Billing Specialist

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 ResponsibilitiesBilling & 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