Billing Specialist; Boston, MA

Position: Billing Specialist (Boston, MA)

Billing Specialist (Boston, MA)

Join to apply for the Billing Specialist role at Gavin Foundation, Inc.

Base Pay Range

$24.00/hr - $25.00/hr

Location

Devine Recovery Center, South Boston, MA

Position Summary

The Recovery Coach Billing Specialist is responsible for managing and processing all billing-related activities for Gavin Foundation’s Recovery Coach (RC) Program. This position ensures accurate and timely billing, insurance verification, authorization management, and data reporting for a high-volume caseload. The ideal candidate is detail-oriented, highly organized, and experienced in handling billing operations within a behavioral health or substance use treatment setting.

Key Responsibilities Billing & Authorization Management

• Complete daily billing for all Recovery Coach clients due that day.
• Review all new clients in the Electronic Health Record (EHR) the day before billing.
• Add new clients to the RC billing sheet and maintain accuracy across systems.
• Verify insurance coverage and ensure all client information (including address) matches.
• Obtain and track insurance authorizations, ensuring new authorizations are received within seven (7) days of any insurance change.
• Manage 90‑day reauthorizations and complete disenrollments in accordance with BSAS requirements.

Insurance & Claims Oversight

• Access and maintain credentials for all insurance portals.
• Monitor and resolve denied or rejected claims related to insurance changes or authorization issues.
• Identify billing trends and communicate process improvements to the Billing Manager.

Data Tracking & Reporting

• Maintain and update multiple billing spreadsheets and financial trackers daily.
• Ensure all billing data aligns across systems and reports.
• Assist with month‑end billing and reporting for program leadership (Dave & Peter).
• Support billing for approximately 400 of 500 active clients monthly.

Administrative & Staff Support

• Provide guidance and training to Recovery Coaches on billing and EHR documentation requirements.
• Answer Recovery Coach and ESM questions regarding billing and data entry processes.
• Develop and share training videos or documentation to support staff understanding.
• Collaborate with administrative and finance teams to ensure compliance and consistency across billing practices.

Requirements

• High school diploma or GED, previous experience in a professional office setting.
• Must possess a valid Massachusetts driver’s license.
• Must be able to pass Massachusetts CORI and drug testing requirements.
• Demonstrated understanding of, and commitment to, federal and state policies (42 CFR Part 2, HIPAA).
• Candidates with lived expertise are encouraged to apply; if in recovery, must have two years of continuous sobriety.
• Familiarity with billing systems, data entry, and financial software (e.g., Quick Books, Excel).
• Strong time‑management skills and ability to multitask effectively.
• Demonstrated ability to maintain confidentiality and work with sensitive client data.
• Ability to work independently and as part of a multidisciplinary team.
• Bilingual (English/Spanish) applicants are strongly encouraged to apply.

Desired Skills

• Strong organizational skills and attention to detail.
• Effective verbal and written communication.
• Strong Microsoft Software skills, specifically Excel.
• Team collaboration and independent problem‑solving.
• Adaptability and flexibility in a fast‑paced environment.
• Commitment to diversity, equity, and consumer‑directed care.

Physical Requirements

• Regularly required to sit, talk, hear, walk, and use hands for repetitive tasks.
• Occasionally required to lift and carry up to 10 pounds.
• Must be able to operate standard office equipment and maintain focus in a busy office environment.

Schedule

On‑site, Monday‑Friday 08:00‑16:00

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Seniority Level

Entry level

Employment Type

Full‑time

Job Function

Health Care Provider

Industries

Individual and Family Services

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