Billing Manager Position Available In Providence, Rhode Island

Billing Manager

ACCESSPOINT RI – 3.1

Cranston, RI Job Details Full-time $65,000 – $70,000 a year 1 day ago Qualifications Working with people with developmental disabilities Management EDI Working with people with disabilities Accounting software Mid-level High school diploma or GED Organizational skills 2 years Full Job Description We are currently looking for a Billing Manager to drive the billing and reimbursement process by posting payments, resolving claim issues, and managing Electronic Data Interchange (EDI) transmissions. This role requires strong attention to detail, knowledge of Development Disability Organization (DDO) billing, and the ability to troubleshoot billing and payment discrepancies to ensure accurate and timely processing of payments for services. This position reports to the Chief Financial and Administrative Officer. Cranston, RI 02920

About Us:

Accesspoint RI is a nonprofit organization assisting individuals with developmental disabilities. We Pride ourselves on ensuring that individuals are supported and treated with respect and dignity. We aim to promote interactions that are polite, honest, positive, and professional.

Essential Duties and Responsibilities:

Responsible for billing Medicaid and other insurers including United Health, Optum, BCBS, and NHPRI. All billing is time sensitive and is required to be sent in on time based on Medicaid and other insurer requirements. Manage Purchase Orders (PO) with Medicaid ensuring all client contracts in Sandata match the current PO. Work with the CFAO and the CEO to ensure that no gaps in client services occur. Post client payments, adjustments, and denials from remittance advices accurately and in timely manner. Research and resolve claim rejections, denials, and underpayments by communicating regularly with payers and internal departments. Monitor and manage EDI transactions, including claims submissions, remittance advice and eligibility verifications. Manage and maintain all billing documentation on APRI servers. Maintain accurate documentation of billing activities, including each of APRI’s Program’s billing process, payment posting, claim follow-up, and EDI troubleshooting. Identify and resolve EDI rejections and errors to ensure successful electronic transmission and payment. Respond to all reasonable expectations of the Agency and/or supervisor

Qualifications:

High School diploma or equivalent. Minimum of 2 years in billing experience Experience working in Developmental Disability Organizations Hands on experience with Sandata Accounting Software Familiarity with Gainwell Technologies and BHDDH authorizations Experience working with clearinghouses and payer portals Familiarity with denial management and appeal processes Ability to interpret Remittance Advices and act on denied or suspended claims