Billing Specialist

Waypoint Maine•Sanford, ME

About The Position

The Billing Specialist is responsible for timely and accurate billing, rebilling, and collection of agency claims. The position facilitates billing and invoicing across the agency, including Maine Care, Child Development Services (CDS), and private insurance companies. It maintains client and billing information, distributes invoices and statements, responds to client and payer inquiries, investigates and resolves denials and billing discrepancies, reconciles revenue, and supports audits and accounting activities. Waypoint provides services including a special purpose private school for children with autism and other developmental disabilities, case management and outpatient therapy for children and adults, and residential and in-home supports for adults with Intellectual/Developmental Disabilities. The Billing Specialist reports to the Director of Accounting. The position is hourly and non-exempt, with a Monday–Friday schedule. The work is in a standard office environment and may require occasional travel to other locations.

Requirements

Two to three years of billing experience; Maine Care billing experience is preferred.
Intermediate Microsoft Excel skills.
Ability to meet deadlines.
Strong problem-solving skills and attention to detail.
Strong verbal and written communication skills.
High school diploma required.
Ability to sit, stand, and work at a computer for extended periods.
Ability to occasionally lift files or office materials weighing up to 25 pounds.

Nice To Haves

Maine Care billing experience.
Associate’s degree.
Experience with Credible, Inovalon, or Financial Edge.

Responsibilities

Facilitate agency billing and invoicing, including billing for Maine Care, Child Development Services (CDS), and private insurance companies.
Maintain client information in billing systems, including billing codes, Maine Care numbers, addresses, contract information, rates, diagnostic codes, and authorizations.
Distribute invoices and statements to clients, as applicable.
Handle client and payer outreach, phone calls, and responses to inquiries.
Manage denied claims and collect aged claims for Maine Care, CDS, and private insurance.
Research denials and non-payments; process rebills, invoice adjustments, and credit memos; and ensure billing discrepancies and denials are investigated and resolved promptly.
Maintain client billing files.
Reconcile billing revenue.
Review monthly billing reports for accuracy, completeness, and conformance with accounting department standards, while minimizing billing errors.
Serve as the point of contact for internal and external billing inquiries, research, and reporting.
Prepare journal entries as assigned.
Post manual deposits into the billing software system.
Assist with year-end, internal quality assurance, and third-party payer audits.
Perform other duties as assigned.