Billing Management Specialist

Position Title : Billing Management Specialist

Location : Tempus Corporate Headquarters, 600 TECHNOLOGY CENTER DR, STOUGHTON, Massachusetts, United States of America

Requisition Number : Req #55

Date Posted : Thursday, September 26, 2024

Description :

Tempus Unlimited, Inc. is a nonprofit organization that provides community-based services to empower children and adults with disabilities to live as independently as possible in the least restrictive environment.

The agency, through its programs and services, encourages the inclusion of people with disabilities into the mainstream of society, including social, recreational, family and work activities.

The position of a Billing Specialist requires daily management of assigned accounts with regular and consistent follow-up on processing and reconciling claims.

Must be able to work with outside agencies to research and resolve billing and claims.

Essential Functions

• Process billing as need to payers of assigned accounts
• Investigate denials and resolve all claims for payment
• Maintain Account Receivable spreadsheets and balances
• Work with outside and internal departments to resolve consumer issues related to Billing
• Follow internal Billing procedures for all tasks assigned
• Report any payer related issues to Seniors and / or Billing Supervisor
• Provide analysis of software performance and provide suggestions / results to Billing Supervisor when prompted
• All other duties assigned by the Billing Supervisor
• Ability to maintain confidentiality and an understanding of the Fiscal Intermediary Program and PCA Program
• Must report all suspected incidents of consumer sexual abuse, physical abuse and neglect to the Disabled Person Protection Commission (D.P.P.C)

Competencies

• Professional, friendly and understanding
• Good analytical and organizational skills
• Strong attention to detail
• Excellent trouble-shooting skills
• Excellent written and verbal communication and interpersonal skills with staff, consumers and outside professionals
• Competent with data entry and basic formula understanding and application
• Strong knowledge of Microsoft Excel, Access, Outlook and Word
• Knowledge of claims billing and software preferred
• Able to work independently as well as a team player
• Self-motivated
• Punctual and dependable
• Willing to learn new information daily
• Familiarity with office machines and equipment

Preferred Experience

• Claims billing
• Reconciliation
• Working with small or large volumes of data in Excel or Access
• Mass Health Provider On-Line Service Center or other web based billing portals

Required Education

High School Diploma

Work Environment

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers and scanners.

Physical Demands

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
• While performing the duties of this job, the employee is regularly required to talk and / or hear. The employee is frequently required to sit;

stand; walk; use hands and fingers and also must be able to reach with hands and arms.

Travel

No travel is required for this position.

Other Duties

Note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.

Duties, responsibilities and activities may change at any time with or without notice.

Work Authorization / Security Clearance

All offers of employment made by Tempus Unlimited are contingent upon satisfactory background check results. Pre-employment background checks will be conducted on all candidates that are offered a position at the agency in compliance with program policy as well as state and federal regulations.

From time to time, these checks may be conducted on current employees to ensure compliance with all state and federal regulations and contracts.

EEO Statement

Equal Employment Opportunity is a fundamental principle at Tempus Unlimited, Inc. where employment from recruiting through the end of employment is based upon professional capabilities and qualifications without discrimination because of race, color, religion, sex, age, sexual orientation, veteran status, national origin, disability or any other characteristic as established by law .

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.

Job Family : Specialist

Job Function : Non-Supervisor

Pay Type : Hourly

Hiring Rate : $22.00

Travel Required : No

Compensation details : 22-22

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