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Nursing Open House - March 21

Professional Biller II

Care New England Health System - Professional Billing Job ID: 08754-80523-014

Status
Full-Time
Hours
40 hours per week, Monday-Friday, 8 a.m. - 4:30 p.m.
Shift
Day
Has Benefits
Yes
Job Description
JOB LOCATION(PROVIDENCE,RI)

Under the direction of the 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. 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.
Required Education
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.
Application Method
Apply Online

It is the policy of CNE to provide equal employment opportunities to all qualified employees and applicants for employment without regard to their race, color, religion, gender, sexual orientation, gender identity or expression, age, national origin, genetic information, veterans status or disability.