Medical Billing Specialist-Accounts Receivable

    • Job Tracking ID: 512708-788160
    • Job Location: Scarborough, ME
    • Job Level: Mid Career (2+ years)
    • Level of Education: High School/GED
    • Job Type: Full-Time/Regular
    • Date Updated: September 01, 2021
    • Years of Experience: 2 - 5 Years
    • Starting Date: ASAP
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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. Prior experience with Medicare Advantage and comemercial carriers is perfered.  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. This position is remote with the ability to travel onsite perodicly to our Billing Office in Scarborough, ME a plus. 

 

NECS is a private medical practice composed of 13 oncologists and hematologists serving the region from 5 different locations in Maine and New Hampshire. Our mission is to make life better for people with cancer and blood disorders. Kindness, compassion, and respect are part of everything that we do - from our phone operators to our physicians, every person on our team is important, and everyone makes a difference. We are proud to be an adult oncology member of the Dana-Farber Cancer Care Collaborative, striving to provide the highest quality care and unmatched, holistic support for every patient, every day.  

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 for denials, ARcuity, and variances
  • 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

Experience and Skills:

  • High School Diploma or Equivalent
  • Minimum of two years medical billing experience
  • Certified Professional Coder - Preferred
  • Certified Professional Biller - Preferred
  • Access to home computer and internet is required
  • 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

Benefits

New England Cancer Specialists offers competitive pay and a comprehensive benefits package to our employees.  Our benefits include medical, prescription, dental, and vision insurances.  Company-paid Life Insurance, Short Term, and Long-Term disability insurances as well as Long Term Care insurance.  Other benefits include a company-sponsored retirement program, generous Paid Time Off in addition to 10 Company-paid holidays, a Wellness Program, and other voluntary benefits.


Equal Employment Opportunity Policy

New England Cancer Specialists provides equal employment and promotional opportunity to all qualified employees and applicants, on the basis of experience, knowledge, training, education, ability to perform the essential functions of a position, and overall performance. All employment and promotional opportunities will be conducted in a lawful basis without regard to an individual’s race, gender, age, religion, national origin, ancestry, color, physical or mental disabilities, sexual orientation, marital status, veteran status, or other characteristic protected under Federal, State, or local law.

If you need assistance in the application or hiring process to accommodate a disability, you may request an accommodation at any time by contacting Human Resources at (207) 303-3372 or email us at jobs@newecs.org.