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!