Under the direction of our Chief Financial Officer, the Billing Specialist will play a pivotal role in facilitating agency billing and administrative needs in our Smithfield, RI location. We are seeking an individual with a proven ability to manage and appropriately prioritize multiple, complex responsibilities, while effectively meeting departmental guidelines. The individual will be responsible for managing a high volume of billing activities and will demonstrate extensive expertise on all A/R policies, processes and systems while providing effective supports to our entire Finance team. We are seeking a candidate with strong business, technical and analytical discipline, as well as troubleshooting skills. This position interfaces heavily with program staff in our Smithfield location and requires strong Microsoft Excel/Word and written/oral communication skills. Must be highly organized, self-motivated, and detail-oriented with the ability to operate in a fast-paced environment

Job Responsibilities:

• Participate in contract rate negotiations with partnered and state insurance companies

• Ensure timely authorizations and re-authorizations with insurance companies or state programs
• Data entry of client information, insurance details, and service codes into billing software
• Create and maintain Excel spreadsheets for billing purposes
• Utilize both electronic and paper records to perform billing tasks
• Track current provider credentials and generate timely reports
• Submit insurance claims to clearinghouses and/or insurance companies
• Respond to inquiries from insurance companies, clients, and providers
• Fiscal and administrative filing as needed
• Maintain confidentiality in all fiscal matters
• Assist with monthly and yearly financial reporting and audits
• Collaborate with other departments to streamline operations and improve financial processes
• Monitor compliance with financial regulations and company policies
• Maintain a well-organized and easily accessible filing system for financial documents
• Attend financial and administrative meetings, providing insights and updates
• Perform other duties as assigned

Qualifications:

• Associates Degree in Accounting preferred, but not necessary.
• At least two years of experience in a fast-paced office environment
• Minimum of one year of accounting experience preferred
• Proficiency in Microsoft Office, with a strong emphasis on Excel spreadsheets
• Strong communication, analytical, and problem-solving skills
• Proficiency in computer and accounting software
• Ability to pass extensive background checks, including BCI, CORI, OIG, and driving record checks