• Billing Specialist

    Sweetser (Saco, ME)


    Billing Specialist - Saco

     

    Job Code:12771

     

    Department:Other

     

    FT/PT Status:Full Time

    Summary:

    Are you detail-oriented, numbers-savvy, and passionate about keeping financial operations running smoothly? We’re looking for a **Billing Specialist** to join our fast-paced, collaborative, and quality-focused team! This individual will be responsible for maintaining records of financial transactions by establishing and posting transactions, billing for services, and participating in accounts receivable collection.

    ESSENTIAL FUNCTIONS:

    • Document financial activity by entering transactions information to the MIS system.

    • Communicate with appropriate parties to obtain information needed for billing, changes to the client’s eligibility for benefits, authorization coordination, and other information that affects the validity and collection of fees.

    • Bill for services by preparing bills in HCFA1500, UB92 or invoice formats, as appropriate, for all payers.

    • Reviews all bills for accuracy prior to submission to payers.

    • Submits billing to payers in accordance with the established billing schedules.

    • Collect and maintain accurate and current client information (including but not limited to client demographics, coverage/funding source, eligibility information and authorization management) in the patient accounts management information system.

    • Provides billing-related support to clients and staff via email, telephone, and/or in person.

    • Maintain patient and funding source billing and related documentation.

    • Perform all follow-up required for all claims generated in accordance with established collection standards on accounts until claims are paid.

    • Initiate collection on past-due self-pay accounts in accordance with the established collection procedures.

    GENERAL EXPECTATIONS:

    • Maintain financial security by following internal controls.

    • Be committed to the mission, vision, and values of the organization.

    • Work collaboratively as a member of a team with various groups of staff, depending on the issue addressed.

    • Assure quality in work performed to facilitate the delivery of quality services.

    • Fulfills job function by participating as an active member in all patient accounts department meetings, training, and organization committee work.

    • Maintains professional and technical knowledge by attending educational workshops and reviewing professional publications.

    • Must be able to read, write, and speak English fluently.

    EDUCATION REQUIREMENTS:

    • High school diploma required.

    • Associate’s degree in business or significant related training and experience preferred.

    EXPERIENCE:

    • One (1) year of experience in health care billing preferred.

    • Experience in the mental and behavioral health care industry preferred.

    • Experience with computerized billing systems, spreadsheet and word processing software.

    • Good oral and written communication skills.

    • Intermediate computer skills.

    • Persons with lived experience in the Mental Health and/or Substance Abuse system are encouraged to apply.