Job Description

Intake And Billing Specialist

Boston, MA Seeds Of Change Job Type Full-time

Pay range: Low $23.76 per hour | High $26.14 per hour

Schedule: Full time, Monday Friday, 7:30 am 3:30 pm.

Job Summary

The Intake And Billing Specialist position supports the administrative, billing, and clinical services of the SUD Day Treatment Program at St. Francis House. These clinical services include Intensive Outpatient groups on a daily basis, in addition to individual counseling. Services are directed toward individuals who are both unhoused and managing substance use disorders, and this position will function as the administrative support for both staff and guests alike. This position will be expected to have an understanding of and experience with a harm reduction philosophy of care. This position will be responsible for the intake of all clients into the Seeds of Change program as well as the organization and submission of clinical billing to our external billing contractor.

Essential Duties / Responsibilities

• Proactively sustain the day-to-day administrative needs of outpatient programming for Seeds of Change at St. Francis House
• Manage milieu space for day treatment services by providing a calm, supportive, and compassionate presence in the waiting area.
• With the support of clinical team, practice a harm reduction approach in managing ongoing behaviors related to substance use pertinent to population served including de-escalation, motivational interviewing, and overdose awareness.
• Maintain awareness of daily clinical staff and Day Treatment schedules, acting as a liaison for meetings with guests in managing appointments
• Screen all clients to ensure they meet eligibility requirements for Day Treatment
• Gather and organize all necessary documentation required at intake to ensure a smooth entry into the program
• Checks in with all guests throughout their time in the program to receive and integrate feedback, reinforce expectations, and maintain connection to services
• Verifies insurance eligibility for all guests.
• Manages billing schedule for each guest and ensures all documented information necessary for authorization is available to the Manager of Day Treatment for weekly UR meetings.
• Coordinates with clinicians in a timely manner to ensure all supporting documentation required for billing is complete.
• Conducts routine data quality review of documentation to ensure all information required for billing is accurate and correct.
• Follow and adhere to all regulations and guidelines set by State Programs and other Insurance Providers
• Understand and follow all internal St. Francis House procedures and internal control guidelines.
• Regularly communicates with the Finance Team on any issues or discrepancies related to billing
• Manage all internal and external communication to guests, staff, providers and contracting entities.
• Act as the primary point of contact with community partners to provide information about SFH's outpatient clinical services, receive referrals, and respond to all program inquiries.
• Maintains up to date knowledge of St. Francis House programming to communicate effectively with guests and outside providers.
• Uses client database to coordinate billing information, run reports on services provided, and coordinate care as needed.
• Manages the ordering of office supplies for department and coordinates with facilities/IT around the maintenance of any shared department equipment.
• Collaborates proactively with colleagues within the department and across SFH departments.
• Attends weekly behavioral health team meetings and others as assigned.
• Adheres to agency code of conduct.
• Performs other duties as assigned.

Required Skills & Abilities

• Self-directed with the ability to work both independently and as part of a team.
• Proficiency in Microsoft Office Suite products.
• Demonstrated ability to work with individuals experiencing homelessness within a busy homeless services environment.
• Proficiency in English, bilingual in Spanish preferred.
• Basic understanding of and commitment to taking a person-centered, recovery-oriented, and trauma-informed approach.
• Understand and maintain HIPPA standards.
• Strong analytical and problem-solving skills.

Education & Experiences

• High School diploma or equivalent.
• Further education in human services a plus.
• Experience providing direct services to homeless individuals and/or experience working in a substance use treatment setting.
• Experience providing office management/administrative support in a fast-paced setting.
• Previous experience in a medical/clinical billing role or certification from an accredited program.
• Experience submitting and obtaining insurance authorizations.
• Experience working a front desk.
• Experience in customer service.
• Lived experience of homelessness and/or recovery a plus.

Physical Requirements

• Prolonged periods of sitting at a desk and working on a computer.
• Occasionally standing and moving throughout multi-level building and to administration building.
• Constantly operate computer and other office machinery, such as a calculator, copy machine, computer printer, 2-way radio.

SFH is an Equal Employment Opportunity Employer committed to a diverse and inclusive workforce where all staff can reach their fullest potential. We welcome everyone who has lived experience of homelessness and/or recovery, and those who have faced historic barriers to competitive employment, in particular Black, Indigenous, and People of Color (BIPOC), and those who are multi-lingual or multi-cultural and members of the LGBTQ+ community. Reasonable accommodations may be made to enable individuals with disabilities to perform these duties. This job description is subject to change and does not restrict management's right to assign or reassign duties and responsibilities to this job at any time.

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