Health Affiliates Maine has an opening for a Commercial Billing Representative to join their team. This is a full-time, 40 hr/wk, role.
Roles and Responsibilities:
- 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 overpayments to providers and/or insurance companies accurately and in a timely manner.
- Process denials and outstanding claims that are not paid.
- Assist with other administrative duties as deemed necessary by the management team.
Qualifications:
- High School Education or equivalent
- Billing Experience preferred
- Excellent Customer Service Skills required
Benefits:
- 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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