Billing Specialist at Seven Hills Foundation

Worcester, Massachusetts, United States -

Full Time

Start Date

Immediate

Expiry Date

24 Jun, 26

Salary

24.04

Posted On

26 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Billing, Claims Submission, Reimbursement Tracking, Compliance, HIPAA, ICD-10, CPT Codes, Account Reconciliation, Denial Resolution, Client Communication, Attention To Detail, Organization, EHR Systems, Billing Systems

Industry

Individual and Family Services

Description

Overview Billing SpecialistYOU, Inc., an Affiliate of Seven Hills Foundation Pay: $19.00 - $24.04/hourly Are you detail-oriented, organized, and experienced in medical billing? Join YOU Inc. as a Billing Specialist and play a vital role in supporting the financial health of a mission-driven behavioral health organization. In this role, you’ll manage the billing lifecycle for mental health services—ensuring accurate claims submission, timely reimbursements, and compliance with insurance and regulatory requirements. You’ll collaborate closely with clinicians, administrative staff, and insurance providers to keep operations running smoothly and efficiently. Benefits for Full-time employees: Health Insurance: Offered through Blue Cross Blue Shield, with generous company contribution. Enhanced Retirement Plan: 25% - 33% Employer match based on tenure. Student Loan Assistance: Consolidation, counseling, & limited employer contribution! Discounted Tuition with College & University Partnerships! Tuition Assistance: Reimbursed or prepaid college coursework! Home Mortgage Initiative: Favorable down payment (3-5%), reduced closing costs co-paid by Seven Hills! Work-Life Balance: Generous Accrued Paid Vacation: 3 weeks in your first year! Vacation Cash-Out Option 3 Paid Personal Days 11 Paid Holidays Accrued Paid Sick Time Benefits for Part-time Employees: Accrued Paid Sick Time Enhanced Retirement Plan: 25% - 33% Employer match (Minimum of 20 worked hours per week) Student Loan Assistance: Consolidation and free debt counseling! Personal PTO - (Minimum 20 hour regular part-time schedule - does not apply to per diem) Why Join YOU Inc.? At YOU Inc., your work supports access to essential mental health services in the community. You’ll be part of a collaborative, purpose-driven team where your skills directly contribute to helping individuals and families receive the care they need. If you’re ready to bring your billing expertise to a role that combines precision, teamwork, and meaningful impact, apply today. Responsibilities Billing & Claims Management Prepare and submit claims to insurance companies, Medicaid, Medicare, and third-party payers. Review clinical documentation to ensure accuracy and completeness for billing. Track claims through the full billing cycle, resolving denials and rejections. Post payments, adjustments, and reconcile patient accounts. Collections & Follow-Up Follow up with insurance providers to ensure timely reimbursement. Communicate with clients regarding billing questions, insurance coverage, and balances with professionalism and empathy. Maintain consistent follow-up on outstanding claims and accounts. Compliance & Accuracy Ensure compliance with HIPAA, federal and state regulations, and payer requirements. Stay up to date on billing codes and regulations (e.g., ICD-10, CPT). Maintain accurate, organized, and confidential billing records. Collaboration & Process Improvement Work with clinical and administrative teams to improve billing accuracy and reduce denials. Assist with audits, reporting, and process improvements as needed. What You Bring Strong attention to detail and organizational skills Knowledge of medical billing, insurance processes, and mental health coding Ability to analyze issues and resolve billing discrepancies Excellent communication skills, especially when discussing financial matters with clients Ability to multitask and manage deadlines in a fast-paced environment Qualifications High School Diploma or equivalent required 2+ years of medical billing experience, ideally in behavioral or mental health Familiarity with ICD-10, CPT codes, and insurance billing practices Experience with Electronic Health Records (EHR) and billing systems preferred Understanding of HIPAA and regulatory compliance Valid driver’s license (Class C or D)

Responsibilities

The Billing Specialist will manage the entire billing lifecycle for mental health services, including preparing and submitting claims to various payers, tracking them through resolution, and posting payments. Responsibilities also involve following up on outstanding claims, communicating with clients about balances, and ensuring compliance with all relevant regulations.