Medical Billing Specialist

Health Affiliates Maine has an opening for a Medical Billing Specialist (commercial insurance) to join their team. This is a full-time, 40 hr/wk, role.

Roles and Responsibilities (Include but are not limited to the following):

  •  Audit and process weekly commercial insurance billing as per company procedures and processes.
  • Identify discrepancies in billing submissions and correct them accurately for processing
  • Meet all billing and provider payment deadlines each week.
  •   Implement and follow all QA billing procedures according to internal and external regulations and agency standards.
  • Ensure providers adhere to all agency billing policies, procedures, and processes.
  • Be able to work with the State of Maine KePro Healthcare system requirements regarding the registration process and deadlines.
  • Maintain accounts receivables for assigned providers.
  • Process manual MaineCare Secondary claims.
  • Research and correct take back and over-payments to providers and/or insurance companies accurately and in a timely manner.
  • Work denials and outstanding claims that are not paid.
  •  Assist with other administrative duties as deemed necessary by the management team.

Qualifications (Include but are not limited to the following):

  • Knowledge of business English, grammatical construction, spelling, punctuation and vocabulary and the ability to type accurately.
  • High School Diploma or equivalent
  • Previous reception experience preferred

Benefits (Include but are not limited to the following):

  • Earned Benefit time + 11 paid holidays
  • Health, Dental, Vision, LTD, STD Benefits
  • 401k Retirement Savings
  • Employee Assistance Program (EAP)
  • Wellness Program

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