Biller

• NELC is of the fastest growing home infusion therapy services company in New England and is the region’s only non-profit home infusion provider. NELC is a hospital collaborative serving more than 57 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.

NELC is rapidly expanding the number of hospitals it serves and is participating with its hospital members in the implementation of several new population health and disease management programs. NELC is seeking talented new employees to keep pace with our growth!

For more information, visit our website at www.nelifecare.org.

New England Life Care currently has a full time Biller position available. The schedule for this position is Monday - Friday and has the optionof being a remote position.

Summary:

The Biller is responsible for the billing of insurances and patients.

Primary Responsibilities:

• Reviews and navigates patient accounts and delivery tickets
• Creates and accepts claims from clearing houses and work claim rejections
• Works daily billing reports
• Teaches basic billing knowledge, splitting claims, recognize billing and account errors, work To Do's and send out daily goal emails
• Ability to bill 20 or more clean claims a day using the payor sheets
• 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
• Ensures that all claims are processed within expected timeframes ensuring that required supporting clinical documentation & Authorizations are on file prior to processing.
• Demonstrates a willingness and ability to cross train in the functions of all other Reimbursement Specialists in Department and subsequently acts as backup for other Reimbursement Specialists as needed.
• Establishes and maintains good working relationships; shows respect and concern for the feelings of others; interfaces effectively with all levels of the organization; focuses on situations rather that personalities in relating to others; works cooperatively within a group; accepts constructive feedback.
• Displays good judgment; takes the initiative rather than waiting to be told; make practical suggestions; learns from past experiences and uses those insights to handle new situations effectively; defines problems logically and develops appropriate solutions; uses creative approaches.

Educational Requirements:

• Associates Degree in Business Administration required;

Professional 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.
• 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 Experience

• Bachelor’s Degree in Business Administration preferred.
• Experience with healthcare patient accounting/billing/collections computer applications including electronic claims processing preferred.
• Working knowledge of Home Infusion Therapy billing & collection preferred.

EOE

Job Type: Full-time

Benefits:

• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible schedule
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

COVID-19 considerations:
All employees are required to be vaccinated against Covid 19.

Education:

• High school or equivalent (Preferred)

Experience:

• CPT, ICD9 and HCPC: 1 year (Preferred)
• Medicare, Medicaid billing: 1 year (Preferred)
• claims processing: 3 years (Preferred)

Work Location: One location