Medical Billing Specialist-Accounts Receivable

Job Duties

• 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.
• Responds to patient and insurance carrier inquiries on time.
• Maintains accounts receivable status (i.e. aging).
• Writes up Refunds per NECS Refund policy.
• Familiarizes themselves with insurance carrier websites and gets newsletter updates via emails.
• Edits Financial advocates, coders, and other staff members of changes coming with their assigned carriers via email.
• Works with provider representatives to resolve long-standing issues with carrier, may have to maintain excel spreadsheets of affected accounts.
• Attends required meetings and participates in committees as requested.

Requirements

• 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
• Ability to work in a team environment and ability to work independently with minimal supervision

Qualifications

• Knowledge of New England Cancer Specialists' contractual insurance agreements, insurance denial/appeal processes, and fee schedules.

Skills

• Knowledge of insurance payers.
• ICD-10, CPT Coding, and HCPCS knowledge.
• Working knowledge of EOB's, EFT's, and ERA's.
• Knowledge of insurance appeal processes.
• Proficient computer skills.

Benefits

• Competitive pay
• Medical, prescription, dental, and vision insurances
• Short Term and Long Term disability insurances
• Tuition reimbursement
• Generous Paid Time Off
• Company-paid holidays
• Paid membership to professional organizations