Becoming part of the Sweetser family means you can make a difference in the lives of Maine children, adults, and families every day. As a nationally recognized and accredited leader, we offer competitive salaries, a wide range of benefits and the opportunity to join a passionate team of more than 700 employees.
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Experience with Inovalon Clearinghouse preferred!THE IDEAL CANDIDATE WILL: • Document financial activity by entering transactions information to the MIS system. • Communicate with appropriate parties to obtain information needed for billing, changes to the client’s eligibility for benefits, authorization coordination, and other information that affects the validity and collection of fees. • Bill for services by preparing bills in HCFA1500, UB92 or invoice formats, as appropriate, for all payers. • Submit billing to payers in accordance with the established billing schedules. • Maintain patient and funding source billing and related documentation. • Perform all follow-up required for all claims generated in accordance with established collection standards on accounts until claims are paid. • Initiate collection on past-due self-pay accounts in accordance with the established collection procedures.EDUCATION REQUIREMENTS:• High school diploma required. • Associate’s degree in business or significant related training and experience preferred. GENERAL REQUIREMENTS: • One (1) year of experience in health care billing or completion of a health care billing certificate program that required an internship of a minimum of one hundred eighty (180) hours. • Experience in the mental and behavioral health care industry preferred. • Experience with computerized billing systems, spreadsheet and word processing software. • Good oral and written communication skills. • Intermediate computer skills. • Persons with lived experience in the Mental Health and/or Substance Abuse system are encouraged to apply.