Billing Clerk

ADP, Inc.; Fall River (MA); On-site; USD 26,000 - 34,000; Full time

Job summary

ADP, Inc. in Fall River, MA is seeking a Billing Clerk to manage revenue billing for SCO and One Care plans, handling claims processing, rebilling, and compliance tasks. You will coordinate with Finance and SCO teams to ensure accurate invoicing and timely collections.

The role requires 1–2 years of billing experience, strong MS Office skills, and attention to detail in a fast-paced environment. ADP offers a stable, full-time position with healthcare and billing responsibilities in a dynamic

Qualifications

• 1-2 years of billing experience or experience with MassHealth claims files.
• Proficiency with Microsoft Office Suite (Word, Excel, Outlook, Teams).
• Attention to detail and ability to multi-task in a fast-paced environment.

Responsibilities

• Create, send, and track invoices for services rendered, using billing software.
• Download POS billing claims from state database & upload claims into claims management software.
• Submits required documentation to the health plans for reimbursement with case management, CDC, and training invoicing.
• Provide finance with expected payments.
• All uploads, 277, 999 and 835s received for submitted claims to Wellsky and documentation saved in appropriate directory.
• Reviews, adjusts, and reprocesses claims which are plan exceptions caused by manual error.
• Maintain accuracy & compliance with HIPAA guidelines.
• Prepare reports on billing formats and billing activity.
• Collaborate with SCO team to ensure accurate billing, rosters, and timely collections.
• Monitor unpaid or denied claims for outstanding or overdue payments to ensure billing is accurate.
• Maintain up to date procedures.
• Online Training to remain current with billing processes and procedures.
• Cross-train with vendor and client billing for accurate, timely billing.
• Special projects, assignments, and tasks as assigned.

Skills

Attention to detail

Time management

Communication skills

Independent work

Education

High School diploma or equivalent

Tools

MassHealth 277/837/835

Billing software

Microsoft Office Suite

WellSky

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Full-time Regular Fall River, MA, US

30+ days ago Requisition ID: 1129

Billing Clerk $21.75/hour

Position Summary:

This position is responsible for the revenue billing for the Senior Care Options (SCO) and One Care Insurance plans and acts as a liaison between the SCO and Finance Departments. The Billing Clerk will be responsible for the billing life cycle which includes processing claims, resolving exceptions, late billing, monitoring & rebilling claims, and ensuring compliance with company policies and industry standards.

Principle Accountabilities:

• Claims Processing: Create, send, and track invoices for services rendered, using billing software. Download POS billing claims from state database & upload claims into claims management software.
• Invoicing:Submits required documentation to the health plans for reimbursement with case management, CDC, and training invoicing.
• Payments:Provide finance with expected payments.
• Acknowledgements:All uploads, 277, 999 and 835s received for submitted claims to Wellsky and documentation saved in appropriate directory.
• Exceptions:Reviews, adjusts, and reprocesses claims which are plan exceptions caused by manual error. Resolve discrepancies, monitor issues related to claims and rebilling in a timely manner.
• Compliance: Maintain accuracy & compliance with HIPAA guidelines.
• Reporting:Prepare reports on required billing formats. Reports on billing activity, delinquency payments, and duplicate entries.
• Coordination:Collaborate with SCO team to ensure accurate billing, rosters, and timely collections.
• Accounts Receivable Oversight:Monitor unpaid or denied claims for outstanding or overdue payments to ensure billing is accurate.
• Procedures:Maintain up to date procedures.
• Online Training: to remain current with billing processes and procedures.
• Vendor and Client Billing:cross-train andassist with accurate, timely vendor billing, and late billing.
• Special projects, assignments, and tasks: as assigned.

Qualifications:

Education:

High School diploma or equivalent.

Experience:

One to two years of billing experience and/or use of MassHealth 277, 837, 835 claims files preferred.

Special Skills/Knowledge:

Experience with claims management system software preferred, intermediate computer skills, proficient in Microsoft Office Suite (Word, Excel, Outlook, & Teams), attention to detail, accuracy, ability to work independently and as part of a team, and to prioritize, ability to multi-task and work in a fast-paced, high-volume environment, proven organizational and time management skills, good oral communication skills. Driver’s license and reliable transportation are required.

This job description is intended to be general, will evolve over time, and is subject to periodic updating. This job description does not constitute a written or implied contract of employment.