Billing Specialist

Posted by Waypoint Maine
Sanford, ME
November 17, 2023

Job Details

Full job description

Position Overview: Responsible for timely and accurate billing of claims, claim adjustments, and collection of all agency claims in accordance with Department of Health & Human Services Chapter 101 MaineCare Benefits Manual, specifically Chapter III, Allowances for Services.

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:

· Facilitates all billing/invoicing for entire Agency as well as perform other related billing responsibilities for Mainecare and Child Development Services (CDS)

· Maintains all client and billing information in all billing systems (billing codes, Maine Care numbers, addresses, client contract information, billing rates, diagnostic codes, authorizations, etc.)

· Handles all client and payer outreach, phone calls, response to inquiries, etc.

· Manages all MaineCare and CDS denied claims ensures all aged claims are collected upon.

· Handles all denied claim communications, research of denials, non-payments, and processes all rebills, claim adjustments, reversals, etc.

· Ensures timely billing discrepancies/denials are investigated and resolved.

· Maintains all client billing files.

· Examines monthly billing reports to ensure accuracy, completeness and conformance to standards defined within the accounting department.

· Ensures minimal errors when billing.

· Acts as point of contact for all internal and external billing inquiries, research, reporting, etc.

· Assists with analyzing billing data, identifying trends, and investigating variances.

· Assists in year-end audit, internal audits, or all audits by third-party payers.

· Apply agency cash receipts

· Other duties as assigned.

Position Competencies(Knowledge/Skills/Abilities):

· 2-3 years MaineCare billing experience.

· Intermediate Microsoft Excel user. (Must know how to use formulas functions and pivot tables.)

· Ability to meet deadlines.

· Strong problem-solving skills and attention to detail.

· Strong organization skills.

· Strong verbal and written communication skills.

Additional Qualifications:

· High Diploma required; Associates Degree preferred.

· Experience with Mybilling/Remarkable Health/CINC/Financial Edge preferred.

*NOTE: This is a Billing Specialist and Cash Management role*

Job Type: Full-time


  • 401(k) matching
  • Dental insurance
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance


  • 8 hour shift
  • Day shift
  • Monday to Friday

Work setting: / Hybrid work / Office

Ability to commute/relocate:

  • Sanford, ME 04073: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

  • What is your experience level with Microsoft Excel?

Education: / Associate (Preferred)

Experience: / MaineCare billing: 2 years (Required)

Work Location: Hybrid remote in Sanford, ME 04073

If you require alternative methods of application or screening, you must approach the employer directly to request this as Indeed is not responsible for the employer’s application process.


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