Sr. Billing Specialist & Collections Specialist - Saco

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Sr. Billing Specialist & Collections Specialist - Saco

Job Code: 12859

Location: Saco 04072

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.