Sr. Billing Specialist & Collections Specialist - Saco Job Code:12859 Location:Saco 04072 Department:Other FT/PT Status:Full Time Summary: Assures quality of billing for the organization’s services through achievement of assigned responsibilities, including systems support and monitoring activities. Ensure compliance with government/funding source rules and regulations. Position is office-based in Saco. **ESSENTIAL FUNCTIONS:** + Assist in the audit of Patient Accounts (billing specialists, authorization coordinators, patient benefit specialists) daily work. + Ensure timely and accurate billing that is in compliance with all applicable regulations governing the organization. + Assist in weekly or more frequent billing functions such as authorizations, electronic and paper billing, self-pay statements, to provide the organization with consistent, reliable cash flow. + Assist with timely, monthly closing of billing systems. + Provide feedback to management relating to findings during billing review and other related activities and when appropriate, make recommendations for areas of needed development for staff. + Communicate with and report to the Director of Patient Accounts on a regular basis regarding outcomes of all quality-related activities, including discussion of deficiencies found during billing reviews. + Work in conjunction with program staff to ensure processes and procedures are in place to facilitate collection of charges. + Provide excellent and considerate customer service internally and externally while accountable for reducing delinquency on accounts. + Researches and reports to management as requested, such as research concerning third party payer issues. + Maintains accounting controls by preparing and recommending business rules and procedures. + Prepares special financial reports by collecting, analyzing and summarizing account information and trends. **EXPERIENCE:** + One (1) year of medical or mental health services billing experience. + Three (3) years of experience with computerized billing systems, spreadsheet and word processing software. **KNOWLEDGE AND SKILLS:** + Working knowledge of the Medicaid program and regulations and commercial payer expectations. + Working knowledge of CPT coding. + Strong analytical and problem solving skills. + Strong interpersonal skills. + Oral and written communication skills. + Strong Microsoft Excel skills. + Initiative to learn and handle multiple programs. + Knowledge with Section 65, 92 and 17 is a plus.