Billing Specialist

Position Title: Billing Specialist                                 Program: Accounting

Salary/Hourly Status: Hourly                                  FLSA Classification: Non-Exempt

Schedule: Mon-Fri                                                     Reports to: Director of Accounting

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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.

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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