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Billing Specialist
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Full-time
- The successful candidate will be responsible for one or more of the following billing functions: Providers, Consumers, MassHealth, Senior Care Options (SCO), One Care (OC), PACE, ACO and Medicare
- Process the Caregiver Logs for the Adult Family Care (AFC) program
- Submit billing to MassHealth, using the appropriate software, for the AFC and Personal Care Management (PCM) programs, including initial billing, resubmittals and adjustments, and summarize in an approved format for ease of recording in the agency's accounting software
- Track all billings, payments, voids, denials and recoupments in an appropriate format to ensure ease of reconciliation to accounting software
- Research any audit or payment issues reported by MassHealth and communicate any issues with the appropriate program supervisors
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