Job description

NELC is of the fastest growing home infusion therapy services company in New England and is the region’s only non-profit home infusion provider. NELC is a hospital collaborative serving more than 57 hospital systems in Maine, New Hampshire and Massachusetts. NELC was created by local hospitals to ensure their patients have access to a provider that reflects their commitment to excellence in patient care, quality and service. Like our owner hospitals, NELC provides patient focused care.New England Life Care has and continues to build a diverse, inclusive and authentic workplace, so if you’re energized by this opportunity, but your past experience doesn’t support every qualification in the job posting, we encourage you to apply! You still may be the person we are looking for!

New England Life Care currently has a full time Biller position available. The schedule for this position is Monday - Friday with flexible hours. It can also be Work From Home or Hybrid!

*Please note, the states we hire remotely from are: ME, MA, NH, CT, NC, OH, RI TX and FL.*

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Job Summary: *
The secondary biller is responsible for the billing of secondary insurances and patients. This represents an entry level position into the department. Candidates who meet defined goals, objectives and accomplishments can generally expect to be promoted in 2-3 years to Senior Biller

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Benefits: *

• Health insurance
• Dental insurance
• Vision insurance
• Generous employer-matched 403b savings program
• Company paid: Life insurance, Short- and long-term disability insurance
• Paid time off
• And much more!

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Responsibilities: *

• Review patient accounts and delivery tickets for billing accuracy
• Create and send electronic or paper secondary claims
• Review and enter EOB information on secondary claims
• Accept claims from clearing houses
• Work daily billing edit reports
• Split claims, recognize billing and account errors
• Maintain billing accuracy and high claim production
• Review billing queues
• Work claim rejections
• Ensures that all claims are processed within expected timeframes ensuring that required supporting clinical documentation & Authorizations are on file prior to processing.
• Performs other duties / projects as assigned by direct supervisor.

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Education: *

• High School Diploma

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Required Qualifications: *

• Knowledge of HIPAA Privacy and Security requirements.
• Working knowledge of federal / state fraud and abuse laws required.
• Demonstrated knowledge of medical terminology; CPT; ICD9; and HCPC coding required.
• Excellent customer service skills required.
• Excellent communications skills required.
• Excellent organizational skills required.
• Ability to work independently as well as part of a team required.
• Practical experience with microcomputer systems and applications to include Microsoft Word and Excel required.
• Demonstrated ability to identify research and solve problems required.

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Preferred Qualifications: *

• 1 year experience in healthcare setting processing healthcare provider claims or comparative experience in a healthcare setting required.
• A working knowledge of government health insurance plan benefits and the rules & regulations for obtaining reimbursement required.
• Experience with healthcare patient accounting/billing/collections computer applications including electronic claims processing preferred.
• Working knowledge of Home Infusion Therapy billing & collection preferred.

EOE

Job Type: Full-time

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