Medical Billing Specialist-Accounts Receivable

Job Description

Job Description

New England Cancer Specialists (NECS) is currently seeking a full-time Monday- Friday Billing Specialist-Accounts Receivable(AR) to join our professional billing team. As a Billing Specialist-AR, you will perform all collection efforts on assigned Insurance payers. You are responsible for the full accounts receivable life cycle, including analyzing and researching unpaid claims, assisting in the resolution of denials, partial payments, and over-payments as well as communicating with payers, patients and other team members.

NECS is a private medical practice composed of 18 oncologists and hematologists serving the state and region from 4 different locations in Maine. NECS is committed to achieving the best outcome and providing unmatched support in all areas for every patient. Nationally recognized as 1 of 12 Oncology Medical Homes in the nation and the first private practice to become a affiliate member of the Dana Farber Cancer Care Collaborative. NECS brings together top clinicians, researchers, and dedicated medical professionals, clinical and non-clinical to create the best possible experience for our patients.

Job Duties :

• Knowledge of New England Cancer Specialists' contractual insurance agreements, insurance denial/appeal processes, and fee schedules.
• Identify and resolve denials and improper payments by accessing payer web applications, completing forms and telephoning account representative per New England Cancer Specialists policies.
• Completes system-generated tasks assigned
• Reviews monthly reports generated to ensure review of underpayments/over-payments variances, credit balances, and fully adjusted charges
• Respond to patient and insurance carrier inquiries on time.
• Monitor accounts receivable status (i.e. aging etc).
• Writes up Refunds per NECS Refund policy
• Familiarize themselves with insurance carrier websites and gets newsletter updates via emails
• Educates Financial advocates, coders and other staff members of changes coming with their assigned carriers via email.
• Establish and maintain relationships with provider representatives
• Works with provider representatives to resolve long-standing issues with carrier, may have to maintain excel spreadsheets of affected accounts
• Attend required meetings and participate in committees as requested.
• Ensure and maintain confidentiality, privacy, and compliance of patient rights per HIPAA regulations and New England Cancer Specialists policies.

Monday-Friday work week, no nights or weekends

Travel: Rare

• High School Diploma or Equivalent
• Minimum of two years medical billing experience
• Certified Professional Coder - Preferred
• Certified Professional Biller - Preferred
• Microsoft Excel Experience - Preferred
• Able to demonstrate full knowledge of insurance payers.
• Must have ICD-10, CPT Coding, and HCPCS knowledge
• Working knowledge of EOB's, EFT's, and ERA's
• Able to demonstrate knowledge of insurance appeal processes.
• Proficient computer skills.
• Must be able to work in a team environment and ability to work independently with minimal supervision