Biller jobs at Care New England Health System - 36 jobs

*This role is scheduled to be hybrid schedule. For the right candidate within the US Eastern/Central time, remote option may be available.* This position requires AAPC: Certified Professional Coder (CPC) or AHIMA: Certified Coding Specialist (CCS). Must obtain Certified in Healthcare Compliance (CHC) within 12 months of hire. Job Summary: The Care New England Professional Coding and Billing Auditor provides audit support and guidance to management, providers, residents, and support staff in free-standing and facility-based practices. Conducts assigned compliance audits for risk areas identified through the analysis of internal data and external sources. Ensures all coding, billing, and documentation complies with federal and/or state regulations, private payor health care program requirements as well as the Care New England Compliance policies. Responsible for auditing and implementing training programs to assist in achieving Care New England's goal of an effective compliance program. Assists with new provider on-boarding education. Duties and Responsibilities: Consistently demonstrate a comprehensive, expert-level knowledge of all professional fee coding in accordance with federal and state rules and regulations, CMS, AMA, CPT, ICD-10-CM, and HCPCS Level II procedure and supply codes coding guidelines. Effectively review/audit medical records with focus on Evaluation and Management services to identify opportunities for clinical documentation improvement and potential coding opportunities to optimize reimbursement. Correctly identify and implement education and training opportunities related to coding for physicians and non-physician providers based on results of chart reviews under the direction of Care New England Medical Group management team. Be consistently available as a subject matter expert for coding guidelines, questions, and other issues from Care New England providers and staff. Assist physician practices and provider-based departments as a coding subject matter expert when necessary. Provide baseline coding education to newly hired physicians and non-physician providers/clinicians on a timely basis. Effectively prioritize workload to complete job responsibilities. Display ability to adjust priorities based upon understanding of policies and procedures. Complete job responsibilities by deadlines, according to established schedules or workflow requirements. Evaluate areas in need of improvement and provide input in order to improve current methods, services, programs, or technology. Meet departmental productivity standards. Assess, analyze and review information before making decisions and solving problems. Discuss findings with management on an ongoing basis. Use proper judgment and knowledge of established practices and procedures when addressing problems or issues. Requirements: Associate degree in Business Management or Health Care Management or a minimum of 3-5 years experience, with a strong emphasis on evaluation and management documentation, coding, billing, and auditing, preferably for a medium to large physician practice group or health system. Multiple specialty coding experiences, including behavioral health preferred. Bachelor s degree preferred. Required Skills: A high-level knowledge of medical terminology, anatomy, and pathophysiology, along with understanding of the proper application of CPT procedure codes, HCPCS Level II procedure and supply codes, and ICD-10-CM diagnosis codes. Excellent verbal and written communication skills. Proficient knowledge of MS Word, Excel, and PowerPoint required. Preferred Skills: Evaluation and management coding and auditing expertise. Knowledge of billing, coding, clinical documentation regulations, and regulatory guidelines. Proficient with technology and software tools, including but not limited to Epic and Cerner systems, and auditing tools such as MDAudit. Certifications: Required: Certified Professional Coder (CPC). Certified in Healthcare Compliance (CHC) within 12 months of hire. Preferred: Certified Professional Evaluation and Management Coder (CEMC) or Certified Professional Medical Auditor (CPMA) Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health. Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis. EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.

Obtains all demographic information Verifies Insurance eligibility via online resources or phone call when necessary and enters bundles in Avatar. Updates Teletracking with any anticipated insurance impact and any possible admissions. Completes MSPQ with patient/family member for all Medicare patients. Scans patient's insurance card and identification both front and back and files in appropriate form (when applicable). Verifies all information is scanned under correct episode along with correct benefits. Photographs patient, creates labels for paperwork, prints patient bracelets when apllicable. Has patient sign appropriate financial forms allowing the hospital to bill appropriately. Advises Financial Counselor when patients having financial responsibilities present for partial hospital admission Refers patients to Financial Counselor for any guidance regarding co-pays, payment plans, or Applications for Financial Assistance. Refers patients to Financial Counselor for collection of payment for copays/deductibles. Patient Access Associate Level I staff, if credentialed as a Navigator, will be expected to cover Financial Counselor Level II when the need arises. Works with desktop computer utilizing a variety of programs: AVATAR, Microsoft Word, Microsoft Outlook, Digital Camera link. Teletracking, CERNER, PatientTrak Works with phone system Works with digital camera. Works with a variety of office equipment: PC, Copier, Fax, Cordless headset, Cyracom Language Line Schedule: 16/32 Part Time -Nights Every Friday & Saturday Night: 11:00p - 7:00a Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health. EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values. Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.

