Biller

New England Life Care (NELC) is one of the fastest growing home infusion therapy companies in New England and is the regions only non-profit home infusion provider. NELC is a hospital collaborative serving more than 60 hospital systems in Maine, New Hampshire, and Massachusetts. NELC was created by local hospitals to ensure their patients have access to a provider that reflects their commitment to excellence in patient care, quality, and service. Like our owner hospitals, NELC provides patient focused care.New England Life Care has and continues to build a diverse, inclusive, and authentic workplace, so if youre energized by this opportunity, but your experience doesnt support every qualification in the job posting, we encourage you to apply You still may be the person we are looking forNew England Life Care currently has a Fully Remote Biller position available. The normal schedule is Monday - Friday from 8:00am until 4:30pm.**Only hiring remotely in the following states: Connecticut, Florida, Maine, Maryland, Massachusetts, North Carolina, New Hampshire, Ohio, Rhode Island, Texas, & Vermont**Job Summary: The biller is responsible for the billing of insurances and patients.Career Ladders: NELCs billing department offers career ladders to Billers.Candidates who achieve excellent performance in their job duties, who demonstrate a commitment to personal development, participation in department and company strategic programs and projects, who develop superior working relationships inside and outside the department and who show a commitment to the success of the department are eligible for promotion to the following positions:Biller represents an entry level position into the department. Candidates who meet defined goals, objectives and accomplishments can generally expect to be promoted in 2-3 years to:Senior Biller - Candidates who meet defined goals, objectives and accomplishments and who demonstrate engagement and ownership of departmental and organization activities would generally expect to be promoted in 4-5 years to:Lead Biller Candidates who are part of the department leadership team and who have responsibility for advanced departmental, company and member hospital engagement.Benefits:Career LadderHealth insuranceDental insuranceVision insuranceGenerous employer-matched 403b savings programCompany paid: Life insurance, Short- and long-term disability insurancePaid time offAnd much moreResponsibilities: Achieve performance appraisals with 'meets expectations' or betterDemonstrate independence and competence and ability to review and navigate patient accounts and delivery ticketsDemonstrate independence and competence and ability to create and accept claims from clearing houses and work claim rejectionsDemonstrate independence and competence in working daily billing reportsDemonstrate independence and competence and ability to teach basic billing knowledge, splitting claims, recognize billing and account errors, work To Do's and send out daily goal emailsDemonstrate independence and competence and ability to bill 20 or more clean claims a dayDemonstrate independence and competence and ability to bill using the payor sheetsDemonstrate independence and competence and ability to teach how to navigate through patient accounts and delivery ticketsMaintain average of 95%or better in claim auditsAll billing queues reviewed weeklyBilling rejections worked daily from queueTo do's completed within 2 daysEducation: 3 years experience in healthcare setting processing healthcare provider claims or comparative experience in a healthcare setting required.A working knowledge of government health insurance plan benefits and the rules & regulations for obtaining reimbursement required.Experience with healthcare patient accounting/billing/collections computer applications including electronic claims processing preferred.Working knowledge of Home Infusion Therapy billing & collection preferred. DiplomaRequired Qualifications: 1 year experience in healthcare setting processing healthcare provider claims or comparative experience in a healthcare setting required.A working knowledge of government health insurance plan benefits and the rules & regulations for obtaining reimbursement required.Knowledge of HIPAA Privacy and Security requirements.Working knowledge of federal / state fraud and abuse laws required.Demonstrated knowledge of medical terminology; CPT; ICD9; and HCPC coding required.Excellent customer service skills required.Excellent communications skills required.Excellent organizational skills required.Ability to work independently as well as part of a team required.Practical experience with microcomputer systems and applications to include Microsoft Word and Excel required.Demonstrated ability to identify research and solve problems required.Preferred Qualifications: Associate degreeDemonstrated knowledge of medical terminology; CPT; ICD9; and HCPC coding required.Excellent customer service skills required.Excellent communications skills required.Excellent organizational skills required.Ability to work independently as well as part of a team required.Practical experience with microcomputer systems and applications to include Microsoft Word and Excel required.Demonstrated ability to identify research and solve problems required.EOE

by Jobble