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Sr. Billing Specialist & Collections Specialist - Saco
Job Code:11564
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.

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.
  • Supervisory experience preferred.

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. 
  
    

Executive Office: 50 Moody Street    Saco, Maine    04072-0892    Phone: 1-800-434-3000    Copyright © 2015  Sweetser    info@sweetser.org