Biller

New England Life Care•Canton, MA

1d•Remote

About The Position

New England Life Care (NELC) is one of the fastest growing home infusion therapy companies in New England and is the region’s 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 you’re energized by this opportunity, but your experience doesn’t support every qualification in the job posting, we encourage you to apply! You still may be the person we are looking for! New England Life Care currently has multiple Remote Biller positions available. The normal schedule is Monday - Friday from 8:00am until 4:30pm. Only hiring remotely in the following states: Maine, Massachusetts, and New Hampshire

Requirements

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.
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.

Nice To Haves

Associate degree or higher
Experience with healthcare patient accounting/billing/collections computer applications including electronic claims processing preferred.
Working knowledge of Home Infusion Therapy billing & collection preferred.

Responsibilities

Demonstrate independence and competence and ability to review and navigate patient accounts and delivery tickets
Demonstrate independence and competence and ability to create and accept claims from clearing houses and work claim rejections
Demonstrate independence and competence in working daily billing reports
Demonstrate 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 emails
Demonstrate independence and competence and ability to bill 20 or more clean claims a day
Demonstrate independence and competence and ability to bill using the payor sheets
Demonstrate independence and competence and ability to teach how to navigate through patient accounts and delivery tickets
Maintain average of 95%or better in claim audits
All billing queues reviewed weekly
Billing rejections worked daily from queue
To do's completed within 2 days