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Medical Billing Specialist-Accounts Receivable

New England Cancer Specialists

Westbrook, MERemoteFull-timeNo compensation foundTracked 1mo agoSeen in employer's feed 4 days ago
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At a glance

Compensation
No compensation found
Location
Westbrook, MERemote
Schedule
Full-time
Work Authorization
Not specified

Job overview

New England Cancer Specialists is hiring a Medical Billing Specialist-Accounts Receivable. New England Cancer Specialists seeks a full-time remote Billing Specialist‑Accounts Receivable to manage the complete accounts receivable lifecycle, analyze unpaid claims, resolve denials and over‑payments, and communicate with payers, patients, and team members.

Key focus areas include Perform collection efforts on assigned insurance payers, Analyze and research unpaid claims, and Assist in resolution of denials, partial payments, and over‑payments.

Successful candidates bring High School Diploma Or Equivalent and 2 Years Medical Billing Experience. Important skills include Knowledge Of NECS Contractual Insurance Agreements, Knowledge Of Insurance Denial/Appeal Processes, Knowledge Of Fee Schedules, Identify And Resolve Denials, Identify And Resolve Improper Payments, and Access Payer Web Applications. Preferred (not required): Microsoft Excel Experience and HIPAA Regulations.

Skills & qualifications

RequiredNice to have

Skills

Knowledge of NECS Contractual Insurance AgreementsKnowledge of Insurance Denial/Appeal ProcessesKnowledge of Fee SchedulesIdentify and Resolve DenialsIdentify and Resolve Improper PaymentsAccess Payer Web ApplicationsComplete FormsTelephone Account RepresentativeComplete System-Generated TasksReview Monthly ReportsRespond to Patient InquiriesRespond to Insurance Carrier InquiriesMonitor Accounts Receivable StatusWrite Up RefundsFamiliarity With Insurance Carrier WebsitesEducate Financial AdvocatesEducate CodersEstablish and Maintain Relationships With Provider RepresentativesWork With Provider RepresentativesMaintain Excel SpreadsheetsEnsure ConfidentialityMaintain ConfidentialityEnsure PrivacyMaintain PrivacyEnsure Compliance of Patient Rights Per HIPAA RegulationsFull Knowledge of Insurance PayersICD-10CPT CodingHCPCSWorking Knowledge of EOB'sWorking Knowledge of EFT'sWorking Knowledge of ERA'sProficient Computer SkillsWork in a Team EnvironmentWork Independently With Minimal SupervisionMicrosoft Excel ExperienceEOB'sEFT'sERA'sInsurance Appeal ProcessesCollaborationWork IndependentlyKnowledge of Insurance PayersHIPAA RegulationsKnowledge of Contractual Insurance AgreementsInsurance Denial/Appeal ProcessesFee SchedulesAccessing Payer Web ApplicationsCompleting FormsTelephoning Account RepresentativeFamiliarize With Insurance Carrier WebsitesEducates Financial AdvocatesEducates CodersEstablish Relationships With Provider RepresentativesMaintain Relationships With Provider RepresentativesCompliance of Patient Rights Per HIPAA RegulationsDemonstrate Full Knowledge of Insurance PayersHCPCS KnowledgeDemonstrate Knowledge of Insurance Appeal Processes

Qualifications

High School Diploma or Equivalent2+ Years Medical Billing ExperienceLive in Maine or New HampshireCertified Professional CoderCertified Professional Biller

Full job description

Job Descriptions:

New England Cancer Specialists (NECS) is currently seeking a full-time Remote Monday- Friday Billing Specialist-Accounts Receivable (AR) to join our professional billing team. As a Remote 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

Remote Position: Must live in Maine or New Hampshire

Travel: Rare

Yearly Salary Range:

Required Experience:

  • 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

Keyword: Medical Billing Specialist-Accounts Receivable

From: New England Cancer Specialists

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