Patient Receivable and Billing Specialist

Maine Optometry•Gorham, ME

3d•Onsite

About The Position

The Patient Receivable and Billing Specialist supports Maine Optometry’s revenue cycle by managing outstanding patient balances and promptly resolving patient account issues. The role is a key point of contact for patients, internal office teams, and third-party billing partners regarding balances, payments, billing inquiries, and insurance follow-up. The specialist is expected to provide professional, accurate, confidential, and compliant service, including handling sensitive financial conversations with patience and empathy. This is a regular, full-time, in-person position in Gorham. Regular on-site attendance is required to support daily billing functions and collaboration with team members and leadership. The stated hours of operation are Monday through Friday, 8:00 AM to 4:30 PM. Healthcare or customer-service experience is described as a plus, and the employer provides comprehensive training. The position requires a high school diploma or GED and at least three years of experience in a business office and/or physician’s office, along with medical terminology knowledge through coursework or experience.

Requirements

High school graduate or GED.
At least three years of experience in a business office and/or physician’s office.
Medical terminology knowledge through coursework or experience.
Strong verbal and written communication skills.
Proficiency in Microsoft Office products.
Experience in customer service.
Knowledge of HIPAA and commitment to maintaining patient confidentiality.

Nice To Haves

Experience in healthcare.
Customer-service experience is also described as a plus, though customer-service experience is listed among the qualifications.

Responsibilities

Conduct inbound and outbound communication with patients regarding billing questions, payment options, balance resolution, and account status.
Respond to patient concerns with patience, empathy, and professionalism, using communication and problem-solving skills to de-escalate issues and promote a positive patient experience.
Manage and follow up on outstanding patient balances in a timely and professional manner.
Review patient accounts for discrepancies and help resolve outstanding balance issues.
Prepare and send patient statements and other account-related correspondence as needed.
Initiate collection efforts for delinquent patient accounts, including coordinating with collection agencies and placing accounts in accordance with company policy.
Post daily patient payments, including credit card and check receipts, and reconcile payments in coordination with the Accounting Department.
Identify credit balances and coordinate appropriate next steps, including account corrections or refunds in partnership with bookkeeping.
Maintain complete and accurate documentation of patient communications, collection activity, account actions, and follow-up efforts to meet department and KPI goals.
Review aging reports, identify collection opportunities, and pursue timely resolution of outstanding balances.
Provide administrative support for office operations, including processing inbound communications, updating patient account information, and assisting with other departmental needs.
Coordinate responses to health and vision insurance audits, including compiling records, validating documentation, and meeting submission deadlines.
Maintain patient confidentiality and comply with HIPAA requirements.
Perform additional duties and special projects assigned by the Billing and Accounting Manager.
Manage billing communications, respond to inquiries, direct messages appropriately, and assist with billing-related issue resolution.
Process deposits from insurance remittances and support departmental operations through regular in-person attendance.