Billing Clerk

Program/Location: Billing Department - New Bedford
Education/Licensure: High School Diploma or Equivalent
Pay Range: $19-$23 per hour
Status: Full Time

Benefits:

• Medical Insurance
• Dental Insurance
• Vision Insurance
• Long & short term disability
• Discounted auto/home and renters insurance
• 403b - Retirement
• FSA & DSA
• PMLA
• Employee Assistance Program
• Bonuses & Referral
• Eligibility for free classes to become a Licensed Counselor or Recovery Coach
• Education days to use towards CEU's
• Free meals at select programs and when available
• Unmatched Leave Time (FT employees can earn up to 3 weeks in first year)

About Us

High Point & Affiliated Organizations is a health and human service agency whose mission is to treat and prevent substance use disorders and mental illness. High Point has programs located throughout Southeastern Massachusetts offering a full continuum of care for substance use and mental health treatment, including inpatient, outpatient, residential, and community-based services. Programs and services also assist survivors of abuse, violence, and families experiencing homelessness. High Point believes that everyone has inherent goodness, worth, and dignity. Our goal is to help individuals and families achieve personal change and improve their quality of life.

Billing Clerk Qualifications

• High School Diploma or GED required
• Experience in administrative support required
• Strong computer skills including proficiency with Microsoft Office applications required
• Ability to multi-task and move fluidly between urgent and non-urgent functions
• Ability to work independently with strong organizational skills
• Experience working in a healthcare related field preferred

Billing Clerk Duties & Responsibilities

• Compliance with the Federal Regulations 42 CFR Part 2, Confidentiality of Alcohol and Drug Abuse Patients and HIPAA Regulations
• Send out all initial bills to both third party and client payors
• Re-bill all denials from explanation of benefit notices
• Review aging reports and reconcile old accounts
• Call third party payors on questionable denials
• Update third party software with new third party or patient information
• Check PA Data, enter if necessary and file (notify Unit Biller and Utilization Reviewer if discrepancy)
• Run and check weekly reports to avoid claim issues
• Maintains an accurate knowledge base about the services which are provided by HPTC and the pay sources that HPTC is contracted with
• Batch and send electronic and paper claims
• Post both patient and third-party payment
• Write up and expedite the processing of client refunds
• Attend mandatory trainings and meetings
• Assist programs with entering ESM’s if needed
• Communicate effectively with the key contacts and management to provide accurate and timely information
• Other duties as assigned by the AR Manager

Billing Clerk Requirements:

• Excellent verbal and written communication skills
• Working knowledge of 3rd party payors
• Collection experience
• Efficient in Word Document and Excel