Job added in hotlist
Applied job
Contract job
90-day-old-job
part-time-job
Recruiter job
Employer job
Expanded search
Apply online not available
Similar Jobs
ACCS Operations Manager
Lynn, MA
Apply Now >
ACCS Operations Manager
Saugus, MA
Apply Now >
ACCS Clinical Supervisor
Eliot Community Human Services, Inc
Lynn, MA
Apply Now >
ACCS Clinical Supervisor
Eliot Community Human Services, Inc
Danvers, MA
Apply Now >
ACCS Clinical Supervisor
Eliot Community Human Services, Inc
Wakefield, MA
Apply Now >
View more jobs in Lexington, MA
View more jobs in Massachusetts

Job Details

Third Party Billing Manager

Company name
Eliot Community Human Services, Inc

Location
Lexington, MA, United States

Employment Type
Full-Time

Industry
Accounting, Manager, Nonprofit

Posted on
Jun 27, 2022

Valid Through
Oct 10, 2022

Apply for this job






Profile

\u003cp\u003e\u003cimg src=\u0022http://www.eliotchs.org/wp-content/uploads/Eliot-logo-2c-e1600792305532.png\u0022 width=\u0022135\u0022 height=\u002247\u0022 alt=\u0022\u0022 /\u003e\u003c/p\u003e
\u003cp\u003eEliot has a long history of providing supports to the most vulnerable individuals in the commonwealth. Using a person-centered, family-driven approach, Eliot believes strongly in partnering with the communities served. Eliot programs collaborate, utilizing the expertise within the agency to provide the highest standard of quality services to clients and their families.\u003c/p\u003e
\u003cp\u003eEliot is one of Massachusetts largest non-profit organizations and is currently looking for a skilled Third Party Billing Manager to join our team! An ideal candidate would be someone who can demonstrate sound\u0026nbsp;judgment and effective, solution\u003cbr /\u003efocused, problem solving skills.\u0026nbsp;Experience in insurance credentialing and contracting required, preferably in the behavioral health field.\u003c/p\u003e
\u003cp\u003e\u003cspan style=\u0022text-decoration: underline;\u0022\u003e\u003cstrong\u003eResponsibilities:\u003c/strong\u003e\u003c/span\u003e\u003c/p\u003e
\u003cul\u003e
\u003cli\u003eManages the day to day operations of the Accounts Receivable Department.\u003c/li\u003e
\u003cli\u003eSupervises 3rd party billing staff, including hiring, training, supervision and evaluating performance.S\u003c/li\u003e
\u003cli\u003eOversees and manages all daily, weekly and monthly billing tasks in collaboration with staff and the contracted Billing Company\u003c/li\u003e
\u003cli\u003eProvides support to program managers regarding billing rules, requirements and payer contract requirements.\u0026nbsp;\u003c/li\u003e
\u003cli\u003eTakes the lead in working with programs, billing company and insurance carriers to identify, research, and correct issues causing timely claim submission delays, fatal claims, claim denials, and rebilling of corrected claims.\u003c/li\u003e
\u003cli\u003eCollaborates with in house staff and contracted vendors on accounts receivable, billing and medical record systems as they relate to billing activity.\u0026nbsp;.\u003c/li\u003e
\u003cli\u003eMaintains a solid understanding of all accounts receivable processes pertaining to 3rd party billing, reporting and collections and ensures timely processing of claims.\u003c/li\u003e
\u003cli\u003eRuns and works regular reports to monitor status of claim accuracy, timely filing and reimbursement.\u0026nbsp;\u0026nbsp;\u003c/li\u003e
\u003cli\u003eMaintains a working knowledge of the requirements and billing specifications of all Masshealth, MCO and Commercial negotiated contracts\u0026nbsp;\u003c/li\u003e
\u003cli\u003eEnsures that claims and documentation consistently meet contracted payer requirements.\u003c/li\u003e
\u003cli\u003eMaintains fee schedules for all payers and ensures that charge rates and expected rates are correct for all payers in the billing system.\u003c/li\u003e
\u003c/ul\u003e
\u003cp\u003e\u003cspan style=\u0022text-decoration: underline;\u0022\u003e\u003cstrong\u003eQualifications: \u003c/strong\u003e\u003c/span\u003e\u003c/p\u003e
\u003cul\u003e
\u003cli\u003eRequires a Bachelor\u0026rsquo;s Degree in accounting, finance or a related field with a minimum of 7 years\u0026rsquo; experience in 3rd party billing,two (2) of which must be in a supervisory capacity.\u0026nbsp;\u003c/li\u003e
\u003cli\u003ePrior experience in behavioral health billing strongly preferred.\u003c/li\u003e
\u003cli\u003eExperience working with a contracted billing company a plus.\u0026nbsp; \u0026nbsp;\u003c/li\u003e
\u003cli\u003eExperience in insurance credentialing and contracting required, preferably in the behavioral health field.\u0026nbsp;\u003c/li\u003e
\u003c/ul\u003e
\u003cp\u003eSchedule: Temp Hybrid\u003c/p\u003e
\u003cp\u003eEliot is committed to identifying and dismantling barriers that prevent people with marginalized\u003cbr /\u003eracial identities from actualizing their full employment potential, assuming leadership roles, or\u003cbr /\u003efrom fully engaging at all levels in the workplace.\u003c/p\u003e
\u003cp\u003e\u003cstrong\u003e\u003cem\u003e*Eliot mandates\u0026nbsp;COVID-19\u0026nbsp;vaccinations\u0026nbsp;for\u0026nbsp;employees, please discuss the requirements with the hiring manager during the interview process.\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e,EqualOpportunityEmployerDescription:null,PayTransparencyPolicyStatement:null,MatchScore:1.0,HasApplied:false,ApplicationJobBoardName:null,ApplicationJobBoardId:null,DateApplied:null,Salaried:true,CompensationAmount:null,PublishingStatus:1,Links:[],BehaviorCriteria:[],MotivationCriteria:[],EducationCriteria:[{Required:false,Related:true,DegreeId:4e80930b-dcd5-4522-8b54-c50fda1e4ebb,DegreeName:Bachelors,MajorId:3356b2e1-e40b-4802-aacb-8cb6692a7440,MajorName:Business}],LicenseAndCertificationCriteria:[{Required:true,LicenseAndCertificationId:ca9f43c4-05a6-423a-b385-f339f337178c,LicenseAndCertificationName:MA DRIVER\u0027S LICENSE}],SkillCriteria:[{Required:true,SkillId:a0e56f0c-0115-4753-8327-6266f989a74b,SkillName:Process Billing,SkillDescription:null,MinimumScaleValueId:382b6992-495b-cf02-766a-9e4cda0fa4a4,MinimumScaleValueCode:Expert,MinimumScaleValueDescription:Expert,MinimumScaleValue:5},{Required:true,SkillId:e5ba0484-ae7f-4705-bc52-839f66562626,SkillName:Communication Skills,SkillDescription:null,MinimumScaleValueId:382b6992-495b-cf02-766a-9e4cda0fa4a4,MinimumScaleValueCode:Expert,MinimumScaleValueDescription:Expert,MinimumScaleValue:5},{Required:true,SkillId:167cfc47-08ae-4e80-8af4-705c64d4d98d,SkillName:Supervisory skills,SkillDescription:null,MinimumScaleValueId:382b6992-495b-cf02-766a-9e4cda0fa4a4,MinimumScaleValueCode:Expert,MinimumScaleValueDescription:Expert,MinimumScaleValue:5}],WorkExperienceCriteria:[],JobBoardMemberships:[{JobBoardId:d148371c-d091-4471-975c-e847b268c96d,PublishedInternal:false,PublishedExternal:true,ExternalPostedDate:2022-06-27T19:27:30.346Z,InternalPostedDate:null},{JobBoardId:23e3ddc0-1b50-4f7c-b32f-90ec6a2146c0,PublishedInternal:true,PublishedExternal:false,ExternalPostedDate:null,InternalPostedDate:2022-06-27T19:27:30.346Z}],AssessmentUri:null,AssessmentStatus:null,OpportunityIsClosed:false,TravelRequired:null,TravelDescription:null,SupervisorName:null,Assessments:[],ApplicationId:null,CompensationAnnualMinimum:null,CompensationAnnualMaximum:null,CompensationHourlyMinimum:null,CompensationHourlyMaximum:null,CompensationCurrency:null});

