission (D.P.P.C)   Competencies Professional, friendly and understanding Good analytical and organizational skills Strong attention to detail Excellent trouble-shooting skills Excellent written and verbal communication and interpersonal skills with staff, consumers and outside professionals Competent with data entry and basic formula understanding and application Strong knowledge of Microsoft Excel, Access, Outlook and Word Knowledge of claims billing and software preferred Able to work independently as well as a team player Self-motivated Punctual and dependable Willing to learn new information daily Familiarity with office machines and equipment   Required Education High School Diploma Work Environment This job operates in a professional office environment.  This role routinely uses standard office equipment such as computers, phones, photocopiers and scanners Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.While performing the duties of this job, the employee is regularly required to talk and/or hear.  The employee is frequently required to sit; stand; walk; use hands and fingers and also must be able to reach with hands and arms.   Travel No travel is required for this position.   Other Duties Note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.  Duties, responsibilities and activities may change at any time with or without notice.

Salary : $22