Hospital for Behavioral Medicine
Hospital Billing Specialist
Hospital for Behavioral Medicine, Worcester, Massachusetts, us, 01609
JOIN OUR TEAM AS A HOSPITAL BILLING SPECIALIST!
Status: Full-Time (On-site only - no remote)
Bonus Opportunity: MONTHLY INCENTIVE ELGIBLE
Your Work Matters
How will you make a difference? The Hospital Billing Specialist supports our mission by ensuring timely and accurate billing and follow-up of all claims, helping us maintain the financial health necessary to serve patients with excellence and compassion. This role is essential to the overall success of our Business Office team. The Hospital Billing Specialist ensures claims are processed, corrected, and reimbursed in accordance with payer-specific rules, contributing directly to the hospital’s ability to serve its patients with excellence. This role may focus on either government or commercial payers and is part of a cross-trained billing team working collaboratively to reduce outstanding A/R and support timely claim resolution. Primary Responsibilities Submit claims through third-party intermediaries for all payer types (government and commercial) Resolve payer and clearinghouse edits and rejections to ensure accurate claim submission Apply knowledge of ICD-10 coding, claim formatting, and payer-specific requirements Ensure compliance with CMS, Medicare, Medicaid, and commercial payer billing guidelines Review and correct claim errors using system-generated reports and payer feedback Perform follow-up activities on outstanding accounts, including appeals and documentation requests Identify and resolve underpayments or denials by coordinating with payers Track trends in recurring denials or rejections and report findings to leadership Maintain accurate account notes and documentation within the billing system Collaborate with internal departments such as credentialing, coding, or compliance when needed to resolve complex billing issues Support month-end close processes by prioritizing high-dollar or time-sensitive claims Maintain up-to-date knowledge of industry regulations, payer rules, and internal policies Your Experience Matters
What we’re looking for: Education & Licensure (if applicable):
High school graduate or equivalent preferred. Experience:
A minimum of one (1) years’ experience in facility billing experience with knowledge of Medicare DDE and computerized systems strongly preferred, or related field, or any combination of education, training, or experience in a health care business office environment. Experience with insurance billing, computer and business software programs (Excel) preferred. Additional Skill Requirements:
Knowledge of Microsoft Office including word, excel, and outlook. Excel-lent communication skills and a professional demeanor is needed. Detail oriented and possessing strong time management skills is necessary in order to manage multiple priorities in a fast-paced environment. May be required to work occasional overtime and flexible hours. Your Care Matters
What we provide for our team: 401(k) + matching Health insurance 100% company-paid life insurance coverage up to 2x your annual salary Vision insurance Dental insurance 100% company-paid long term disability insurance Paid time off Paid holidays Cafeteria on site +
discounted meals Employee engagement events Employee assistance program Employee recognition program Free parking What sets us apart? Career & training development opportunities Dynamic and inclusive work environment Engaged management team dedicated to your success A guiding mission and set of values that serve as both our north star and yours, anchoring our collective purpose and aspirations Compensation: This is a full-time role and the expected compensation range is $24.00 - $27.00 hourly and a monthly incentive bonus plan! We’re eager to engage with all qualified candidates, and consideration will be provided to experience and skill level. Join us as our Hospital Billing Specialist! Hospital for Behavioral Medicine is an equal opportunity employer. We value a diverse, inclusive workforce and provide equal employment opportunities for all applicants and employees. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.
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How will you make a difference? The Hospital Billing Specialist supports our mission by ensuring timely and accurate billing and follow-up of all claims, helping us maintain the financial health necessary to serve patients with excellence and compassion. This role is essential to the overall success of our Business Office team. The Hospital Billing Specialist ensures claims are processed, corrected, and reimbursed in accordance with payer-specific rules, contributing directly to the hospital’s ability to serve its patients with excellence. This role may focus on either government or commercial payers and is part of a cross-trained billing team working collaboratively to reduce outstanding A/R and support timely claim resolution. Primary Responsibilities Submit claims through third-party intermediaries for all payer types (government and commercial) Resolve payer and clearinghouse edits and rejections to ensure accurate claim submission Apply knowledge of ICD-10 coding, claim formatting, and payer-specific requirements Ensure compliance with CMS, Medicare, Medicaid, and commercial payer billing guidelines Review and correct claim errors using system-generated reports and payer feedback Perform follow-up activities on outstanding accounts, including appeals and documentation requests Identify and resolve underpayments or denials by coordinating with payers Track trends in recurring denials or rejections and report findings to leadership Maintain accurate account notes and documentation within the billing system Collaborate with internal departments such as credentialing, coding, or compliance when needed to resolve complex billing issues Support month-end close processes by prioritizing high-dollar or time-sensitive claims Maintain up-to-date knowledge of industry regulations, payer rules, and internal policies Your Experience Matters
What we’re looking for: Education & Licensure (if applicable):
High school graduate or equivalent preferred. Experience:
A minimum of one (1) years’ experience in facility billing experience with knowledge of Medicare DDE and computerized systems strongly preferred, or related field, or any combination of education, training, or experience in a health care business office environment. Experience with insurance billing, computer and business software programs (Excel) preferred. Additional Skill Requirements:
Knowledge of Microsoft Office including word, excel, and outlook. Excel-lent communication skills and a professional demeanor is needed. Detail oriented and possessing strong time management skills is necessary in order to manage multiple priorities in a fast-paced environment. May be required to work occasional overtime and flexible hours. Your Care Matters
What we provide for our team: 401(k) + matching Health insurance 100% company-paid life insurance coverage up to 2x your annual salary Vision insurance Dental insurance 100% company-paid long term disability insurance Paid time off Paid holidays Cafeteria on site +
discounted meals Employee engagement events Employee assistance program Employee recognition program Free parking What sets us apart? Career & training development opportunities Dynamic and inclusive work environment Engaged management team dedicated to your success A guiding mission and set of values that serve as both our north star and yours, anchoring our collective purpose and aspirations Compensation: This is a full-time role and the expected compensation range is $24.00 - $27.00 hourly and a monthly incentive bonus plan! We’re eager to engage with all qualified candidates, and consideration will be provided to experience and skill level. Join us as our Hospital Billing Specialist! Hospital for Behavioral Medicine is an equal opportunity employer. We value a diverse, inclusive workforce and provide equal employment opportunities for all applicants and employees. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.
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