What are the responsibilities and job description for the Billing Specialist (Boston, MA) position at Gavin Foundation Inc?
Location: Devine Recovery Center, South Boston, Ma
Position: Recovery Coach Billing Specialist
Reports To: Billing Manager / Program Director
Position Summary
The Recovery Coach Billing Specialist is responsible for managing and processing all billing-related activities for Gavin Foundation’s Recovery Coach (RC) Program. This position ensures accurate and timely billing, insurance verification, authorization management, and data reporting for a high-volume caseload. The ideal candidate is detail-oriented, highly organized, and experienced in handling billing operations within a behavioral health or substance use treatment setting.
Key Responsibilities
Billing & Authorization Management
- Complete daily billing for all Recovery Coach clients due that day.
- Review all new clients in the Electronic Health Record (EHR) the day before billing.
- Add new clients to the RC billing sheet and maintain accuracy across systems.
- Verify insurance coverage and ensure all client information (including address) matches.
- Obtain and track insurance authorizations, ensuring new authorizations are received within seven (7) days of any insurance change.
- Manage 90day reauthorizations and complete disenrollments in accordance with BSAS requirements.
Insurance & Claims Oversight
- Access and maintain credentials for all insurance portals.
- Monitor and resolve denied or rejected claims related to insurance changes or authorization issues.
- Identify billing trends and communicate process improvements to the Billing Manager.
Data Tracking & Reporting
- Maintain and update multiple billing spreadsheets and financial trackers daily.
- Ensure all billing data aligns across systems and reports.
- Assist with monthend billing and reporting for program leadership (Dave & Peter).
- Support billing for approximately 400 of 500 active clients monthly.
Administrative & Staff Support
- Provide guidance and training to Recovery Coaches on billing and EHR documentation requirements.
- Answer Recovery Coach and ESM questions regarding billing and data entry processes.
- Develop and share training videos or documentation to support staff understanding.
- Collaborate with administrative and finance teams to ensure compliance and consistency across billing practices.
REQUIREMENTS:
- Highschool diploma or GED, previous experience in a professional office setting.
- Must possess a valid MA driver’s license.
- Must be able to pass MA CORI and Drug Testing requirements
- Demonstrated understanding of, and committed to adhering to, federal and state policies (42 CFR Part 2, HIPAA)
- Candidates with lived expertise are encouraged to apply, if in recovery, must have two years of continuous sobriety
- Familiarity with billing systems, data entry, and financial software (e.g., QuickBooks, Excel).
- Strong time management skills and ability to multitask effectively.
- Demonstrated ability to maintain confidentiality and work with sensitive client data.
- Ability to work independently and as part of a multidisciplinary team.
- Bilingual (English/Spanish) applicants are strongly encouraged to apply.
DESIRED SKILLS:
- Strong organizational skills and attention to detail
- Effective verbal and written communication
- Strong Microsoft Software skills, specifically Excel
- Team collaboration and independent problemsolving
- Adaptability and flexibility in a fastpaced environment
- Commitment to diversity, equity, and consumerdirected care
PHYSICAL REQUIREMENTS:
- Regularly required to sit, talk, hear, walk, and use hands for repetitive tasks.
- Occasionally required to lift and carry up to 10 pounds.
- Must be able to operate standard office equipment and maintain focus in a busy office environment.
SCHEDULE: On-site, Monday-Friday 8am-4pm
#WORKATGAVIN
About Gavin Foundation Inc
The Gavin Foundation is a nonprofit agency providing comprehensive adult, youth and community substance abuse education, prevention and treatment programs. Established in South Boston in 1963, we now serve over 10,000 individuals each year from Massachusetts and beyond. The Gavin Foundation offers a continuum of care to individuals, support services to their families, and programs to increase community awareness and acceptance regarding addiction and recovery.