* This role is scheduled to be hybrid schedule. For the right candidate within the US Eastern/Central time, remote option may be available.* This position requires AAPC: Certified Professional Coder (CPC) or AHIMA: Certified Coding Specialist (CCS). Must obtain Certified in Healthcare Compliance (CHC) within 12 months of hire. Job Summary: The Care New England Professional Coding and Billing Auditor provides audit support and guidance to management, providers, residents, and support staff in free-standing and facility-based practices. Conducts assigned compliance audits for risk areas identified through the analysis of internal data and external sources. Ensures all coding, billing, and documentation complies with federal and/or state regulations, private payor health care program requirements as well as the Care New England Compliance policies. Responsible for auditing and implementing training programs to assist in achieving Care New England's goal of an effective compliance program. Assists with new provider on-boarding education. Duties and Responsibilities: Consistently demonstrate a comprehensive, expert-level knowledge of all professional fee coding in accordance with federal and state rules and regulations, CMS, AMA, CPT, ICD-10-CM, and HCPCS Level II procedure and supply codes coding guidelines. Effectively review/audit medical records with focus on Evaluation and Management services to identify opportunities for clinical documentation improvement and potential coding opportunities to optimize reimbursement. Correctly identify and implement education and training opportunities related to coding for physicians and non-physician providers based on results of chart reviews under the direction of Care New England Medical Group management team. Be consistently available as a subject matter expert for coding guidelines, questions, and other issues from Care New England providers and staff. Assist physician practices and provider-based departments as a coding subject matter expert when necessary. Provide baseline coding education to newly hired physicians and non-physician providers/clinicians on a timely basis. Effectively prioritize workload to complete job responsibilities. Display ability to adjust priorities based upon understanding of policies and procedures. Complete job responsibilities by deadlines, according to established schedules or workflow requirements. Evaluate areas in need of improvement and provide input in order to improve current methods, services, programs, or technology. Meet departmental productivity standards. Assess, analyze and review information before making decisions and solving problems. Discuss findings with management on an ongoing basis. Use proper judgment and knowledge of established practices and procedures when addressing problems or issues. Requirements: Associate degree in Business Management or Health Care Management or a minimum of 3-5 years experience, with a strong emphasis on evaluation and management documentation, coding, billing, and auditing, preferably for a medium to large physician practice group or health system. Multiple specialty coding experiences, including behavioral health preferred. Bachelors degree preferred. Required Skills: A high-level knowledge of medical terminology, anatomy, and pathophysiology, along with understanding of the proper application of CPT procedure codes, HCPCS Level II procedure and supply codes, and ICD-10-CM diagnosis codes. Excellent verbal and written communication skills. Proficient knowledge of MS Word, Excel, and PowerPoint required. Preferred Skills: Evaluation and management coding and auditing expertise. Knowledge of billing, coding, clinical documentation regulations, and regulatory guidelines. Proficient with technology and software tools, including but not limited to Epic and Cerner systems, and auditing tools such as MDAudit. Certifications: Required: Certified Professional Coder (CPC). Certified in Healthcare Compliance (CHC) within 12 months of hire. Preferred: Certified Professional Evaluation and Management Coder (CEMC) or Certified Professional Medical Auditor (CPMA) Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health. Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis. EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.

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 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. Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health. EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values. Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.

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 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. Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health. EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values. Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.

Primary Function: Responsible for obtaining Personal Health Information (PHI) for all Kent patients in a timely, professional and caring manner. This information, entered into the Hospital s Information and Clinical Systems, includes demographic and financial information that will be used by all departments within the hospital. Assists in maintaining financial integrity of the hospital through the verification of patient insurance information through online communication with payers, appropriate collection of co-payments at time of registration and manages the daily operations relative to patient bed assignments. Job Qualifications and Specifications: A High School Diploma and a minimum of two year job-related experience or equivalent is required. Certificate of Medical Terminology and strong oral communications skills are preferred. Exceptional patient relation and customer service skills are critical. Minimum typing speed of 40 wpm with a working knowledge of personal computers with an ability to utilize multiple applications within an environment are required. Experience in a medical office or customer service preferred. Care New England Health System (CNE) and its member institutions Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center are trusted organizations fueling the latest advances in medical research, attracting the nation s top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health. Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis. EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.

