Billing Specialist

Position Title: Billing Specialist Program: Accounting Salary/Hourly Status: Hourly FLSA Classification: Non-Exempt Schedule: Mon-Fri Reports to: Director of Accounting ______________________________________________________________________________ Company Overview Waypoint offers comprehensive services, including a special purpose private school for children with autism and other developmental disabilities, case management and outpatient therapy services for children and adults, and residential and in-home supports for adults with Intellectual/Developmental Disabilities. Position Overview Responsible for timely and accurate billing, rebills, and collection of all agency claims. ______________________________________________________________________________ Duties and Responsibilities: In alignment with the Agency’s Four Cornerstones of Member Care, Driven Program Integrity, Manage and Develop Staff and Facility Management , this position is accountable for the following key duties and responsibilities: Key Responsibilities · Facilitate all billing/invoicing for entire Agency and perform related billing responsibilities for · Maine Care, Child Development Services (CDS), and Private Insurance Companies · Maintain all client information in all billing systems (billing codes, Maine Care numbers, addresses, client contract information, billing rates, diagnostic codes, authorizations, etc.) · Distribute all invoices and statements (as applicable) to clients. · Handles all client and payer outreach, phone calls, response to inquiries, etc. · Manages all Maine Care, CDS, and Private Insurance denied claims. Ensures all aged claims are collected upon. · Handles all denied communications, research of denials and non-payments, and processes all rebills, invoice adjustments, credit memos etc. Ensures billing discrepancies/denials are investigated and resolved timely. · Maintains all client billing files. · Reconciles billing revenue. · Examines monthly billing reports to ensure accuracy, completeness and conformance to standards defined within accounting department. Ensure minimal errors when billing. · Act as point of contact for all internal and external billing inquiries, research, reporting, etc. · Prepares journal entries as assigned. · Posts manual deposits into billing software system · Assists in year-end audit, internal QA audits, or all audits by third-party payers. · Other duties as assigned Requirements Knowledge/Skills/Abilities · 2-3 years billing experience, Maine Care billing preferred. · Intermediate Microsoft Excel user. · Ability to meet deadlines. · Strong problem-solving skills and attention to detail. · Strong verbal and written communication skills. Education/Experience · High School Diploma required, associate’s degree preferred. · Experience with Credible/Inovalon/ Financial Edge preferred Work Environment & Physical Demands · Standard office environment; may require occasional travel to other locations. · Ability to sit, stand, and work at a computer for extended periods. · Occasional lifting of files or office materials (up to 25 lbs). Starting Pay Rate: $27/hour Benefits Medical, Dental, Vision Insurance Retirement Plan Paid Time Off Paid Holidays Employer Paid Short Term Disability Employer Paid Life Insurance and AD&D Critical Illness and Accident Insurance Flexible Spending Accounts