Billing and Authorization Specialist
Center for Human Development, West Springfield, MA, United States
Billing and Authorization Specialist
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.
You will 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 which 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, all have the necessary information and tools to resolve issues. Provide cross-coverage for various internal CHD revenue cycle tasks, ensuring seamless operational continuity. Administrate duties to include, but are not limited to: Answering calls, making calls, ordering supplies, coordinating meetings etc.
REQUIRMENTS:
High school diploma or equivalent required.
Must have 3-5 year 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 for the Billing and Authorization Specialist role would have previous experience with EHR systems. A proficiency with Microsoft Office suite, specifically with strong capabilities in excel. They should be a strong communicator that approaches interactions with management and clinical staff in a pleasant and professional manner.
Take advantage of a competitive compensation of $24.00/hr.-$29.00/hr. based on experience. As well as a phenomenal benefit package that includes Dental, Health and Life insurance. Paid time off, earned vacation time and paid holidays just to name a few.
At Center for Human Development (CHD) Care Finds a way:
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. At CHD we are celebrating differences, inclusion is not just a policy- it is a daily practice. Multicultural, multilingual, and fluent in sign language, CHD is a reflection of those we serve.
CONNECT WITH OUR TEAM TODAY!
If this sounds like the right job for you, do not wait - apply today to join our team. We look forward to hearing from you!
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.
You will 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 which 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, all have the necessary information and tools to resolve issues. Provide cross-coverage for various internal CHD revenue cycle tasks, ensuring seamless operational continuity. Administrate duties to include, but are not limited to: Answering calls, making calls, ordering supplies, coordinating meetings etc.
REQUIRMENTS:
High school diploma or equivalent required.
Must have 3-5 year 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 for the Billing and Authorization Specialist role would have previous experience with EHR systems. A proficiency with Microsoft Office suite, specifically with strong capabilities in excel. They should be a strong communicator that approaches interactions with management and clinical staff in a pleasant and professional manner.
Take advantage of a competitive compensation of $24.00/hr.-$29.00/hr. based on experience. As well as a phenomenal benefit package that includes Dental, Health and Life insurance. Paid time off, earned vacation time and paid holidays just to name a few.
At Center for Human Development (CHD) Care Finds a way:
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. At CHD we are celebrating differences, inclusion is not just a policy- it is a daily practice. Multicultural, multilingual, and fluent in sign language, CHD is a reflection of those we serve.
CONNECT WITH OUR TEAM TODAY!
If this sounds like the right job for you, do not wait - apply today to join our team. We look forward to hearing from you!