Billing Coordinator

Overview

Bay Cove Human Services’ mission is to partner with people to overcome challenges and realize personal potential. Bay Cove pursues this mission by providing individualized and compassionate services to people facing developmental disabilities, mental illness, substance use disorders, and homelessness at more than 175 program sites throughout Greater Boston and Southeastern Massachusetts.

Job Summary: The Billing Coordinator collaborates across services, departments, and payers to ensure timely and efficient authorization and payment for services provided. The Billing Coordinator contributes to Bay Cove’s mission by maximizing revenue for services provided, contributing to overall fiscal viability, and ensuring ongoing availability of services to those in need.

This is a non-exempt position.

• Work effectively with colleagues to obtain the information necessary to verify insurance information, obtain authorizations or extensions, and solve issues in a timely manner.
• Provide professional and courteous customer service at all times and adhere to regulations around confidentiality while serving as the liaison between Addiction and Homeless Services, the billing department, third-party payers, and vendors.
• Accurately enter data into required electronic systems (Virtual Gateway EIM/ESM, Electronic Record, third party payer system) in accordance with established timelines.
• Verify client/patient insurance and review authorizations daily in order to avoid loss of coverage or lapse in authorization, with the goal of maximizing revenue.
• Assist the Senior Billing Coordinator with claims and denials as needed.
• Research and resolve any errors and maintain meticulous records of follow up activities.
• Respond to records requests and inquiries from insurance companies, patients/clients, and collateral providers in accordance with Bay Cove’s Privacy Policy and regulatory guidance.
• Identify patterns of billing errors, inaccurate payments, posting errors, and communicate any needed system changes to direct supervisor.
• Complete all required training related to responsibilities and flexibly adjust to changes in billing procedures, practices, and requirements.
• Collect invoices for program operations, prepare check requests and submit for approval, track invoice status and collaborate with supervisor, vendors, and the Accounting Department regarding identified problems.
• Performs other job-related duties as assigned.

• High school diploma or equivalent required.
• One (1) year experience of behavioral health billing or any equivalent combination of experience, training and/or education preferred.
• Intermediate knowledge of accounts receivable systems, computerized billing, electronic data systems, and electronic health records.
• Demonstrated ability to maintain confidentiality, exercise sound judgment, and remain calm under pressure.
• Demonstrated knowledge of insurance, eligibility, and benefits via Medicaid, Managed Care Medicaid, and third party payers, including ICD-10 codes.
• Demonstrated communication, interpersonal, and organizational skills.
• Intermediate proficiency in word processing and other computer functions using Windows, Word, and Google Email and Apps.
• Demonstrated proficiency with utilizing computers and related software (i.e. Microsoft Office, Google, internet applications, etc.).

Bay Cove Human Services is an Equal Opportunity Employer and does not discriminate on the basis of race, ethnicity, religion, sex, gender identity or expression, national origin, sexual orientation, disability, age, veteran status, or any other groups as protected by Massachusetts or federal law. All qualified candidates, regardless of background, are encouraged to apply.

Bay Cove Human Services does not offer visa sponsor ships at this time and will require candidates to be authorized to work in the United States.

Pay Rate: $25.03/hour