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 Professional Biller II - Providence, Rhode Island, United States

   
Job information
Posted by: Care New England Corporate HR 
Hiring entity type: Other 
Work authorization: Existing work authorization required for United States
Position type: Direct Hire, Full-Time 
Compensation: ******
Benefits: See below
Relocation: Not specified 
Position functions: Administrative - Receptionist/Secretarial
 
Travel: Unspecified 
Accept candidates: from anywhere 
Languages: English - Fluent
 
Minimum education: See below 
Minimum years experience: See below 
Resumes accepted in: English
Cover letter: No cover letter requested
Job code: 0rbeFcve31zI4nd0B3pAGYG3dptTow / Latpro-3747692 
Date posted: Jul-21-2020
State, Zip: Rhode Island, 02905

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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Requirements

None

 

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