Professional Biller II

Care New England Health System • Warwick, RI

75d

About The Position

Under the direction of the Care New England Supervisor, Professional Revenue Cycle, the Professional Biller II will service incoming telephone calls from patients who may question, challenge, or inquire about their account with CNE. The Professional Biller II provides support to the management of CNE accounts receivable and functions as billing liaison to intermediaries, insurance carriers, patients and guarantors. The Biller II will be responsible for the processing of payments, denials, refunds, secondary claims, filing and balancing monthly spreadsheets and functions as liaison between the Professional Billing Office and the Finance Departments of each operating unit. The Biller II will address edits/rejections and facilitates all activity in regards to electronic and paper claims submission. Maintains and manages the claims edits and scrubber system. Functions under CNE PBO established departmental policies and procedures. Maintains compassion with patients serviced, while following compliance and privacy guidelines.

Requirements

• High school graduate or equivalent required.
• Three to five years experience in third party medical billing.
• Working knowledge of medical accounts receivable software programs.
• PC skills necessary.
• Competence in math and knowledge of GAAP accounting principles.
• Knowledge of CPT and ICD-10 requirements.
• Excellent communication and interpersonal skills.
• Demonstrated ability to use initiative and independent judgment.

Responsibilities

• Service incoming telephone calls from patients regarding their accounts.
• Support management of CNE accounts receivable.
• Act as billing liaison to intermediaries, insurance carriers, patients, and guarantors.
• Process payments, denials, refunds, and secondary claims.
• File and balance monthly spreadsheets.
• Liaise between the Professional Billing Office and Finance Departments.
• Address edits/rejections and facilitate claims submission.
• Maintain and manage claims edits and scrubber system.
• Follow established departmental policies and procedures.
• Maintain compassion with patients while adhering to compliance and privacy guidelines.

What This Job Offers

• Industry: Hospitals
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees