Biller
Description:
Job Description
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 Biller positions available. The normal schedule is Monday - Friday from 8:00am until 4:30pm.
Job Summary: The biller is responsible for the billing of insurances and patients.
Career Ladders: NELC’s 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 Ladder
Health insurance
Dental insurance
Vision insurance
Generous employer-matched 403b savings program
Company paid: Life insurance, Short- and long-term disability insurance
Paid time off
And much more!
Responsibilities:
Achieve performance appraisals with "meets expectations" or better
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
Education:
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. Diploma
Required 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 degree
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.
''It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment.
An employer who violates this law shall be subject to criminal penalties and civil liability.''
EOE
Full-time