Primary Function Responsible for obtaining Personal Health Information (PHI) for all Kent patients in a timely, professional and caring manner. This information, entered into the Hospital s Information and Clinical Systems, includes demographic and financial information that will be used by all departments within the hospital. Assists in maintaining financial integrity of the hospital through the verification of patient insurance information through online communication with payers, appropriate collection of co-payments at time of registration and manages the daily operations relative to patient bed assignments. Responsibilities -Greet and receive patients and visitors, assist in comforting and interacting with patients and their families as well as communicating with police and rescue personnel where applicable. -Obtain complete and accurate Personal Health Information (PHI) necessary to properly register patients into the Hospital Information and Clinical Systems (Patcom and Affinity) in a timely manner with little or no inconvenience or frustration to the patient. Explain financial requirements and other regulatory mandates to the patient in a professional and caring manner. -Communicate with physicians offices to ensure accuracy of information needed to appropriately schedule and register a patient. -Obtain signatures for consent to surgery/treatment, financial responsibility, and all other required authorizations. -Collect insurance co-payments for Emergency Department visits and Out-Patient Services. When appropriate, collect co-payments, deposits, and deductibles during the registration process. -Organize test results, registration and medical forms for inclusion in the patient s permanent medical record. -Create daily reports to identify daily registration schedules and distribute to appropriate areas. -Assists in maintaining financial integrity of the hospital through verification of patient insurance information through online communication with payers using the SSI system. -Scans insurance card, physician orders and important documents into SSI Optical Imaging System. -Explains and issues regulatory required information such as: HIPAA Notice of Privacy Practices, Important Message to Medicare Patients, Medicare Advance Beneficiary Notice and Advance Directive Information. -Manages the daily operation relative to patient bed assignments utilizing the Electronic Bedboard and Bed Tracking system. Coordinates the various components of patient bed assignment including solely determining appropriate nursing units for all post-operative, emergency department transfers, and direct admissions into the hospital. Must ensure the Operating Rooms are not stopped due to unavailability while ensuring the ED does not go on diversion due to bed unavailability. Serves as a liaison to physicians, Nursing ED and Outpatient Surgery to resolve bed assignment issues. Coordinates daily Bed Management meeting. -Continually monitors transactions in the Patcom and Affinity Information Systems to insure an accurate daily Hospital census in both systems. -Consistently maintains a courteous, helpful and professional manner with all other staff, patients and their families. Promotes customer service in daily dealing with anyone with whom contact is made. -Performs all other related duties as assigned. Job Qualifications and Specifications A High School Diploma and a minimum of two year job-related experience or equivalent is required. Certificate of Medical Terminology and strong oral communications skills are preferred. Exceptional patient relation and customer service skills are critical. Minimum typing speed of 40 wpm with a working knowledge of personal computers with an ability to utilize multiple applications within an environment are required. Experience in a medical office or customer service preferred. Care New England Health System (CNE) and its member institutions Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center are trusted organizations fueling the latest advances in medical research, attracting the nation s top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health. Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis. EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.

Primary Function Responsible for assisting the Supervisors and Manager with the management of Patient Access Services. Incumbent is responsible for staff training, workflow prioritization, quality reviews, overseeing daily department activities and user support for computer applications. Responsibilities -Assist Supervisors and Manager with monitoring daily activities, assigning staff for shifts and distribution of work to maintain appropriate work and patient flow. -Under the direction of Supervisors, train new staff in computer systems and Workflow processes. Develop and maintain training materials and manuals.Administer competencies for new staff and/or new procedures. Provide guidance and Continuing education to staff, insuring documentation of competency. - Monitor and provide support for users in multiple computer applications. -Serves as a reference for staff to answer questions, identify issues and ensure quality standards are adhered to. -Assist in ensuring the accurate collection of demographic, fiscal and scheduling information by completing quality reviews. Monitor staff productivity daily. -Proactively identify inter-and intra-departmental process and communication breakdowns. -Provide recommendations to update and maintain department procedures. -Resolve or escalate patient, payer, staff and physician concerns. -Assist Supervisor in compilation of staff performance review. -Perform all other related duties as assigned. Job Qualifications and Specifications High School diploma and 5 years experience as a Registration Representative or equivalent is required. Working knowledge of medical terminology and strong written and oral communications skills are required. Experience in computer applications, training staff and development of educational materials necessary. Spread sheet and word processing applications preferred. Care New England Health System (CNE) and its member institutions Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center are trusted organizations fueling the latest advances in medical research, attracting the nation s top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health. Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis. EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.

