CSP and Medication Billing Coordinator - Healthcare

Boston Health Care for the Homeless Program•Boston, MA

17d•$22 - $36

About The Position

The Community Support Program and Specialty Medication Billing Coordinator is solely responsible for all aspects of third-party billing for MassHealth Community Support Programs, including general CSP, CSP for Homeless Individuals (CSP-HI), and CSP for Individuals with Justice Involvement (CSP-JI), as well as specialty medication billed under patients’ medical benefits. The coordinator oversees the billing process to ensure claims are completed accurately and efficiently for timely reimbursement. This is a full-time, 40-hour-per-week, union position represented by 1199SEIU. It is not patient-facing. Boston Health Care for the Homeless Program provides community-based health care to individuals and families experiencing homelessness in greater Boston. Its work is guided by commitments to equitable and dignified access to care, compassion, mutual respect, and culturally appropriate services.

Requirements

At least 1–2 years of work experience in an office setting.
High school diploma or GED certificate.
Detail orientation and strong organizational skills.
Strong computer skills in data entry and basic analysis.
Familiarity with Microsoft Word, Excel, and Access.
Effective spoken and written communication skills.
Ability to handle and prioritize multiple tasks to meet reasonable deadlines.
Ability to adapt to changes in work procedures.

Nice To Haves

Some college or post-high-school training.
Health care third-party billing experience.
Familiarity with Centricity Practice Solutions.

Responsibilities

Review specialty medication billing, bill bi-weekly logs, and review claims before filing.
Bill CSP, CSP-HI, and CSP-JI bill types daily and monthly, including prior authorizations.
Enter patient claim data into the Practice Management (PM) system promptly and accurately.
Submit claims generated in the PM system to the appropriate payers according to submission procedures.
Apply third-party payer payments to claims in the PM system accurately and promptly.
Investigate denied claims and other third-party payer rejections to obtain payment.
Resolve secondary billing and resubmissions in a timely manner.
Verify patient benefits and maintain accurate benefit information.
Communicate frequently with third-party provider representatives about billing procedures.
Work with clinical staff as needed to facilitate accurate claims processing.
Perform other billing and administrative duties as required or assigned by the Patient Finance Manager and/or Billing Team Leader.