Company info

Eliot Community Human Services, Inc

Similar Jobs:
Respite Mental Health Specialist II
Location : Danvers, MA
\u003cp\u003e\u003cimg src=\u0022http://www.eliotchs.org/wp-content/uploads/Eliot-logo-2c-e1600792305532.png\u0022 width=\u0022118\u0022 height=\u002241\u0022 alt=\u0022\u0022 /\u003e\u003c/p\u003e\n\u003cp style=\u0022text-align:...
\u003cp\u003e\u003cimg src=\u0022http://www.eliotchs.org/wp-content/uploads/Eliot-logo-2c-e1600792305532.png\u0022 width=\u0022135\u0022 height=\u002247\u0022 alt=\u0022\u0022 /\u003e\u003c/p\u003e\n\u003cp style=\u0022text-align:...
\u003cp\u003e\u003cimg src=\u0022http://www.eliotchs.org/wp-content/uploads/Eliot-logo-2c-e1600792305532.png\u0022 width=\u0022135\u0022 height=\u002247\u0022 alt=\u0022\u0022 /\u003e*\u003c/p\u003e\n\u003cp style=\u0022text-align...
The number of jobs listed on EmploymentCrossing is great. I appreciate the efforts that are taken to ensure the accuracy and validity of all jobs.
Richard S - Baltimore, MD
  • All we do is research jobs.
  • Our team of researchers, programmers, and analysts find you jobs from over 1,000 career pages and other sources
  • Our members get more interviews and jobs than people who use "public job boards"
Shoot for the moon. Even if you miss it, you will land among the stars.
NonprofitCrossing - #1 Job Aggregation and Private Job-Opening Research Service — The Most Quality Jobs Anywhere
NonprofitCrossing is the first job consolidation service in the employment industry to seek to include every job that exists in the world.
Copyright © 2022 NonprofitCrossing - All rights reserved. 169 192