Accurately prepares edits and submits bills in a timely manner, confirms eligibility, and obtains authorization in accordance with requirement of third-party payers. Conducts related activities to support the efficient operations of the department. Knowledgeable in all aspects of Agency policy and services. Maintains knowledge of all billing, eligibility verification, coordination of benefits, and authorization policies, regulations, rules and reimbursement. Duties and Responsibilities: Obtains accurate and complete insurance coverage information and authorization for services utilizing electronic access when available. Understands prior approval and all authorization requirements and timeframes. Investigates and makes corrections in McKesson. Incorporates all new processes and requirements into daily work as requested. Accurately completes assigned processes. i.e. Au notes CB notes and BN notes as well as Case Communications etc. Enters Information on patients profile in Horizon -Such as Authorization, Copay, deductable, limitations specific to each patient s Insurance plan. Proactively tracks and does follow up on authorization requests. Determines insurance eligibility by checking patients with benefits and insurance coverage for services and coordination of benefits Effectively prioritizes own work in order to complete job responsibilities. Displays ability to adjust priorities based upon understanding of policies and procedures. Completes job responsibilities within required timeframe, according to established schedules or workflow requirements. Responsible for running daily reports to capture authorization requirements. Works effectively with others, helping solve problems and promoting teamwork and cooperation among individuals and/or departments. Coordinates and verifies patient information for completeness and accuracy, in a timely fashion; communicates with clinical staff, third-party payers and patients on a regular basis. Verifies required signatures on patients documents, i.e. Patient Client Authorization Form Verifies all insurance data, coordinating benefits, responding to inquiries in a timely manner. Verifies patients insurance coverage and/or pay source, checking that all visits are made within established admission and discharge dates, if applicable. Reviews and checks paperwork visits entered to final bill for accurate date of service, number of visits duplicates; identifies discrepancies, notifies appropriate personnel as needed. Submits claims in a timely manner. Researches payment sources and patient balances to check for co-insurance; follows appropriate steps to transfer balance to co-insurance and/or directly bill the patient. Follows guidelines and procedures for billing self pay, bad debt funding sources. Researches old claims; identifies and resolves any existing problems; refers unusual or difficult problems to Senior Manager of Patient Financial Services as necessary. Reviews, edits, and prepares claims to be submitted; forwards all appropriate information to third-party payers as necessary. Works with Aging Report to decrease days in Accounts Receivables. Understands A/R balances and reimbursement practices. Maintains Excel spreadsheets. Conducts follow-up and collections procedures on each account. Maintains billing files and documentation. Maintains knowledge of all billing policies, rules and regulations. Demonstrates specialized level of knowledge of reimbursement practices and of third party payer contracts. Posts third-party remittance advice accurately with attention to detail. Understands debits and credits. Provides assistance to Senior Manager of Patient Financial Services, i.e, with month-end processes, including financial reports and other requested projects. Prepares, prints and submits all reports, documents and summaries on a regular basis. Utilizes interpersonal communication skills in order to exchange information in a clear and accurate manner within the agency as well as outside. Responsible for follow-up with Manager on all questions/problems discovered and keep Manager informed. Establishes and maintains a work area that is well-organized, clean and net. Operates and maintains equipment carefully and in accordance with procedures. Takes initiative to help maintain commonly-used equipment and work areas. Immediately reports unsafe conditions to appropriate personnel. Performs all other related duties as assigned. Requirements: High school diploma or equivalent required. Associate s Degree in related subject(s) preferred. Six-months of job-related experience or equivalent required. Demonstrated competency in office/clerical procedures, including typing, professional telephone skills, filing, photocopying and fax operations. Previous experience with various software packages, PCs and database knowledge required. Ability to apply common sense instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations. Excellent command of the English language required. Ability to read, analyze and interpret general business reports. Ability to effectively present information and respond to questions from staff and managers. Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting the nation s top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health. Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis. EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.

