Professional Biller II

Posted 18 days 21 hours ago by Care New England Corporate HR

Permanent
Not Specified
Administration
Rhode Island, Providence, United States, 02905
Job Description

Under the direction of the Manager, The Providence Center Billing Office, 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 a liaison between the TPC Billing Office and the Finance Department. 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.

Job Summary:

Under the direction of the Manager, The Providence Center Billing Office, 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 a liaison between The Providence Center and the Finance Department. 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.

Specifications:

High school graduate or equivalent required with three to five years experience in third party medical billing. Working knowledge of medical accounts receivable software programs and PC skills necessary. Competence in math and knowledge of GAAP accounting principles as well as CPT and ICD-10 requirements. Must have excellent communication and interpersonal skills as well as demonstrated ability to use initiative and independent judgment.


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