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Hospital Billing Specialist
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Hospital for Behavioral MedicineWorcester, MA, United States- serp_jobs.job_card.full_time
Job Details
Job Location
Hospital for Behavioral Medicine - Worcester, MA
Position Type
Full Time
Education Level
High School / GED
Salary Range
$24.00 - $27.00 Hourly
Travel Percentage
None
Job Shift
Days
Job Category
Finance
Description
JOIN OUR TEAM AS A HOSPITAL BILLING SPECIALIST!
Status : Full-Time (On-site only - no remote)
Bonus Opportunity : MONTHLY INCENTIVE ELIGIBLE
Your Work Matters How will you make a difference?
The Hospital Billing Specialist supports our mission by ensuring timely and accurate billing and follow-up of all claims, helping us maintain the financial health necessary to serve patients with excellence and compassion. This role is essential to the overall success of our Business Office team. The Hospital Billing Specialist ensures claims are processed, corrected, and reimbursed in accordance with payer-specific rules, contributing directly to the hospital's ability to serve its patients with excellence.
This role may focus on either government or commercial payers and is part of a cross-trained billing team working collaboratively to reduce outstanding A / R and support timely claim resolution.
Primary Responsibilities
- Submit claims through third-party intermediaries for all payer types (government and commercial)
- Resolve payer and clearinghouse edits and rejections to ensure accurate claim submission
- Apply knowledge of ICD-10 coding, claim formatting, and payer-specific requirements
- Ensure compliance with CMS, Medicare, Medicaid, and commercial payer billing guidelines
- Review and correct claim errors using system-generated reports and payer feedback
- Perform follow-up activities on outstanding accounts, including appeals and documentation requests
- Identify and resolve underpayments or denials by coordinating with payers
- Track trends in recurring denials or rejections and report findings to leadership
- Maintain accurate account notes and documentation within the billing system
- Collaborate with internal departments such as credentialing, coding, or compliance when needed to resolve complex billing issues
- Support month-end close processes by prioritizing high-dollar or time-sensitive claims
- Maintain up-to-date knowledge of industry regulations, payer rules, and internal policies
Your Experience Matters What we're looking for :
Your Care Matters What we provide for our team :
What sets us apart?
Disclaimer : Select benefits are available to full-time positions only. Benefits are subject to change at the discretion of Hospital for Behavioral Medicine.
Compensation :
This is a full-time role and the expected compensation range is $24.00 - $27.00 hourly and a monthly incentive bonus plan! We're eager to engage with all qualified candidates, and consideration will be provided to experience and skill level. Join us as our Hospital Billing Specialist!
About HBM
Get to know us Outstanding Care, Compassionate People, Unparalleled Service
Discover a fulfilling career at Hospital for Behavioral Medicine (HBM)!
Welcome to the heart of mental health treatment innovation in Worcester, MA! HBM, a cutting-edge 120-bed inpatient facility, is the leading provider of exceptional therapeutic care, prioritizing patient comfort and safety. In proud collaboration with UMass Memorial Health Care, our facility is conveniently situated near the UMass Memorial Medical Center, allowing us to serve the community with unwavering dedication.
At HBM, we go beyond inpatient care by offering an outpatient partial hospitalization program, ensuring continuous support while respecting the rhythm of daily lives. Our commitment to accessible care knows no bounds, as we emphasize availability irrespective of one's ability to pay.
Join us in providing exceptional care and contributing to the well-being of individuals and families in need, and be a part of the transformative healthcare experience at Hospital for Behavioral Medicine.
To learn more about HBM, visit us at :
TOGETHER WE CAN MAKE POSITIVE I.M.P.A.C.T.S.
I ndividuals M aintaining P ositive A ttitude and C ommitment T o S ervice
At Hospital for Behavioral Medicine, we value a diverse, inclusive workforce and provide equal employment opportunities for all applicants and employees. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.