• Sr. Billing Specialist & Collections Specialist

    Sweetser (Saco, ME)


    Sr. Billing Specialist & Collections Specialist - Saco

     

    Job Code:12859

     

    Department:Other

     

    FT/PT Status:Full Time

    Summary:

    Assures quality of billing for the organization’s services through achievement of assigned responsibilities, including systems support and monitoring activities. Ensure compliance with government/funding source rules and regulations. Position is office-based in Saco.

    ESSENTIAL FUNCTIONS:

    + Assist in the audit of Patient Accounts (billing specialists, authorization coordinators, patient benefit specialists) daily work.

    + Ensure timely and accurate billing that is in compliance with all applicable regulations governing the organization.

    + Assist in weekly or more frequent billing functions such as authorizations, electronic and paper billing, self-pay statements, to provide the organization with consistent, reliable cash flow.

    + Assist with timely, monthly closing of billing systems.

    + Provide feedback to management relating to findings during billing review and other related activities and when appropriate, make recommendations for areas of needed development for staff.

    + Communicate with and report to the Director of Patient Accounts on a regular basis regarding outcomes of all quality-related activities, including discussion of deficiencies found during billing reviews.

    + Work in conjunction with program staff to ensure processes and procedures are in place to facilitate collection of charges.

    + Provide excellent and considerate customer service internally and externally while accountable for reducing delinquency on accounts.

    + Researches and reports to management as requested, such as research concerning third party payer issues.

    + Maintains accounting controls by preparing and recommending business rules and procedures.

    + Prepares special financial reports by collecting, analyzing and summarizing account information and trends.

    EXPERIENCE:

    + One (1) year of medical or mental health services billing experience.

    + Three (3) years of experience with computerized billing systems, spreadsheet and word processing software.

    KNOWLEDGE AND SKILLS:

    + Working knowledge of the Medicaid program and regulations and commercial payer expectations.

    + Working knowledge of CPT coding.

    + Strong analytical and problem solving skills.

    + Strong interpersonal skills.

    + Oral and written communication skills.

    + Strong Microsoft Excel skills.

    + Initiative to learn and handle multiple programs.

    + Knowledge with Section 65, 92 and 17 is a plus.