Professional Biller II

Care New England Health System; Warwick; On-site; GBP 25,000 - 45,000; Full time

Job summary

An established industry player is seeking a dedicated Professional Biller II to join their team. This role involves managing patient accounts, processing payments, and serving as a liaison between billing and finance departments. The ideal candidate will have a strong background in medical billing, excellent communication skills, and a solid understanding of accounting principles. Join a forward-thinking organization committed to advancing medical research and providing top-notch healthcare services. If you're passionate about making a difference in the healthcare sector, this opportunity is perfect for you.

Qualifications

• 3-5 years of experience in third-party medical billing.
• Competence in math and knowledge of GAAP accounting principles.

Responsibilities

• Support management of accounts receivable and act as billing liaison.
• Process payments, denials, refunds, and claims submissions.

Skills

Medical Billing

Communication Skills

GAAP Accounting Principles

CPT and ICD-10 Knowledge

PC Skills

Education

High School Graduate or Equivalent

Tools

Medical Accounts Receivable Software

Job description

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:

1. The Professional Biller II provides support to the management of CNE accounts receivable and functions as a billing liaison to intermediaries, insurance carriers, patients, and guarantors.
2. The Biller II is responsible for processing payments, denials, refunds, secondary claims, and filing and balancing monthly spreadsheets. It also functions as a liaison between the Professional Billing Office and the Finance Departments of each operating unit.
3. The Biller II addresses edits/rejections and facilitates all activity regarding electronic and paper claims submission.
4. Maintains and manages the claims edits and scrubber system.
5. Functions under CNE PBO established departmental policies and procedures.
6. Maintains compassion with patients while following compliance and privacy guidelines.

Requirements:

1. High school graduate or equivalent required with three to five years of experience in third-party medical billing.
2. Working knowledge of medical accounts receivable software programs and PC skills necessary.
3. Competence in math and knowledge of GAAP accounting principles, CPT, and ICD-10 requirements.
4. Excellent communication and interpersonal skills, with demonstrated ability to use initiative and independent judgment.

Care New England Health System (CNE) and its member institutions, including Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, along with our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting top specialty-trained doctors, and offering renowned services and innovative programs to engage in important health discussions.

EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.

Ethics Statement: Employee conduct must align with the organization's ethical standards, including hospital policies, mission, vision, and values.

Americans with Disabilities Act Statement: Applicants and incumbents who become disabled must be able to perform essential job functions, with or without reasonable accommodations, as determined on a case-by-case basis.