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Salary

USD $31.25/Hr.

Description and Responsibilities

Open Sky’s Finance team is in search of an Accounts Receivable Specialist with extensive experience in behavioral health billing and accounts receivable follow up to work under the direction of the Third-Party Billing Manager. The Accounts Receivable Specialist will be responsible for the follow-up with third party payers on outstanding account and credit balances, present denial trends to Third Party Billing Manager for prevention and communicate with third party billing agencies on charge entry, claim submissions and coding related issues.

The ideal candidate must be proficient in Excel, have strong attention to detail and have previous experience with Medicaid billing rules and fee schedules.

Other Key Responsibilities:

+ Verify patient coverage information and update registration as required.

+ Collaborate with the Director of Community Supports to manage monthly authorization reports for expired and over utilized units.

+ Maintain reports for monthly reconciliation including total billed Accounts Receivable and payments received for discrepancies. Complete monthly review of patient statements to ensure all appropriate contractual adjustments are taken and correct. Ensure patient responsibility has been transferred to client for payment.

+ Work daily claim send backs from our 3rdparty billing agency that require additional information for payment.

Qualifications

+ High School Diploma, GED or equivalent, required.

+ Minimum 4 years’ experience in behavioral health billing and Accounts Receivable follow up, required.

+ Proficiency in Excel and strong attention to detail, required.

+ Experience with Medicaid billing rules and fee schedules, required.

+ Valid Drivers Licensea and acceptable driving record, required.

About Us

At Open Sky Community Services, we open our doors, hearts, and minds to the belief that every individual, regardless of perceived limitations, deserves the chance to live a productive and fulfilling life.

Open Sky is on an anti-racist journey, committed to learning, living, and breathing inclusion, opportunity, diversity, racial equity, and justice for ALL.

At Open Sky, you’ll join over 1,300 compassionate and highly trained professionals who put innovative, evidence-based practices to work in ways that positively impact our communities across Central Massachusetts and beyond.

As a trauma-informed organization, Open Sky strives for transparency and sensitivity to the experiences of those we interact with. Self-care is encouraged, and we are committed to providing a positive work culture that is focused on continuous learning and the value of diverse perspectives.

Open Sky is proud to be an industry leader in pay and benefits. Open the Door to Possibility and begin your career with Open Sky today!

Benefits of Working for Open Sky Include:

+ Excellent Supervision (Individual and Group), Professional Development, and Training Opportunities

+ Generous paid time off plan – you start with 29 days (almost 6 weeks!) in your first year, including 12 paid holidays. Increases to 32 days in your 2nd year, and the current maximum is 43 days (OVER 8 WEEKS!)

+ We pay for your higher education! Ask about our Tuition Reimbursement Program, and reimbursement for a variety of Human Services certifications.

+ Medical, Dental and Vision Insurance with Prescription Plan

+ 403b Retirement Plan with Employer Match

+ Life Insurance (100% Employer-Paid)

+ Eligible employer for the Public Student Loan Forgiveness Program

+ And more!

Open Sky celebrates diversity and is proud to be an Equal Opportunity Employer. In compliance with federal and state employment opportunity laws, qualified applicants are considered for all positions without regard to race, gender, national origin, religion, age, sexual orientation, disability, veteran, or disabled Veteran status.

Job ID2025-10261

CityWorcester

StateMassachusetts