Billing Review Specialist

Billing Review Specialist

The Billing Review Specialist is a key element in reconciliation between funding resources, ensuring all critical claim data is captured initially to collect payment for services rendered, and monitoring ongoing payment processes for individuals served.

What you will do

• Generates authorization, failed revenue, and eligibility reports on a day-to-day basis to proactively manage the front-end revenue cycle.
• Implements, monitors, and maintains prior authorization and ensures authorizations are obtained in accordance with the insurance timely filing deadlines and entered correctly into EHR system.
• Works with program staff to obtain authorization for additional visits as needed to eliminate or minimize non-covered services.
• Enters all changes to client data, including demographic and insurance information, into Carelogic with a high degree of accuracy, correcting any errors.
• Collaborates with appropriate program or department staff to resolve problematic trends, errors generated within the EHR, or to communicate on clinical data required to obtain approved authorization.

Who you are

• High School Diploma or GED required.
• 2-3 years of related experience required.
• Ability to schedule, meet, and maintain daily and monthly routines, as well as preserve the integrity of the EHR.
• Familiarity with mental health and substance abuse billing guidelines.
• Good analytic and problem-solving skills
• Knowledge of credit/debit payment posting procedures.
• This is a remote position.  Seeking candidates who reside in New England as occasional travel to Massachusetts may be required. 

What we offer

• Mission-Driven Work: Play a key role in supporting individuals as they begin their recovery journey.
• Professional Growth: Opportunities to strengthen your skills and expand your experience in addiction recovery.  One third of all open positions at BHN are filled with internal candidates.  
• Comprehensive Benefits: Excellent health insurance, retirement options, generous paid time off, tuition and loan assistance, and more.
• Stability and Impact: Join a trusted community provider serving Western Massachusetts since 1938.

PAY: $24.00 per hour - $26.00 per hour based upon experience.

How do I apply?

If you are interested in this opportunity, please click “Apply for Job” below or visit our website at www.bhnworks.org and click on “Browse All Jobs” to apply!  You can also email your resume to Elisa Auker at [email protected].

BHN is committed to social justice and diversity and strongly encourages diverse candidates to apply. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.