Public Provider Billing & Benefits Specialist

UMass Chan Medical School; Westborough (MA); Hybrid; USD 42,000 - 60,000; Full time

Job summary

University of Massachusetts Chan Medical School is seeking a PPR Specialist in Massachusetts to perform medical billing, eligibility determination and benefit coordination for state-operated facilities and community programs.

The role emphasizes meeting deadlines, coordinating access to MassHealth and other programs, and maintaining accurate data while delivering professional customer service in a hybrid in-office/remote setting.

Qualifications

• Associates degree or equivalent experience.
• 1-3 years of related experience.
• Familiarity with database and spreadsheet applications such as Microsoft Office including Word, Excel, Teams and One Drive
• Ability to communicate effectively
• Ability to adapt and change direction in response to changes in the business environment.

Responsibilities

• Perform medical billing and claiming activities to obtain reimbursement for services provided by state-operated facilities and community-based programs.
• Meet all claiming, eligibility and accounts receivable deadlines.
• Identify and coordinate access to Medicaid (MassHealth), Medicare and commercial health care insurance, Social Security Administration and other programs and benefits.
• Outreach to clients, families, guardians and representatives to complete forms and documents to determine and maintain health care coverage and related benefits.
• Review data, maintain spreadsheets, databases and systems, and resolve discrepancies.
• Provide professional customer service to internal and external customers, including responding to inquiries and follow-ups.

Skills

Data entry

Effective communication

Adaptability

Billing experience

Education

Associates degree or equivalent

Tools

Microsoft Word

Microsoft Excel

Microsoft Teams

OneDrive

Job description

University of Massachusetts Chan Medical School is seeking a PPR Specialist in Massachusetts to perform medical billing, eligibility determination and benefit coordination for state-operated facilities and community programs.

The role emphasizes meeting deadlines, coordinating access to MassHealth and other programs, and maintaining accurate data while delivering professional customer service in a hybrid in-office/remote setting.