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Billing Specialist

4 months ago

Sanford, United States Waypoint Maine Full time

_**Position Overview**:_ Responsible for timely and accurate billing of multiple MaineCare and CDS service claims, researching denied claims, and processing appropriate adjustments and claim rebills in accordance with the department of health & Human Services Chapter 101 MaineCare Benefits Manual. Specifically, Chapter III Allowance Services.

This position is hybrid once fully trained, with the expectation of at least 3 days in the office per week.
- **Duties and Responsibilities**:_

In Alignment with Waypoint’s mission and guiding principles this position is responsible for, but not limited to the following key duties and responsibilities:

- Manage the full cycle billing process, including verifying, processing, and entering billing data in multiple billing software.
- Facilitates all billing/invoicing for the Agency as well as perform other related billing responsibilities for Mainecare and Child Development Services (CDS).
- Maintain accurate and up-to-date billing records and documentation including clients’ information, services billing codes, rates, and current MaineCare authorizations in the billing systems and electronic backups.
- Ensures accuracy when billing.
- Respond to billing inquiries and provide exceptional customer service to, programs personnel, teammates, and the senior team.
- Research MaineCare and CDS denied claims to ensure all aged claims are collected upon.
- Timely processes all rebills, claim adjustments, reversals, write offs, etc.
- Examines monthly billing reports to ensure accuracy, completeness and conformance to standards defined within the accounting department.
- Collaborate with the accounting team to resolve any billing discrepancies, ensure accurate invoicing and revenue recognition.
- Acts as point of contact for all internal and external billing inquiries, research, reporting, etc.
- Assists with analyzing billing data, identifying trends, and investigating variances.
- Compiles requested billing data as needed. Pulls financial billing reports and prepares financial analysis as requested.
- Assists with pulling support for year-end audit, internal audits, or all audits by third-party payers.
- Stay informed about industry regulations and billing guidelines to ensure compliance.
- Other duties as assigned.
- **Position Competencies (Knowledge / Skills/ Abilities)**:_
- 5 years Maine Care billing experience or proven experience as a Billing Specialist or similar role.
- Intermediate Microsoft Excel user. Must know how to use VLookup, XLookup, SumIFS, and Pivot Tables.
- Capable of handling stressful situations while managing competing priorities to meet deadlines.
- Ability to handle sensitive and confidential information with discretion.
- Strong independent research and problem-solving abilities.
- Highly organized.
- Excellent attention to detail.
- Formidable verbal and written communication skills.
- Able to perform constant seated work tasks at a computer along with frequent fingering and handling of a pointed device and keyboard.
- **Additional Qualifications**:_
- Bachelor’s degree in Accounting or Finance, or a related field preferred.
- Experience with using billing software. Experience with Mybilling, Remarkable Health, CINC, Financial Edge preferred.

Pay: Up to $27.00 per hour

Expected hours: 40 per week

**Benefits**:

- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance

Schedule:

- 8 hour shift
- Monday to Friday

Work setting:

- Office

Application Question(s):

- What are your salary expectations for this role?
- What is your skill level with Excel?

Ability to Relocate:

- Sanford, ME 04073: Relocate before starting work (required)

Work Location: In person