Becoming part of the Sweetser family means you can make a difference in the lives of Maine children, adults, and families every day. As a nationally recognized and accredited leader, we offer competitive salaries, a wide range of benefits and the opportunity to join a passionate team of more than 700 employees.
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Are you detail-oriented, numbers-savvy, and passionate about keeping financial operations running smoothly? We’re looking for a Billing Specialist to join our fast-paced, collaborative, and quality-focused team! This individual will be responsible for maintaining records of financial transactions by establishing and posting transactions, billing for services, and participating in accounts receivable collection.
ESSENTIAL FUNCTIONS: • Document financial activity by entering transactions information to the MIS system. • Communicate with appropriate parties to obtain information needed for billing, changes to the client’s eligibility for benefits, authorization coordination, and other information that affects the validity and collection of fees. • Bill for services by preparing bills in HCFA1500, UB92 or invoice formats, as appropriate, for all payers.• Reviews all bills for accuracy prior to submission to payers.• Submits billing to payers in accordance with the established billing schedules.• Collect and maintain accurate and current client information (including but not limited to client demographics, coverage/funding source, eligibility information and authorization management) in the patient accounts management information system. • Provides billing-related support to clients and staff via email, telephone, and/or in person.• Maintain patient and funding source billing and related documentation. • Perform all follow-up required for all claims generated in accordance with established collection standards on accounts until claims are paid. • Initiate collection on past-due self-pay accounts in accordance with the established collection procedures. GENERAL EXPECTATIONS:• Maintain financial security by following internal controls.• Be committed to the mission, vision, and values of the organization.• Work collaboratively as a member of a team with various groups of staff, depending on the issue addressed.• Assure quality in work performed to facilitate the delivery of quality services.• Fulfills job function by participating as an active member in all patient accounts department meetings, training, and organization committee work.• Maintains professional and technical knowledge by attending educational workshops and reviewing professional publications.• Must be able to read, write, and speak English fluently. EDUCATION REQUIREMENTS:• High school diploma required.• Associate’s degree in business or significant related training and experience preferred.EXPERIENCE:• One (1) year of experience in health care billing preferred.• Experience in the mental and behavioral health care industry preferred.• Experience with computerized billing systems, spreadsheet and word processing software.• Good oral and written communication skills.• Intermediate computer skills.• Persons with lived experience in the Mental Health and/or Substance Abuse system are encouraged to apply.