Under the direction of the Care New England Accounts Receivable (A/R) Supervisor, the Revenue Cycle Associate Biller performs various patient billing research as well as clerical and office functions. Duties include but are not limited to handling and distributing daily mail, preparing payments for posting, processing billing information requests from third parties and patients, researching and issuing patient refunds, researching and updating patient addresses, maintaining spreadsheets and providing support for billing, collection and customer service functions. The Revenue Cycle Associate Biller functions as a liaison to coworkers, internal and external customers to ensure appropriate and adequate support for the many functions performed within the Revenue Cycle team. Duties and Responsibilities: Promptly opens, reviews, and organizes mail within established time frames. Reviews and processes insurance checks and patient payments timely. Researches and processes requests for itemized bills and patient account balances timely and accurately. Responds to email, telephone calls, and correspondence on a daily basis in accordance with department policy and procedures. Thoroughly researches patient credits and transfers credits appropriately or prepares patient refunds. Researches bad addresses by utilizing skip tracing resources as well as contacting patients and contacts. Updates addresses in the computer system appropriately. Accurately documents account history in computer system within defined time frames in accordance with department policy and procedures. Maintains various spreadsheets accurately. Ensure timely scanning and / or copying of all settlements, payments, and correspondence and other documents, completes distribution tasks, data entry functions and other projects as requested to provide adequate support for the department. Timely ordering of office supplies as requested by management. Review of supplies on hand and taking initiative to order when supplies on hand are low in quantity to ensure adequate inventory. Cooperatively and effectively performs special hospital or office projects as requested. Preserves and protects patients' rights to confidentiality. Performs other related duties as requested. Effectively prioritize own work in order to complete job responsibilities. Displays ability to adjust priorities based upon understanding of policies and procedures. Completes job responsibilities within required timeframe, according to established schedules or workflow requirements. Displays an ability to evaluate areas in need of improvement and provides input in order to improve current methods, services, programs or technology. Reviews and assesses information thoroughly before making decisions and problem solving. Uses proper judgment and knowledge of established practices and procedures when addressing problems or issues. Participates in task forces and committees. Attends seminars, workshops and conferences as appropriate. Requirements: High school graduate or equivalent required. One-to-three years of prior experience in a healthcare or business setting preferred. Must be organized, detail oriented and possess the ability to follow directions. Excellent communication and interpersonal skills as well as the ability to demonstrate appropriate decision making. Care New England Health System (CNE) and its member institutions; Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health. Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis. EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values

Primary Function Responsible for obtaining Personal Health Information (PHI) for all Kent patients in a timely, professional and caring manner. This information, entered into the Hospital s Information and Clinical Systems, includes demographic and financial information that will be used by all departments within the hospital. Assists in maintaining financial integrity of the hospital through the verification of patient insurance information through online communication with payers, appropriate collection of co-payments at time of registration and manages the daily operations relative to patient bed assignments. Responsibilities -Greet and receive patients and visitors, assist in comforting and interacting with patients and their families as well as communicating with police and rescue personnel where applicable. -Obtain complete and accurate Personal Health Information (PHI) necessary to properly register patients into the Hospital Information and Clinical Systems (Patcom and Affinity) in a timely manner with little or no inconvenience or frustration to the patient. Explain financial requirements and other regulatory mandates to the patient in a professional and caring manner. -Communicate with physicians offices to ensure accuracy of information needed to appropriately schedule and register a patient. -Obtain signatures for consent to surgery/treatment, financial responsibility, and all other required authorizations. -Collect insurance co-payments for Emergency Department visits and Out-Patient Services. When appropriate, collect co-payments, deposits, and deductibles during the registration process. -Organize test results, registration and medical forms for inclusion in the patient s permanent medical record. -Create daily reports to identify daily registration schedules and distribute to appropriate areas. -Assists in maintaining financial integrity of the hospital through verification of patient insurance information through online communication with payers using the SSI system. -Scans insurance card, physician orders and important documents into SSI Optical Imaging System. -Explains and issues regulatory required information such as: HIPAA Notice of Privacy Practices, Important Message to Medicare Patients, Medicare Advance Beneficiary Notice and Advance Directive Information. -Manages the daily operation relative to patient bed assignments utilizing the Electronic Bedboard and Bed Tracking system. Coordinates the various components of patient bed assignment including solely determining appropriate nursing units for all post-operative, emergency department transfers, and direct admissions into the hospital. Must ensure the Operating Rooms are not stopped due to unavailability while ensuring the ED does not go on diversion due to bed unavailability. Serves as a liaison to physicians, Nursing ED and Outpatient Surgery to resolve bed assignment issues. Coordinates daily Bed Management meeting. -Continually monitors transactions in the Patcom and Affinity Information Systems to insure an accurate daily Hospital census in both systems. -Consistently maintains a courteous, helpful and professional manner with all other staff, patients and their families. Promotes customer service in daily dealing with anyone with whom contact is made. -Performs all other related duties as assigned. Job Qualifications and Specifications A High School Diploma and a minimum of two year job-related experience or equivalent is required. Certificate of Medical Terminology and strong oral communications skills are preferred. Exceptional patient relation and customer service skills are critical. Minimum typing speed of 40 wpm with a working knowledge of personal computers with an ability to utilize multiple applications within an environment are required. Experience in a medical office or customer service preferred. Care New England Health System (CNE) and its member institutions Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center are trusted organizations fueling the latest advances in medical research, attracting the nation s top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health. Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis. EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.

