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Healthcare Billing Specialist II

2 months ago

Scarborough, Maine, United States MaineHealth Full time

Overview

MaineHealth is seeking a dedicated Patient Financial Services Associate II specializing in Hospital Billing. This role offers the flexibility of being fully remote.

Role Summary

This position represents the second tier in the revenue cycle career ladder within Patient Financial Services (PFS). The incumbent will be tasked with a specific range of patient accounting responsibilities, which may encompass accurate billing, training initiatives, and/or the resolution of insurance claim denials within established filing timelines. This ensures the proper completion and closure of accounts within 120 days from the service date. A designated trainer will oversee the training and auditing requirements of the department. Collaboration within a team-oriented environment is essential, ensuring equitable distribution of workloads. The role also necessitates thorough account research to ascertain compliance with governmental regulations prior to claim submissions. The individual will contribute to the overall effectiveness of Patient Financial Services by exhibiting adaptability, teamwork, and cooperation in a High-Performance Work Team (HPWT) setting, while consistently delivering quality results and maintaining high productivity levels. Continuous learning in all facets of Patient Financial Services is encouraged to align with the growth trajectory of MaineHealth.

Essential Qualifications

  1. Education: High School diploma or GED is preferred.
  2. Licenses/Certifications: Not applicable.
  3. Experience: Minimum of 9 months in a relevant healthcare setting. Experience in hospital or provider-based billing is advantageous.
  4. Ability to thrive in a high-volume, fast-paced environment while managing and prioritizing multiple tasks concurrently.
  5. Skills: Proficient keyboard and data entry skills are required. Familiarity with Microsoft Word, Excel, email, and internet communication is essential, along with the capability to work effectively with electronic quality monitoring systems.
  6. Experience or the ability to be trained in problem-solving and collaborative solution development is necessary. For the trainer role, prior experience or training in auditing and training is required.
  7. Demonstrated proficiency in at least one functional area (billing, collections, or healthcare accounts receivables training) for a single payer (hospital) or specialty (physician) is expected.
  8. Specialized Knowledge: Preference for candidates with hospital or provider-based billing expertise.
  9. Familiarity with CPT, HCPCS, and ICD9/10 coding systems is essential.

Work Environment

This position is hybrid/remote.

About MaineHealth

MaineHealth is a comprehensive health system comprising hospitals, physician practices, long-term care facilities, home care agencies, and various support services. For more information about our organization, please visit our website.