Professional Biller II

Job description

Job Summary: 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 bil...