Billing Specialist

Position Title: Billing Specialist Program: Accounting

Duties and Responsibilities:

In alignment with the Agency’s Four Cornerstones of Member Care, Driven Program Integrity, Manage and Develop Staff and Facility Management, this position is accountable for the following key duties and responsibilities:

Key Responsibilities

• · Facilitate all billing/invoicing for entire Agency and perform related billing responsibilities for · Maine Care, Child Development Services (CDS), and Private Insurance Companies
• · Maintain all client information in all billing systems (billing codes, Maine Care numbers, addresses, client contract information, billing rates, diagnostic codes, authorizations, etc.)
• · Distribute all invoices and statements (as applicable) to clients.
• · Handles all client and payer outreach, phone calls, response to inquiries, etc.
• · Manages all Maine Care, CDS, and Private Insurance denied claims. Ensures all aged claims are collected upon.
• · Handles all denied communications, research of denials and non-payments, and processes all rebills, invoice adjustments, credit memos etc. Ensures billing discrepancies/denials are investigated and resolved timely.
• · Maintains all client billing files.
• · Reconciles billing revenue.
• · Examines monthly billing reports to ensure accuracy, completeness and conformance to standards defined within accounting department. Ensure minimal errors when billing.
• · Act as point of contact for all internal and external billing inquiries, research, reporting, etc.
• · Prepares journal entries as assigned.
• · Posts manual deposits into billing software system
• · Assists in year-end audit, internal QA audits, or all audits by third-party payers.
• · Other duties as assigned

Requirements

• Knowledge/Skills/Abilities
• · 2-3 years billing experience, Maine Care billing preferred.
• · Intermediate Microsoft Excel user.
• · Ability to meet deadlines.
• · Strong problem-solving skills and attention to detail.
• · Strong verbal and written communication skills.
• Education/Experience
• · High School Diploma required, associate’s degree preferred.
• · Experience with Credible/Inovalon/ Financial Edge preferred
• Work Environment & Physical Demands
• · Standard office environment; may require occasional travel to other locations.
• · Ability to sit, stand, and work at a computer for extended periods.
• · Occasional lifting of files or office materials (up to 25 lbs).
• Starting Pay Rate: $27/hour