Massachusetts Education Jobs

The Medical Billing and Collections Specialist II supports the Finance organization with various duties related to billing and collection of customer accounts. The position also acts as a patient-focused liaison to assist customers with access to our products through the referral process. This position requires the ability to interact professionally with patients, insurance companies, institutions (including state programs, clinics, and other health professionals), as well as Cambrooke employees. The Revenue Cycle Specialist II must be able collect and disseminate information relative to the company?s operating procedures and goals. This position sits in the corporate office in Ayer, MA. The core hours of operation are 8:30 am to 5:30 pm. Limited remote work may be available. EDUCATION, CERTIFICATIONS AND EXPERIENCE: -Minimum High School Diploma or equivalent; College degree a plus. -5+ plus years work experience in medical billing, eligibility, authorization, and interaction with payers. -Understanding of HCPCs and ICD10 coding -Working knowledge of commercial and state payers claim processing and procedures (including Medicare, Medicaid, and WIC). -Medical Terminology and/or Clinical Nutrition knowledge a plus. -Proficiency in Microsoft Office; Excel, Word, Teams, etc. -Previous experience with Salesforce or Nexternal preferred but not required. KNOWLEDGE, SKILLS AND ABILITIES: -Working knowledge of Pharmacy Benefits (PBM) and Durable Medical Equipment (DME) companies to ensure that patient(s) and their families can obtain the formula and medical foods they require based on benefit and insurance coverage. - -Working knowledge of the CambrookeCare process to provide assistance or explain benefits and claims processing based on contracts and/or agreements made to secure final payment. -Demonstrated sense of compassion and drive to ensure patient(s) and their families receive optimal coverage so they can receive Cambrooke products. -Ability to multi-task, with attention to detail to ensure accuracy. -Able to prioritize work, anticipate department needs, plan accordingly and able to handle the many interruptions with ease. -Strong written and oral communications skills required to provide excellent customer service and/or Revenue Cycle updates. -Ability to work independently with minimal direction, take initiative within scope of work responsibilities -Must be a strong team player working with the various Revenue Cycle Teams and be able to initiate activity and/or promptly communicate & mentor others. -Must be organized and detailed oriented with a strong mathematical aptitude and ability to meet deadlines. -Must have great listening skills to work with team members, other colleagues, and outside customers & clinics, to identify and initiate suggestions, guidance and/or resolution. -Must be results and people-orientated having the ability to balance business and relationship. -Assist in the training and QA of new staff. -Knowledge of HIPAA and the ability to maintain confidential information security relative to all patient and company data and proprietary information. WORKING CONDITIONS: Majority of work is completed in an office setting working inside a controlled temperature environment. Occasional work outside may be required to participate/support employee and patient events. May perform activities in an environment containing hazardous elements and requiring safety awareness and adherence to all safety and GMP policies and guidelines including the ability to wear safety shoes when in the manufacturing environment. Work must be performed in a safe manner for personal protection and for the protection of other team members. PHYSICAL REQUIREMENTS: -Position requires the ability to sit for a minimum of 6 hours per day. -Ability to use a headset and phone. -Ability to stand, walk, bend over, and reach above head on a regular basis. -Ability to lift or carry up to 25 p