Find & Apply For Billing Clerk / Specialist Jobs in Scarborough, Maine

POSITION OVERVIEW

The Billing Coordinator supports the Operations and Finance Departments to ensure all aspects of the billing process for IDD services are accurate and compliant with state and federal regulations. This role requires exceptional attention to detail, strong organizational skills, confidentiality, and the ability to efficiently manage repetitive tasks while maintaining accuracy.

PRIMARY JOB DUTIES

Fully understands and abides by GBC policies, practices and procedures, as well as State and Federal regulations. Exhibits a level of professionalism consistent with GBC Mission, Vision, and Values. Maintains professional boundaries. Process and submit Medicaid claims across all GBC service lines. Review and validate attendance data prior to claim submission. Identify, document, and escalate discrepancies in attendance and billing data. Process back-billing and post-dated claims in accordance with payer timelines. Ensure all claims are accurate, complete, and compliant with Medicaid and state billing guidelines. Monitor and maintain claim status from submission through payment. Research and resolve claim denials, rejections, and submission failures. Analyze payer correspondence, eligibility data, and billing records. Identify trends and root causes of recurring billing issues and recommend solutions. Prepare and deliver weekly claims reports summarizing totals and trends by service line. Maintain accurate, organized documentation of billing activity and resolutions. Collaborate with internal teams to proactively address potential billing issues. Communicate clearly with leadership, operations, staff, and finance. Maintain audit-ready billing documentation. Identify and report billing errors, duplicate claims, and compliance concerns. Support additional billing and operational tasks as needed. All other duties as assigned.

QUALIFICATIONS AND REQUIREMENTS

Bachelor's degree in health information management, Business, Finance, Healthcare Administration, or related field preferred. An equivalent combination of education, training, and relevant medical billing or claims-processing experience will be considered. At least one year of experience in medical billing, claims processing, revenue cycle, healthcare administration, or a related field required. Experience in medical billing, claims processing, or healthcare administration Successful completion and maintenance of all required training provided by GBC. Strong ethical and moral character. Must have proven time management skills which support productivity and efficiency. Must be reliable and dependable. Must have excellent written and verbal communication skills; must be able to read, write and verbally communicate in English Must have experience using computers and computer programs (Therap, GBC portal, etc), be comfortable learning and applying new technology, competent in conducting research through internet search engines, etc. Experience with payer portals, electronic billing systems, authorization systems, and Microsoft Excel.

Pay:

$50,000.00 - $60,000.00 per year

Benefits:

401(k) Dental insurance Health insurance Life insurance Paid time off Vision insurance

Work Location:

In person