Billing Specialist

About the role

Join our finance team as a Behavioral Health Billing Specialist to secure funding for life-saving care for veterans. Key responsibilities include verifying coverage, updating systems, securing approvals, coordinating tracking, auditing accounts, partnering with contractors, staying compliant, acting as an expert, analyzing trends, improving processes, leading the team, and supporting leadership.

Responsibilities

• Verify coverage: Confirm insurance eligibility, benefits, and payer-specific requirements for all new admissions and existing clients.
• Update systems: Maintain precise insurance records within the EHR and communicate coverage limitations or authorization needs to staff.
• Secure approvals: Obtain, track, and maintain authorizations for behavioral health and substance use disorder (SUD) services.
• Collaborate with contractors: Coordinate directly with the agency's external billing contractor to resolve edits, corrections, and claim issues.
• Stay compliant: Ensure all billing aligns with MassHealth, Medicare, Medicaid MCOs, commercial guidelines, BSAS, and HIPAA regulations.
• Act as an expert: Research payer updates and serve as the internal resource for evolving billing policies.
• Analyze trends: Identify systemic billing errors or authorization issues contributing to claim denials.
• Improve processes: Partner across admissions, clinical, and finance teams to implement process improvements that protect revenue.
• Lead the team: Act as a mentor to Billing Specialists, assist with onboarding, and develop workflow documentation.
• Support leadership: Assist the Billing Manager with audits, special projects, and departmental reporting.

Requirements

• Associate degree in Healthcare Administration, Business Administration, Accounting, Finance, or related field preferred.
• Minimum of five (5) years of healthcare billing experience.
• Minimum of three (3) years of experience in insurance verification, authorizations, billing support, claims preparation, or payer relations.
• Experience in Behavioral Health and/or Substance Use Disorder services strongly preferred.
• Experience working with MassHealth, Medicare, Medicaid Managed Care Organizations, and commercial insurance plans.
• Must be able to successfully pass a CORI/Background records check.

Qualifications

• Must be able to work flexible hours including evenings and weekends.
• Must be able to successfully pass a CORI/Background records check.
• Must be able to successfully pass a drug screen.

Skills

• Strong attention to detail and organizational skills.
• Excellent communication and interpersonal skills.
• Ability to work independently and as part of a team.
• Proficient in Microsoft Office Suite.
• Knowledge of HIPAA and other relevant healthcare regulations.

Benefits

• Comprehensive benefits package including BCBS Medical, Dental, and Vision Insurance.
• Employer-paid short and long-term disability and life insurance.
• $2500 Medical Opt-Out program if you have medical coverage through another source.
• Retirement Plan (403B) with a $2000 match.
• Flexible Spending Accounts.
• Tuition Reimbursement Program.
• Paid parental leave.

Pay

$26.44 per hour.

Schedule

Monday through Friday.

Location

Based at our Shrewsbury, MA facility.

Contact

To apply, visit our website. Please do not mail, email, or fax your cover letter/resume as we are limited to only accepting completed applications through our career page. Veterans Inc. is proud to be an equal opportunity employer. We are committed to equal employment opportunity regardless of race, color, religion, sex, national origin, sexual orientation, age, marital status, disability, gender identity or protected Veteran status. If you need assistance completing an application please contact careers1@veteransinc.org. We do not accept unsolicited resumes from agencies. Agencies are requested not to contact Veterans Inc. with recruiting inquiries.