The Mentor Network

About The Mentor Network

The MENTOR Network is a national network of local providers offering quality, community-based services to children, adults, and seniors with intellectual and developmental disabilities, brain and spinal cord injuries, and to youth with emotional and behavioral challenges as well as their families. Serving 30,000 individuals in 36 states, we offer meaningful work, come join our team today!

 

 

 

Job Category:

Management

Country:

United States

Postal Code:

02301

Approximate Salary:

Not Specified

Authorization & Billing Specialist

The Mentor Network - Brockton, Massachusetts

Posted: 10/14/2018

Description
Authorization & Billing Specialist
Primary Location: MA-MABrockton-55 City Hall Plz
Function:Program Services Coordination/Case Management

Adult Day Health Inc


Description For Adult Day Health and The MENTOR Network, a Authorization & Billing Specialist is critical to our success and exemplifies the wonderful mission driven work we do here every day.   To that end, The Authorization & Billing Specialist serves as the liaison between Operations and Finance and is responsible for all revenue recognition for each person served as well as obtaining authorizations and performing routine eligibility checks while clients are in our care.

  • Proactively works with the program in order to obtain eligibility and initial authorizations for all new admissions and “Unfunded” persons served
  • Utilizes the main billing systems (Avatar & iServe) to capture service entry, admissions, discharges and transfers prior to billing
  • Proactively reviews eligibility and submits requests to the SSC in order to update payer information and/or changes
  • Manages and proactively obtains all persons served subsequent authorizations (until discharged) and submits to the SSC in order to process
  • Reviews Attendance and Meal Counts for accuracy prior to charge entry
  • Reconciles daily, weekly and monthly service capture for all payers/clients prior to billing
  • Maintains supporting documentation (Attendance, Meal Counts and reconciled Trended Units Report) for service entry
  • Escalates, researches and resolves any billing discrepancies identified by the SSC in order to meet billing deadlines
  • Utilizes the document management software (Biscom) to support billing, cash and collection activities


Qualifications:

What we offer you: 

  • A chance to make a difference in peoples’ lives on a daily basis
  • A rewarding work environment with some of the best co-workers you could ask for
  • Competitive pay rates and paid time off
  • Paid training; Holiday pay
  • Family-oriented environment, employee events
  • Career development and advancement opportunities
  • A dynamic work environment where no day is ever the same as the next


Requirements:
  • High School Diploma or equivalent
  • Post secondary degree preferred
  • 1+ years’ experience in the medical administration field  and/or medical billing background preferred but not required
  Founded in 1980, The MENTOR Network is a national network of local human services providers offering an array of quality, community-based services in more than 30 states to adults and children with intellectual and developmental disabilities, brain and spinal cord injuries and other catastrophic injuries and illnesses, and to youth with emotional, behavioral and medically complex challenges as well as their families.     EOE/AAE  

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