Billing Specialist - Saco

Billing Specialist

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.