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Payment Specialist/Research Technician

Family Service Association is a comprehensive private, non-profit social service agency dedicated to the development and implementation of services designed to provide strength and support to individuals and families throughout southeastern Massachusetts.  Headquartered in Fall River, Family Service Association strives to increase the capacity of individuals and families to cope with the stresses of family life and interpersonal relationships in a positive, productive and health-improving manner.  This agency is a leading provider of professional social services in the South Coast region of Massachusetts, with a 125-year tradition of high quality.

We are seeking a part time (20 hours per week) Payment Specialist/Research Assistant in our Billing Department.  

The Payment Specialist is directly responsible for all functions relating to payments received and the Research Technician is directly responsible for all functions relating to complex denials and outstanding receivables.

Responsibilities include:

Post all electronic and manual payments received;

Review and make necessary corrections to all recoupments that do not automatically approve;

Review and correct all denials that do not require intense research including but not limited to authorization denials, place of service or rebills;

Prepare necessary write-offs when claims are denied; 
Respond to billing calls and questions timely and accurately;

Serve as back up for other department functions as necessary;

Complete billing for assigned Adult Day Health programs;

Research assigned denials and take necessary corrective action;

If applicable, bill service directly to client charging predetermined sliding scale fee utilizing United Way funds;
Make any necessary corrections and re-bill to appropriate insurance company;
Prepare write-off request if date of service is not reimbursable;

Research all claims on outstanding receivable lists provided by manager;

Re-bill visits that have not shown any activity;
Contact insurance companies regarding claims that have been re-billed but have not been paid or denied.
Maintain current and accurate activity logs allowing management to establish trends as well as collection and write-off ratios;

Respond to Billing calls and questions timely and accurately;

Serve as back up for other department functions as necessary;

A High School Diploma or equivalent and previous experience with payment posting, billing on-line; aged receivables and phone experience with insurance companies is required.  Experience with EHR (Qualifacts) is desired.  

Hours are Monday through Friday; flexible first shift hours.  

Family Service Association is an Equal Opportunity Employer.  

 

 

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