Billing and Authorization Specialist
Center for Human Development, Springfield, MA, United States
IHT & TM / In-Home Therapy and Therapeutic Mentoring / 246 Park Street / West Springfield, MA 01089, USA
The Center for Human Development (CHD) is seeking a
Billing and Authorization Specialist
for our In-Home Therapy & Therapeutic Mentoring programs. This position is located in West Springfield, serving children and families across Hampden, Hampshire, Franklin, and Worcester Counties.
Your role as a Billing and Authorization Specialist:
The Billing and Authorization Specialist acts as a key liaison between the revenue cycle management team and clinical program staff, facilitating communication around authorizations, medical necessity requirements, and payer protocols.
Provide critical support to clinical authorization workflows, ensuring compliance with payer requirements and timely submission of authorization requests.
Monitor authorization statuses, track expirations, and initiate re-authorization processes as needed.
Data and report maintenance with weekly tracking for all service lines that require an authorization.
Coordinate and manage the technical billing ticketing system, triaging requests to either outsourced teams or internal departments for efficient resolution.
Assist with the input and maintenance of referring provider data within the EHR system.
Navigate payer websites and technical resources to assist with user access, ensuring that program, clinical staff, outsourced agencies, and all have the necessary information and tools to resolve issues.
Provide cross‑coverage for various internal CHD revenue cycle tasks, ensuring seamless operational continuity.
Administrative duties include answering calls, making calls, ordering supplies, coordinating meetings, etc.
Requirements:
High school diploma or equivalent required.
Must have 3–5 years of experience in front‑end revenue cycle within a healthcare setting, with a strong focus on authorizations.
Experience with electronic health records (EHR) systems, including document attachment and digital file organization.
Experience with payer portals, including eligibility verification and securing authorizations.
All candidates must complete and pass background record screening.
Success Factors:
The ideal candidate will have prior experience with EHR systems, proficiency with Microsoft Office suite—especially Excel—and strong communication skills, approaching interactions with management and clinical staff in a pleasant and professional manner.
Compensation and Benefits:
Competitive compensation of $24.00/hr–$29.00/hr based on experience, plus a benefits package that includes dental, health, and life insurance, paid time off, earned vacation time, and paid holidays.
The Center for Human Development (CHD) provides a broad range of high‑quality, community‑oriented human services dedicated to promoting, enhancing, and protecting the dignity and welfare of people in need. We celebrate differences; inclusion is not just a policy—it is a daily practice. CHD reflects the communities we serve.
We look forward to hearing from you!
Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities. This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
#J-18808-Ljbffr
The Center for Human Development (CHD) is seeking a
Billing and Authorization Specialist
for our In-Home Therapy & Therapeutic Mentoring programs. This position is located in West Springfield, serving children and families across Hampden, Hampshire, Franklin, and Worcester Counties.
Your role as a Billing and Authorization Specialist:
The Billing and Authorization Specialist acts as a key liaison between the revenue cycle management team and clinical program staff, facilitating communication around authorizations, medical necessity requirements, and payer protocols.
Provide critical support to clinical authorization workflows, ensuring compliance with payer requirements and timely submission of authorization requests.
Monitor authorization statuses, track expirations, and initiate re-authorization processes as needed.
Data and report maintenance with weekly tracking for all service lines that require an authorization.
Coordinate and manage the technical billing ticketing system, triaging requests to either outsourced teams or internal departments for efficient resolution.
Assist with the input and maintenance of referring provider data within the EHR system.
Navigate payer websites and technical resources to assist with user access, ensuring that program, clinical staff, outsourced agencies, and all have the necessary information and tools to resolve issues.
Provide cross‑coverage for various internal CHD revenue cycle tasks, ensuring seamless operational continuity.
Administrative duties include answering calls, making calls, ordering supplies, coordinating meetings, etc.
Requirements:
High school diploma or equivalent required.
Must have 3–5 years of experience in front‑end revenue cycle within a healthcare setting, with a strong focus on authorizations.
Experience with electronic health records (EHR) systems, including document attachment and digital file organization.
Experience with payer portals, including eligibility verification and securing authorizations.
All candidates must complete and pass background record screening.
Success Factors:
The ideal candidate will have prior experience with EHR systems, proficiency with Microsoft Office suite—especially Excel—and strong communication skills, approaching interactions with management and clinical staff in a pleasant and professional manner.
Compensation and Benefits:
Competitive compensation of $24.00/hr–$29.00/hr based on experience, plus a benefits package that includes dental, health, and life insurance, paid time off, earned vacation time, and paid holidays.
The Center for Human Development (CHD) provides a broad range of high‑quality, community‑oriented human services dedicated to promoting, enhancing, and protecting the dignity and welfare of people in need. We celebrate differences; inclusion is not just a policy—it is a daily practice. CHD reflects the communities we serve.
We look forward to hearing from you!
Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities. This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
#J-18808-Ljbffr