Massachusetts Jobs

Description

The Third-Party Billing Specialist is responsible for the activities related to the Per Member Per Month (PMPM) Census payments

This is a hybrid position, requiring 3 days in office per week : current in office days are Monday/Thursday/Friday 8:30am-5:00pm/8:00am-4:30pm.

Minimum Education Required: Associate's Degree Responsibilities:

• Calculate monthly Expected Payment with reports due from the various Managed Care Organizations (MCOs) and Accountable Care Organizations (ACOs).

• Calculate monthly payments due to the Affiliated Partners.

• Reconcile payment information and complete reconciliation reports as needed.

• Maintain Year to Date information for the Census Payments.

• Attend meetings pertaining to the fiscal requirements and needs of the BHCP.

• Interface with external vendors and stakeholders related to payments.

• Interact with IT services staff on computer-based reporting systems (eHana).

• Maintain and update procedures for the Census Payment process.

• Promote strong working relationships and excellent customer service.

• Attends and actively participates in supervision and staff meetings.

• Attend trainings as assigned; maintain necessary certifications.

• Perform all duties in accordance with the agency's policies and procedures.

• Adhere to all principles related to the Advocates Way.

Qualifications:

• AS in Accounting and 1-2 years accounting experience in receivables or general accounting preferably in non-profit, human services and/or health care environment.

• Excellent written and verbal communication, and strong attention to detail.

• Proficiency in Microsoft Office Suite including Word and Excel.

• Proficiency in accounting software applications (experience with Solomon a plus).

• Must be well-organized and willing to learn and take initiative.

• High energy level, superior interpersonal skills and ability to function in a team atmosphere as well as independently.

• Strongly prefer candidate will have a demonstrated understanding of and competence in serving culturally diverse populations.

  Requirements

• 2+ years of relevant experience in accounts receivable

• Attention to detail and demonstrated ability to follow standard procedures is a requirement

• Command of Billing Collection

• Medical and 3rd party billing

• Medicare/Medicaid

• Comprehensive knowledge of billing

• Foundational knowledge in Accounts Receivable (AR)

• General familiarity with Microsoft Excel

• Proven knowledge of account reconciliation

• Well-founded grasp of Microsoft Great Plains Solomon

• Billing Functions experience

• Cash applications experience highly desired

• Established analytical skills in basic accounts receivable and accounting policy

• Knowledgeable of ERP systems

• AA or BS/BA degree in Accounting or related field

For immediate consideration please call me directly Eric Lebow 508-205-2127

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