Ambulatory Care Clinic Billing Coordinator

Commonwealth of Massachusetts • Boston, MA

9h • Onsite

About The Position

The Lemuel Shattuck Hospital (LSH), operated by the Massachusetts Department of Public Health (DPH), is seeking a dynamic and experienced Billing Coordinator to join the Ambulatory Care Clinic (ACC). The Billing Coordinator provides essential administrative and operational support for inpatient and outpatient billing, patient scheduling, provider coordination, referrals, and reporting. Working closely with providers and clinical staff, the position coordinates service referrals, prescription renewals, prior authorizations, post-visit follow-up, and billing activities to support efficient and timely patient care. The Billing Coordinator also provides backup support to the ACC Care Coordinator and Telemedicine Coordinator.

Requirements

• Knowledge of office management principles, practices, and procedures.
• Demonstrated skill in preparing clear, concise reports and written communications.
• Sound judgment and decision-making skills in addressing routine and complex situations.
• Strong verbal and written communication skills, with the ability to convey information clearly, concisely, and logically.
• Proficiency in computer applications for research, database management, and document preparation.
• Strong organizational skills, with the ability to manage large volumes of information and prioritize multiple projects simultaneously.
• Effective interpersonal skills and the ability to work collaboratively with diverse individuals and groups.
• Understanding of and ability to apply organizational policies, procedures, guidelines, and standards.
• Two years of full-time, or equivalent part-time, professional, administrative or managerial experience in business administration, business management or public administration the major duties of which involved program management, program administration, program coordination, program planning and/or program analysis, or any equivalent combination of the required experience and the substitutions below.
• A Bachelor's or higher degree with a major in business administration, business management or public administration may be substituted for the required experience.
• A Bachelor's or higher degree with a major other than in business administration, business management or public administration may be substituted for a maximum of one year of the required experience.

Nice To Haves

• Knowledge of laws, regulations, policies, procedures, standards, specifications, and guidelines applicable to assigned unit activities.
• Familiarity with the organizational structure, functions, and operations of the assigned agency.
• Understanding of appropriate procedures for making, receiving, and directing agency telephone calls.
• Working knowledge of agency forms, including their purpose, use, and processing requirements.
• Awareness of laws, rules, and regulations governing the state personnel system.

Responsibilities

• Serves as a central resource for inpatient and outpatient billing, charges, prescriptions, and related inquiries; investigates and resolves discrepancies.
• Processes, maintains, and submits inpatient and outpatient billing records accurately and timely, including specialty clinic billing and variance review.
• Verifies scheduling information and maintains accurate linkage among patient encounters, billing records, and reporting functions using Meditech.
• Oversees patient documentation and required forms through Meditech and electronic document management systems.
• Coordinates referrals by reviewing and tracking requests from external providers, obtaining required information, and educating referring offices on established processes.
• Contacts patients to assess service needs, coordinate care, schedule appointments, reinforce care plans, and obtain records from outside healthcare facilities.
• Prepares and assembles laboratory, imaging, specialty care, and testing documentation for provider review prior to follow-up visits.
• Provides clerical and operational support to ACC Care Clinics, including development, maintenance, and distribution of ACC Summary Sheets.
• Coordinates services and information exchange with correctional facilities, community organizations, and healthcare providers.
• Assists patients with MassHealth and other insurance-related questions, coverage, and enrollment processes.
• Compiles, tracks, and presents departmental data and performance metrics for leadership review.
• Participates in departmental meetings, team discussions, and ongoing operational initiatives.
• Provides backup support to the ACC Care Coordinator and Telemedicine Coordinator.

Benefits

• Comprehensive Benefits
• Outstanding suite of employee benefits that add to the overall value of your compensation package.
• Work experience that supports you, your loved ones, and your future.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level