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Sweetser

Billing Specialist - Saco

Sweetser, Saco

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Becoming part of the Sweetser family means you can make a difference in the lives of Maine children, adults, and families every day. As a nationally recognized and accredited leader, we offer competitive salaries, a wide range of benefits and the opportunity to join a passionate team of more than 700 employees.
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Billing Specialist - Saco
Job Code: 12771
Location: Saco 04072
Department: Other
FT/PT Status: Full Time
Summary:
Are you detail-oriented, numbers-savvy, and passionate about keeping financial operations running smoothly? Were 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 clients 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.
  • Associates 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.
Seniority level
  • Seniority level
    Entry level
Employment type
  • Employment type
    Full-time
Job function
  • Job function
    Accounting/Auditing and Finance
  • Industries
    Mental Health Care

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