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Medical Billing Specialist-Accounts Receivable

    • Job Tracking ID: 512708-847729
    • Job Location: Scarborough, ME
    • Job Level: Mid Career (2+ years)
    • Level of Education: High School/GED
    • Job Type: Full-Time/Regular
    • Date Updated: March 02, 2023
    • 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. 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. Experience in payment posting is a plus as position will back up the payment poster to cover illnesses and vacations. This position is remote but will need the ability to drive to our Scarborough ME on an as needed basis preferred.

NECS offers competitive pay, new employees are eligible to earn up to 3.4 weeks of Paid Time Off in their first year with the practice, as well as an additional 10 paid company holidays. We offer medical, dental and vision insurance and eligibility starts the 1st of the month after your hire date!

NECS is a private medical practice composed of 14 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 the first Dana Farber Affiliate practice in the country, 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/overpayments 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.
  • Back up Payment Poster

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
  • 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, including part-time employees over 20 hrs. per week. 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, and other voluntary benefits
  • Benefits are effective 1st of the month after hire date. 

 


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