Gavin Foundation, Inc.
Billing Specialist (Boston, MA)
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Gavin Foundation, Inc.
Base Pay Range $24.00/hr - $25.00/hr
Location Devine Recovery Center, South Boston, MA
Position Summary The Recovery Coach Billing Specialist is responsible for managing and processing all billing-related activities for Gavin Foundation’s Recovery Coach (RC) Program. This position ensures accurate and timely billing, insurance verification, authorization management, and data reporting for a high-volume caseload. The ideal candidate is detail-oriented, highly organized, and experienced in handling billing operations within a behavioral health or substance use treatment setting.
Key Responsibilities Billing & Authorization Management
Complete daily billing for all Recovery Coach clients due that day.
Review all new clients in the Electronic Health Record (EHR) the day before billing.
Add new clients to the RC billing sheet and maintain accuracy across systems.
Verify insurance coverage and ensure all client information (including address) matches.
Obtain and track insurance authorizations, ensuring new authorizations are received within seven (7) days of any insurance change.
Manage 90‑day reauthorizations and complete disenrollments in accordance with BSAS requirements.
Insurance & Claims Oversight
Access and maintain credentials for all insurance portals.
Monitor and resolve denied or rejected claims related to insurance changes or authorization issues.
Identify billing trends and communicate process improvements to the Billing Manager.
Data Tracking & Reporting
Maintain and update multiple billing spreadsheets and financial trackers daily.
Ensure all billing data aligns across systems and reports.
Assist with month‑end billing and reporting for program leadership (Dave & Peter).
Support billing for approximately 400 of 500 active clients monthly.
Administrative & Staff Support
Provide guidance and training to Recovery Coaches on billing and EHR documentation requirements.
Answer Recovery Coach and ESM questions regarding billing and data entry processes.
Develop and share training videos or documentation to support staff understanding.
Collaborate with administrative and finance teams to ensure compliance and consistency across billing practices.
Requirements
High school diploma or GED, previous experience in a professional office setting.
Must possess a valid Massachusetts driver’s license.
Must be able to pass Massachusetts CORI and drug testing requirements.
Demonstrated understanding of, and commitment to, federal and state policies (42 CFR Part 2, HIPAA).
Candidates with lived expertise are encouraged to apply; if in recovery, must have two years of continuous sobriety.
Familiarity with billing systems, data entry, and financial software (e.g., QuickBooks, Excel).
Strong time‑management skills and ability to multitask effectively.
Demonstrated ability to maintain confidentiality and work with sensitive client data.
Ability to work independently and as part of a multidisciplinary team.
Bilingual (English/Spanish) applicants are strongly encouraged to apply.
Desired Skills
Strong organizational skills and attention to detail.
Effective verbal and written communication.
Strong Microsoft Software skills, specifically Excel.
Team collaboration and independent problem‑solving.
Adaptability and flexibility in a fast‑paced environment.
Commitment to diversity, equity, and consumer‑directed care.
Physical Requirements
Regularly required to sit, talk, hear, walk, and use hands for repetitive tasks.
Occasionally required to lift and carry up to 10 pounds.
Must be able to operate standard office equipment and maintain focus in a busy office environment.
Schedule On‑site, Monday‑Friday 08:00‑16:00
#WORKATGAVIN
Seniority Level Entry level
Employment Type Full‑time
Job Function Health Care Provider
Industries Individual and Family Services
Referrals increase your chances of interviewing at Gavin Foundation, Inc. by 2x.
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Gavin Foundation, Inc.
Base Pay Range $24.00/hr - $25.00/hr
Location Devine Recovery Center, South Boston, MA
Position Summary The Recovery Coach Billing Specialist is responsible for managing and processing all billing-related activities for Gavin Foundation’s Recovery Coach (RC) Program. This position ensures accurate and timely billing, insurance verification, authorization management, and data reporting for a high-volume caseload. The ideal candidate is detail-oriented, highly organized, and experienced in handling billing operations within a behavioral health or substance use treatment setting.
Key Responsibilities Billing & Authorization Management
Complete daily billing for all Recovery Coach clients due that day.
Review all new clients in the Electronic Health Record (EHR) the day before billing.
Add new clients to the RC billing sheet and maintain accuracy across systems.
Verify insurance coverage and ensure all client information (including address) matches.
Obtain and track insurance authorizations, ensuring new authorizations are received within seven (7) days of any insurance change.
Manage 90‑day reauthorizations and complete disenrollments in accordance with BSAS requirements.
Insurance & Claims Oversight
Access and maintain credentials for all insurance portals.
Monitor and resolve denied or rejected claims related to insurance changes or authorization issues.
Identify billing trends and communicate process improvements to the Billing Manager.
Data Tracking & Reporting
Maintain and update multiple billing spreadsheets and financial trackers daily.
Ensure all billing data aligns across systems and reports.
Assist with month‑end billing and reporting for program leadership (Dave & Peter).
Support billing for approximately 400 of 500 active clients monthly.
Administrative & Staff Support
Provide guidance and training to Recovery Coaches on billing and EHR documentation requirements.
Answer Recovery Coach and ESM questions regarding billing and data entry processes.
Develop and share training videos or documentation to support staff understanding.
Collaborate with administrative and finance teams to ensure compliance and consistency across billing practices.
Requirements
High school diploma or GED, previous experience in a professional office setting.
Must possess a valid Massachusetts driver’s license.
Must be able to pass Massachusetts CORI and drug testing requirements.
Demonstrated understanding of, and commitment to, federal and state policies (42 CFR Part 2, HIPAA).
Candidates with lived expertise are encouraged to apply; if in recovery, must have two years of continuous sobriety.
Familiarity with billing systems, data entry, and financial software (e.g., QuickBooks, Excel).
Strong time‑management skills and ability to multitask effectively.
Demonstrated ability to maintain confidentiality and work with sensitive client data.
Ability to work independently and as part of a multidisciplinary team.
Bilingual (English/Spanish) applicants are strongly encouraged to apply.
Desired Skills
Strong organizational skills and attention to detail.
Effective verbal and written communication.
Strong Microsoft Software skills, specifically Excel.
Team collaboration and independent problem‑solving.
Adaptability and flexibility in a fast‑paced environment.
Commitment to diversity, equity, and consumer‑directed care.
Physical Requirements
Regularly required to sit, talk, hear, walk, and use hands for repetitive tasks.
Occasionally required to lift and carry up to 10 pounds.
Must be able to operate standard office equipment and maintain focus in a busy office environment.
Schedule On‑site, Monday‑Friday 08:00‑16:00
#WORKATGAVIN
Seniority Level Entry level
Employment Type Full‑time
Job Function Health Care Provider
Industries Individual and Family Services
Referrals increase your chances of interviewing at Gavin Foundation, Inc. by 2x.
#J-18808-Ljbffr