Under the direction of the Care New England Supervisor, Professional Revenue Cycle, the Professional Biller II will service incoming telephone calls from patients who may question, challenge, or inquire about their account with CNE.
Duties and Responsibilities:
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 liaison between the Professional Billing Office and the Finance Departments of each operating unit.
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.
Requirements:
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.
Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.
EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.
Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.
Kent Hospital, a Care New England hospital, is the second largest hospital in Rhode Island, providing a full spectrum of primary and acute care services. Kent offers programs in emergency medicine, family medicine, internal medicine, hyperbaric medicine, and gastroenterology. Kent’s cardiology services are enhanced by a clinical affiliation with Brigham and Women’s Hospital and the Breast Health Center at Kent is a collaboration with Women & Infants Hospital. Kent Hospital is an affiliate of the University of New England College of Osteopathic Medicine (UNECOM) for medical education.
