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Billing and Collections Manager 

EOE StatementWe are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.
About the Organization The mission of Fenway Health is to enhance the wellbeing of the lesbian, gay, bisexual, and transgender (LGBT) community and all people in our neighborhoods and beyond through access to the highest quality health care, education, research, and advocacy. Fenway Health was founded in 1971 and has grown from a less than 10 person operation in the basement of a building near the Boston Fens to one of the largest LGBT-focused organizations in the world. It consists of three main centers:

• Fenway Community Health Center, our clinical arm, which is a federally qualified health center that operates three clinic sites (Fenway:1340, Fenway:South End, and the Sidney Borum, Jr. Health Center) in the Boston area and provides over 30,000 patients with primary and specialty medical care, behavioral health care, optometry care, and dental care;

• The Fenway Institute, our research/training/education/policy development arm, which houses numerous research initiatives as well as the National LGBT Education Project, the LGBT Aging Project, the National Center for Innovation in HIV Care, and the Center for Population Research in LGBT Health; and

• AIDS Action, our HIV/AIDS service organization, which provides nonclinical services (case management, housing and legal assistance, outreach, peer support) to people living with HIV/AIDS and operates numerous programs focusing on HIV/STD prevention/testing/treatment, including the Access (drug user health program), TransCEND (transgender peer support and risk reduction program), and Youth on Fire (drop-in center for homeless and street-involved youth) programs.
Position Billing and Collections Manager  
Full-Time/Part-Time Full-Time  

Under direction of the Director of Billing and Collections, the Billing and Collections Manager billing duties include but are not limited to: assisting with management and work disbursement to billing staff; weekly electronic and paper billing analysis; act as liaison with behavioral health department providers and operations management staff to resolve payer/authorization issues/processes; oversee behavioral health authorization coordinator work flow and assign duties as necessary; resolve patient billing disputes as needed; processing of EOB’s; rebilling/follow-up on outstanding claims; ICD10/CPT/HCPCS coding; and attend pertinent payer related training classes.

Representative Duties:

  1. Management of billing staff and disbursement of work
  • Maintain staff calendar; approve time off and overtime requests, update calendar with late and/or sick time
  • Approve timesheets
  • Review incoming mail to billing department
  • Meet with billing staff individually on a regular basis
  • Monitor lockbox status, approving, and filed rejected claims. Report weekly progress to Director
  1. Maintain and improve Billing System and financial procedures
  • Work closely with Director of Billing and Collections on the daily workflow and special projects
  • Ensure relevant information is entered and updated in CPS, for example CPT, ICD10, new providers and insurances (including insurance EDI setup)
  • Process collection accounts weekly; small balance adjustments, terminate delinquent payment plan accounts, correct overdue balance notices
  • Reverse bad checks reported by bank
  • Index electronic EOB files and monitor staff folders for compliance with Billing procedures
  • Maintain scanned documents and spreadsheet for re-classed payments (dental, medical records, etc.)
  • Approve patient refunds as needed
  1. Work with significant internal and external contacts to provide support and information.
  • Serve as liaison with payers to ensure we are billing correctly and to resolve any problems with the billing
  • Work with auditors to provide data
  • Establish contact with payer reps in order to efficiently resolve billing issues either by phone or in person
  • Work closely with CPS and payers in correcting billing problems so claims are paid in a timely manner.
  • Ensure communication among Finance staff and other departments; work with department managers in establishing internal auditing to minimize denials
  1. Provide training and supervision to assigned staff following FCHC policies and procedures
  • Develop a process to handle patient questions and issues about bills, and train staff in its use
  • Train staff on the daily work flow, such as updating patient information, verifying and entering insurance, posting charges, handling payments and denials, making patient phone calls and navigating through CPS
  • Adhere to the best practices of successful staff supervision
  • Ensure that staff receive sufficient training regarding the full range of their responsibilities
  • Provide regular written evaluations of assigned staff following agency evaluation guidelines
  • Make decisions regarding assigned staff responsibilities within the scope of defined authority and following established agency and program guidelines
  1. Meets Agency Participatory Expectations
  • Adheres to all agency and departmental policies and procedures
  • Participates in quality assessment and improvement activities as requested
  • Adheres to the highest principles of patient and client confidentiality
  • Adheres to established safety policies, procedures and precautions; identifies potential or actual unsafe situations in the environment and takes measures to rectify the situation
  • Attends all required meetings, in-services and professional trainings
  • Maintains professional competence necessary to perform job responsibilities; maintains and provides agency with records of continuing education activities
  • Serves on agency committees and in professional organizations when requested
  1. Performs other duties as required

We offer competitive salaries, and for those who qualify, an excellent benefits package; including comprehensive medical and dental insurance plans, and a retirement plan with employer match. We also provide 11 paid holidays, paid vacation, and more.
LGBTQ-identified persons, people of color, and others from historically underrepresented communities are encouraged to apply.

Number of Openings 1  
Position Requirements

Job Requirements:
Basic Education/Experience:

  • Bachelor’s Degree in Business or related field.
  • Minimum 2 years related supervisory experience.

Knowledge/Other Requirements:

  • Basic PC skills for spreadsheet and word processing applications.
  • Basic computer education in specialized software applications such as billing and using the internet.
  • Knowledge of CPT/HCPCS/ICD10 coding.
Category Accounting/Finance  
Number Filled 1  
Location Accounting/Finance @ 126 Brookline Avenue  
Shift -not applicable-  
Req Number ACC-18-00006  

This position is currently not accepting applications.

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