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.
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.
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 or completion of a health care billing certificate program that required an internship of a minimum of one hundred eighty (180) hours.
- 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.