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Seven Hills Foundation Clinic Intake and Billing Specialist in Worcester, Massachusetts

Responsible for intake and billing for services performed at the Ellsworth Child and Family Counseling Center, working with clients, clinicians, and other personnel, and communicating with insurance companies.

Essential Functions

  1. Performs all aspects of intake and billing processes, including client intake calls and insurance billing.

  2. Verifies eligibility and benefits with insurance companies.

  3. Investigates outstanding receivables.

  4. Requests and verifies prior authorization for services.

  5. Works with clinicians on submission of encounter forms and facilitates solutions with the payroll department for proper clinician reimbursement.

  6. Communicates with insurance companies to resolve billing issues.

  7. Enters data into electronic billing system and electronic medical records.

  8. Provides recommendations for manual and automated process improvements.

  9. Utilizes computer and systems skills to improve, automate, and support the business process.

Additional Responsibilities

  • Performs other duties and special projects as required by agency/program needs and informs Practice Coordinator and/or Clinical Director of issues/concerns related to program, objectives and agency mission and policy.

Qualifications

  1. Bachelor's degree with related billing experience preferred.

  2. Experience in mental health service business preferred.

  3. Strong organizational skills.

  4. Responsiveness and problem-solving ability.

  5. Strong interpersonal skills and the ability to work as part of a team.

  6. Persistent follow-through skills.

  7. Highly organized and detail oriented, with excellent problem solving skills.

  8. Experience with medical billing software, and electronic billing procedures preferred.

  9. Knowledge of, or ability to learn and apply, HIPAA and other information security requirements.

Physical Requirements

Sitting for extended periods of time; using telephones, computers, and other office equipment.

Affiliate: SHCF

ID: 17221

Schedule: Monday through Friday, daytime hours

External Company Name: Seven Hills Foundation

External Company URL: www.sevenhills.org

Street: 21 Cedar St

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