Primary Function Responsible for assisting the Supervisors and Manager with the management of Patient Access Services. Incumbent is responsible for staff training, workflow prioritization, quality reviews, overseeing daily department activities and user support for computer applications. Responsibilities -Assist Supervisors and Manager with monitoring daily activities, assigning staff for shifts and distribution of work to maintain appropriate work and patient flow. -Under the direction of Supervisors, train new staff in computer systems and Workflow processes. Develop and maintain training materials and manuals.Administer competencies for new staff and/or new procedures. Provide guidance and Continuing education to staff, insuring documentation of competency. - Monitor and provide support for users in multiple computer applications. -Serves as a reference for staff to answer questions, identify issues and ensure quality standards are adhered to. -Assist in ensuring the accurate collection of demographic, fiscal and scheduling information by completing quality reviews. Monitor staff productivity daily. -Proactively identify inter-and intra-departmental process and communication breakdowns. -Provide recommendations to update and maintain department procedures. -Resolve or escalate patient, payer, staff and physician concerns. -Assist Supervisor in compilation of staff performance review. -Perform all other related duties as assigned. Job Qualifications and Specifications High School diploma and 5 years experience as a Registration Representative or equivalent is required. Working knowledge of medical terminology and strong written and oral communications skills are required. Experience in computer applications, training staff and development of educational materials necessary. Spread sheet and word processing applications preferred. Care New England Health System (CNE) and its member institutions Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center are trusted organizations fueling the latest advances in medical research, attracting the nation s top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health. Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis. EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.

Primary Function: Responsible for obtaining Personal Health Information (PHI) for all Kent patients in a timely, professional and caring manner. This information, entered into the Hospital s Information and Clinical Systems, includes demographic and financial information that will be used by all departments within the hospital. Assists in maintaining financial integrity of the hospital through the verification of patient insurance information through online communication with payers, appropriate collection of co-payments at time of registration and manages the daily operations relative to patient bed assignments. Job Qualifications and Specifications: A High School Diploma and a minimum of two year job-related experience or equivalent is required. Certificate of Medical Terminology and strong oral communications skills are preferred. Exceptional patient relation and customer service skills are critical. Minimum typing speed of 40 wpm with a working knowledge of personal computers with an ability to utilize multiple applications within an environment are required. Experience in a medical office or customer service preferred. Care New England Health System (CNE) and its member institutions Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center are trusted organizations fueling the latest advances in medical research, attracting the nation s top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health. Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis. EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.

Primary Function Responsible for submitting accurate, clean claims to third parties and private pay accounts, collecting and posting payments to patients accounts and following up on unpaid/incorrectly paid claims through to resolution of claim. Responsibilities Register all new patients into computer system, ensuring that all necessary information is added to system. Analyze physician order/certificate of medical necessity/prescription submitted by physician for proper documentation of item ordered to ensure compliance with insurance billing regulations. Obtain additional information from physician office, when necessary. Track and obtain renewal of physician order/CMN for recurrent orders as necessary. Prepare patient charges for billing. Review claims for accuracy prior to submitting claims to proper party for payment. Review all payments made for accuracy and post all payments to patient accounts and adjust accounts accordingly. Analyze all incorrect payments and denied claims and resubmit with additional information as necessary. Use aging reports to track and follow-up unpaid claims and resubmit with additional information as necessary. Perform a variety of typing and clerical skills in relation to above duties. Performs all other related duties as assigned. Job Qualifications and Specifications: A High School diploma and a minimum of one year job-related experience or equivalent is required. Care New England Health System (CNE) and its member institutions Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center are trusted organizations fueling the latest advances in medical research, attracting the nation s top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health. Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis. EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.

