Special Services Billing and Compliance Specialist

Servingschools; Saco (ME); Presencial; USD 39.000 - 44.000; Jornada completa

Descripción de la vacante

Saco School Department is seeking a Special Services Billing & Compliance Specialist to coordinate MaineCare/Medicaid billing and related documentation for district programs. This role supports the department’s systems for records management, compliance monitoring, and reporting, ensuring accurate reimbursement and regulatory adherence.

The position collaborates with school-based staff, providers, and the finance office to maintain confidential records and timely billing processes, with a focus

Formación

• Experience with billing, claims processing, compliance, accounts receivable, healthcare billing, or related administrative work.
• Experience working in a school district, healthcare, governmental, or other highly regulated environment preferred.
• Strong organizational skills and exceptional attention to detail.
• Demonstrated ability to manage multiple deadlines and complex processes independently.

Responsabilidades

• Coordinate MaineCare/Medicaid billing and associated documentation.
• Coordinate billing responsibilities for services provided to district students.
• Review billing documentation for completeness, accuracy, and required supporting information.
• Track submitted, pending, denied, and corrected claims and follow up as needed.
• Maintain billing records and supporting documentation in accordance with applicable requirements.
• Work collaboratively with providers and staff to obtain documentation necessary for timely billing.
• Assist with reconciliation of billing records and reimbursement reports.
• Communicate with district finance staff, providers, and outside agencies regarding billing-related questions.
• Maintain knowledge of changing billing requirements and assist the department in implementing updated procedures.

Conocimientos

Billing

Documentation

Compliance

Accounts receivable

Healthcare billing

MaineCare billing

Attention to detail

Organization

Communication skills

Educación

High school diploma or equivalent

Associate's or Bachelor's degree in business/finance/healthcare administration/education

Herramientas

Google Workspace

Microsoft Office

Databases

Spreadsheets

Descripción del empleo

Position Purpose

The Special Services Billing & Compliance Specialist provides centralized administrative oversight and support for the billing, documentation, and compliance functions of the Special Services Department.

Position Purpose

The Special Services Billing & Compliance Specialist provides centralized administrative oversight and support for the billing, documentation, and compliance functions of the Special Services Department. This position is responsible for coordinating billing requirements across district special education programs, including MaineCare/Medicaid billing and billing responsibilities associated with students attending Thornton Academy. The position also supports department-wide systems for documentation, records management, compliance monitoring, and reporting. The goal of the position is to establish consistent, accurate, and sustainable systems that support appropriate reimbursement, regulatory compliance, and efficient operation of Special Services.

Essential Functions

Responsibilities include, but are not limited to:

Billing and Reimbursement

• Coordinate Special Services billing processes, including MaineCare/Medicaid billing and associated documentation.
• Coordinate billing responsibilities for eligible services provided to Saco students attending Thornton Academy.
• Review billing documentation for completeness, accuracy, and required supporting information.
• Track submitted, pending, denied, and corrected claims and follow up as needed.
• Maintain billing records and supporting documentation in accordance with applicable requirements.
• Work collaboratively with providers and staff to obtain documentation necessary for timely billing.
• Assist with reconciliation of billing records and reimbursement reports.
• Communicate with district finance staff, providers, and outside agencies regarding billing-related questions.
• Maintain knowledge of changing billing requirements and assist the department in implementing updated procedures.

Compliance and Documentation

• Support Special Services administrators in monitoring required documentation and compliance activities.
• Maintain systems for tracking deadlines, required forms, records, submissions, and other department requirements.
• Assist with preparation of documentation for audits, monitoring activities, state reviews, and other compliance processes.
• Maintain accurate and confidential student and program records.
• Support data collection and reporting required by the Maine Department of Education and other agencies.
• Assist with file reviews and internal quality-assurance processes.
• Identify missing or incomplete documentation and coordinate follow-up with appropriate staff.
• Maintain organized systems that allow records to be readily available for administrative review.

Department Operations

• Develop and maintain efficient systems, procedures, spreadsheets, databases, and tracking tools.
• Work closely with the Director of Instructional Support/Special Services and Special Services administrative team.
• Communicate with school-based staff, service providers, Thornton Academy personnel, business office staff, and outside agencies as appropriate.
• Provide administrative support for department initiatives related to billing and compliance.
• Maintain strict confidentiality regarding student, family, personnel, financial, and other protected information.
• Perform other related duties as assigned by the Director of Instructional Support/Special Services or Superintendent/designee.

Qualifications

• High school diploma or equivalent required; associate's or bachelor's degree in business administration, finance, healthcare administration, education, or a related area preferred.
• Experience with billing, claims processing, compliance, accounts receivable, healthcare billing, school-based Medicaid/MaineCare billing, or related administrative work strongly preferred.
• Experience working in a school district, healthcare, governmental, or other highly regulated environment preferred.
• Strong organizational skills and exceptional attention to detail.
• Demonstrated ability to manage multiple deadlines and complex processes independently.
• Strong computer skills, including proficiency with spreadsheets, databases, Google Workspace and/or Microsoft Office.
• Ability to learn specialized student information, billing, and documentation systems.
• Ability to interpret and follow established procedures, regulations, and billing requirements.
• Strong written and verbal communication skills.
• Ability to work collaboratively with administrators, staff, providers, outside agencies, and families as appropriate.
• Demonstrated ability to maintain strict confidentiality.
• Current State of Maine Criminal History Records Check approval or ability to obtain.

Knowledge, Skills, And Abilities

• High degree of accuracy and attention to detail.
• Ability to identify discrepancies and follow through until issues are resolved.
• Ability to organize large volumes of information and documentation.
• Ability to establish and maintain reliable administrative systems.
• Professional judgment when working with confidential and sensitive information.
• Ability to prioritize competing responsibilities and meet established deadlines.
• Strong interpersonal and customer-service skills.
• Ability to work independently while functioning as part of a collaborative Special Services team.

Work Environment

• Primarily works in a Central Office environment.
• Regularly uses computers, databases, telephones, copiers, scanners, and other standard office equipment.
• May occasionally travel between district schools or other program locations.
• Requires extended periods of computer-based work and review of detailed records.

Terms of Employment

Full-time, year-round, position. Salary and benefits to be established by the Superintendent and School Board based upon qualifications and experience. $28-$32 per hour

Evaluation

Performance will be evaluated annually by the Director of Instructional Support/Special Services or designee.

Equal Opportunity Employment

Saco School Department is committed to fostering a diverse, inclusive, and welcoming environment. We encourage applications from qualified candidates regardless of race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Note: This job description reflects the general requirements necessary to describe the position's primary functions and responsibilities and is not intended to be an exhaustive description of all duties that may be assigned.