Billing Specialist

Waypoint Maine; Sanford (ME); On-site; USD 31,000 - 44,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Retirement Plan

Paid Time Off

Paid Holidays

Short Term Disability

Life Insurance and AD&D

Critical Illness and AccidentInsurance

Flexible Spending Accounts

Job summary

Waypoint Maine is seeking a Billing Specialist in Sanford, ME within the Accounting program. This role focuses on timely and accurate billing, rebills, and collection of agency claims, reporting to the Director of Accounting.

Responsibilities include managing billing for MaineCare, CDS, and private insurance, maintaining client data, and handling denials and rebills. Requires 2-3 years of billing experience and strong Excel and communication skills.

Qualifications

• 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.

Responsibilities

• Facilitate all billing and invoicing for entire Agency and perform related billing responsibilities.
• 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 to clients.
• Handles all client and payer outreach, phone calls, response to inquiries, etc.
• Manages all Maine Care, CDS, and Private Insurance denied claims and ensures all aged claims are collected.

Skills

Billing

MaineCare billing

Excel

Detail oriented

Communication

Education

High School Diploma

Associate degree preferred

Tools

Credible

Inovalon

Financial Edge

Job description

Position Title: Billing Specialist Program: Accounting

Salary/Hourly Status: Hourly FLSA Classification: Non-Exempt

Schedule: Mon-Fri Reports to: Director of Accounting

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Company Overview

Waypoint offers comprehensive services, including a special purpose private school for children with autism and other developmental disabilities, case management and outpatient therapy services for children and adults, and residential and in-home supports for adults with Intellectual/Developmental Disabilities.

Position Overview

Responsible for timely and accurate billing, rebills, and collection of all agency claims.

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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

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

• Medical, Dental, Vision Insurance
• Retirement Plan
• Paid Time Off
• Paid Holidays
• Employer Paid Short Term Disability
• Employer Paid Life Insurance and AD&D
• Critical Illness and Accident Insurance
• Flexible Spending Accounts