Accurately prepares edits and submits bills in a timely manner, confirms eligibility, and obtains authorization in accordance with requirement of third-party payers. Conducts related activities to support the efficient operations of the department. Knowledgeable in all aspects of Agency policy and services. Maintains knowledge of all billing, eligibility verification, coordination of benefits, and authorization policies, regulations, rules and reimbursement. Duties and Responsibilities: Obtains accurate and complete insurance coverage information and authorization for services utilizing electronic access when available. Understands prior approval and all authorization requirements and timeframes. Investigates and makes corrections in McKesson. Incorporates all new processes and requirements into daily work as requested. Accurately completes assigned processes. i.e. Au notes CB notes and BN notes as well as Case Communications etc. Enters Information on patients profile in Horizon -Such as Authorization, Copay, deductable, limitations specific to each patient s Insurance plan. Proactively tracks and does follow up on authorization requests. Determines insurance eligibility by checking patients with benefits and insurance coverage for services and coordination of benefits Effectively prioritizes own work in order to complete job responsibilities. Displays ability to adjust priorities based upon understanding of policies and procedures. Completes job responsibilities within required timeframe, according to established schedules or workflow requirements. Responsible for running daily reports to capture authorization requirements. Works effectively with others, helping solve problems and promoting teamwork and cooperation among individuals and/or departments. Coordinates and verifies patient information for completeness and accuracy, in a timely fashion; communicates with clinical staff, third-party payers and patients on a regular basis. Verifies required signatures on patients documents, i.e. Patient Client Authorization Form Verifies all insurance data, coordinating benefits, responding to inquiries in a timely manner. Verifies patients insurance coverage and/or pay source, checking that all visits are made within established admission and discharge dates, if applicable. Reviews and checks paperwork visits entered to final bill for accurate date of service, number of visits duplicates; identifies discrepancies, notifies appropriate personnel as needed. Submits claims in a timely manner. Researches payment sources and patient balances to check for co-insurance; follows appropriate steps to transfer balance to co-insurance and/or directly bill the patient. Follows guidelines and procedures for billing self pay, bad debt funding sources. Researches old claims; identifies and resolves any existing problems; refers unusual or difficult problems to Senior Manager of Patient Financial Services as necessary. Reviews, edits, and prepares claims to be submitted; forwards all appropriate information to third-party payers as necessary. Works with Aging Report to decrease days in Accounts Receivables. Understands A/R balances and reimbursement practices. Maintains Excel spreadsheets. Conducts follow-up and collections procedures on each account. Maintains billing files and documentation. Maintains knowledge of all billing policies, rules and regulations. Demonstrates specialized level of knowledge of reimbursement practices and of third party payer contracts. Posts third-party remittance advice accurately with attention to detail. Understands debits and credits. Provides assistance to Senior Manager of Patient Financial Services, i.e, with month-end processes, including financial reports and other requested projects. Prepares, prints and submits all reports, documents and summaries on a regular basis. Utilizes interpersonal communication skills in order to exchange information in a clear and accurate manner within the agency as well as outside. Responsible for follow-up with Manager on all questions/problems discovered and keep Manager informed. Establishes and maintains a work area that is well-organized, clean and net. Operates and maintains equipment carefully and in accordance with procedures. Takes initiative to help maintain commonly-used equipment and work areas. Immediately reports unsafe conditions to appropriate personnel. Performs all other related duties as assigned. Requirements: High school diploma or equivalent required. Associate s Degree in related subject(s) preferred. Six-months of job-related experience or equivalent required. Demonstrated competency in office/clerical procedures, including typing, professional telephone skills, filing, photocopying and fax operations. Previous experience with various software packages, PCs and database knowledge required. Ability to apply common sense instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations. Excellent command of the English language required. Ability to read, analyze and interpret general business reports. Ability to effectively present information and respond to questions from staff and managers. Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting the nation s top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health. Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis. EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.

