Billing Specialist

The Center for Human Development (CHD), is currently seeking a highly motivated Billing Specialist to join our dynamic team. In this role, you'll act as the primary liaison between revenue cycle and clinical program staff, facilitating communication regarding authorizations, medical necessity, and payer protocols.  

Your role as a Billing Specialist:

The Billing specialist will manage the full authorization lifecycle, including monitoring statuses, tracking expirations, initiating re-authorizations, and escalating complex issues to insurance companies.  Respond to and resolve internal and external inquiries (email, fax, and phone) related to medical necessity and authorization status. Utilize payer websites and technical resources to verify authorization requirements and resolve related issues. Maintain data and weekly tracking reports for all service lines requiring authorization. Additionally the Billing Specialist will oversee the patient statement workflow and assist with patient collection follow-up. Manage the technical billing ticketing system, triaging requests to appropriate teams (outsourced or internal).  

Success Factors:

The Billing Specialist should actively support the philosophy of the Agency and maintain a high level of commitment to program staff.  Personality traits should include: 

• cheerful, outward-going personality 
• high energy level; self-initiated 
• open, direct interpersonal style; works well as a team member 
• organized; efficient; flexible 
• dependable 

Qualifications:

•  High school diploma or equivalent required. 
• A minimum of 3-5 years of experience in front-end revenue cycle within a healthcare setting. 
• Demonstrated strong focus on authorizations. 
• Proven experience managing self-pay collections and patient accounts. 
•  Experience with electronic health records (EHR) systems and payer portals. 

This is a Full time on-site opportunity at the Corporate Office in Springfield, MA. The pay range is $47,000 - $58,000 annually.

At Center For Human Development (CHD), Care Finds A Way:

The Center for Human Development (CHD) provides a broad range of high quality, community-oriented human services dedicated to promoting, enhancing, and protecting the dignity and welfare of people in need. At CHD we are celebrating differences, inclusion is not just a policy- it is a daily practice. Multicultural, multilingual, and fluent in sign language, CHD is a reflection of those we serve.

Connect With Our Team Today: 

If this sounds like the right job for you, do not wait - apply today to join our team. We look forward to hearing from you!