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

Benefits:

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

Schedule:

• 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