Practice Specialist

Berkshire Health Systems; Pittsfield (MA); On-site; USD 45,000 - 70,000; Full time

Job summary

Berkshire Health Systems in Pittsfield, MA is seeking a Practice Specialist to support the daily operations of the PCOT office. You will handle triage, scheduling, patient flow, and EMR optimization while coordinating with providers to maintain efficient workflows.

The role involves revenue-cycle tasks for multiple services and requires strong problem-solving, organization, and communication skills. Applicants should bring 5+ years in behavioral health admin, with billing and EMR experience

Qualifications

• Minimum: High school diploma; Medical Terminology preferred.
• Five years of behavioral health acute care or physician office administrative experience preferred.
• Behavioral health billing and charge entry experience preferred.
• Experience with BH Insurance and the appeals process preferred.
• Knowledge of Expanse and/or proficiency with EMR preferred.
• Knowledge of ICD-10 codes, preferred.
• Knowledge of commercial behavioral carve-outs, CMS, and Medicaid billing required.

Responsibilities

• Provide administrative and clinical support for day-to-day operations of the PCOT office.
• Triage, scheduling, patient flow, and coordinating care.
• EMR optimization, utilization review, and provider relationships.
• Manage revenue cycle for multiple services within the department.
• Cross coverage when necessary and communicate issues to senior team.

Skills

Behavioral health administration

Office administrative experience

Healthcare billing experience

Education

High school diploma

Medical Terminology

Advanced business or financial coursework

Tools

Expanse EMR

ICD-10 codes knowledge

CMS/Medicaid billing knowledge

Job description

• This position is responsible for overall administrative and clinical functions necessary to support the effective day-to-day operations of the PCOT office. This position is responsible for understanding all aspects of the practice including: triage, scheduling, patient flow, EMR optimization, utilization review and provider relationships. In addition, the Practice Specialist manages other assignments related to the revenue cycle of multiple services in the department. They must possess flexibility, attention to detail, and independent problem solving and is required to communicate problems or issues in a timely manner to the appropriate senior team member. S/he must work to ensure all responsibilities are exercised with diligence, care, and integrity. S/he may be called upon to provide cross coverage, when necessary.

POSITION QUALIFICATIONS (Minimum qualifications are required unless stated otherwise.)

• Experience:
  • Five years of behavioral health acute care or physician office administrative experience preferred.
  • Behavioral health billing and charge entry experience preferred.
  • Experience with BH Insurance and the appeals process preferred.
• Education and Training:
  • High school diploma required.
  • Medical Terminology preferred.
  • Advanced business or financial coursework required. Relevant experience may be used in lieu of this requirement.
• License, Certification & Registration:
  • None
• Other Requirements:
  • Strong organizational skills.
  • Excellent verbal, written, communication, and analytical skills.
  • Excellent interpersonal skills with sensitivity to patient issues, including highest respect for patient confidentiality.
  • Knowledge of Expanse and/or proficiency with EMR preferred.
  • Knowledge of ICD-10 codes, preferred.
  • Knowledge of commercial behavioral carve-outs, CMS, and Medicaid billing required.