The Referral and Authorization Specialist plays a vital and strategic role in supporting the financial health of the organization by overseeing the referral and authorizations processes for specialty visits and outpatient testing. This position is essential in centralizing and streamlining the authorization workflow, which is integral to the success of the organization s operations, patient experience, and financial performance. Obtaining timely and accurate authorization information, prior to performing services, reduces claim denials, ensures payer compliance, and establishes better organizational financial outcomes. This position is crucial to the organization's financial success and the delivery of a positive provider and patient experience, as their timely and accurate processing of referrals and authorizations ensures that patients receive the necessary care without delays, while also optimizing reimbursement. Duties and Responsibilities: Request and obtain insurance referral and prior authorizations via the insurance carrier and/or third-party authorization companies and then track the status within CNE s EHR. Evaluate payer policies to understand authorization and notice of admission policies. Communicate the request/status of the insurance referral and/or prior authorization with internal referring provider offices/departments via the EHR. Utilize CNE s EHR to document all work related to obtaining and/or verifying insurance referral and prior authorizations. Work with both internal and external referring provider offices/departments to obtain the necessary information to obtain and/or verify the approval of the insurance referral or prior authorization. Verify the accuracy of the patient s insurance information to obtain the insurance referral or prior authorization. Communicate via the EHR any issues related to processing the referral (i.e., PCP not updated with the payer, provider documentation not complete) and/or the accuracy of the patient s insurance information to the referring department. Communicate any issues related to obtaining and/or verifying the approval of the insurance referral and/or prior authorization to management. Manage the start of the external referral process for all CNEMG PCPs, to include submitting referrals, obtaining an approved insurance authorization, and sending all relevant clinical documentation to the external provider. Explain the Notice of Non-Covered Service Waiver and Notice of Non-Approved Prior Authorization waiver to patients. Work and monitor EHR WQ s and in Basket pools through the workday. Performs other duties as assigned. Requirements: High School or GED is required, Associate degree or Certified/Registered Medical Assistance preferred. 5-7 years of experience working in healthcare. 3 years of experience processing insurance referral and/or prior authorizations. Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting the nation s top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health. Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis. EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.

Accurately prepares edits and submits bills in a timely manner, confirms eligibility, and obtains authorization in accordance with requirement of third-party payers. Conducts related activities to support the efficient operations of the department. Knowledgeable in all aspects of Agency policy and services. Maintains knowledge of all billing, eligibility verification, coordination of benefits, and authorization policies, regulations, rules and reimbursement. Duties and Responsibilities: Obtains accurate and complete insurance coverage information and authorization for services utilizing electronic access when available. Understands prior approval and all authorization requirements and timeframes. Investigates and makes corrections in McKesson. Incorporates all new processes and requirements into daily work as requested. Accurately completes assigned processes. i.e. Au notes CB notes and BN notes as well as Case Communications etc. Enters Information on patients profile in Horizon -Such as Authorization, Copay, deductable, limitations specific to each patients Insurance plan. Proactively tracks and does follow up on authorization requests. Determines insurance eligibility by checking patients with benefits and insurance coverage for services and coordination of benefits Effectively prioritizes own work in order to complete job responsibilities. Displays ability to adjust priorities based upon understanding of policies and procedures. Completes job responsibilities within required timeframe, according to established schedules or workflow requirements. Responsible for running daily reports to capture authorization requirements. Works effectively with others, helping solve problems and promoting teamwork and cooperation among individuals and/or departments. Coordinates and verifies patient information for completeness and accuracy, in a timely fashion; communicates with clinical staff, third-party payers and patients on a regular basis. Verifies required signatures on patients documents, i.e. Patient Client Authorization Form Verifies all insurance data, coordinating benefits, responding to inquiries in a timely manner. Verifies patients insurance coverage and/or pay source, checking that all visits are made within established admission and discharge dates, if applicable. Reviews and checks paperwork visits entered to final bill for accurate date of service, number of visits duplicates; identifies discrepancies, notifies appropriate personnel as needed. Submits claims in a timely manner. Researches payment sources and patient balances to check for co-insurance; follows appropriate steps to transfer balance to co-insurance and/or directly bill the patient. Follows guidelines and procedures for billing self pay, bad debt funding sources. Researches old claims; identifies and resolves any existing problems; refers unusual or difficult problems to Senior Manager of Patient Financial Services as necessary. Reviews, edits, and prepares claims to be submitted; forwards all appropriate information to third-party payers as necessary. Works with Aging Report to decrease days in Accounts Receivables. Understands A/R balances and reimbursement practices. Maintains Excel spreadsheets. Conducts follow-up and collections procedures on each account. Maintains billing files and documentation. Maintains knowledge of all billing policies, rules and regulations. Demonstrates specialized level of knowledge of reimbursement practices and of third party payer contracts. Posts third-party remittance advice accurately with attention to detail. Understands debits and credits. Provides assistance to Senior Manager of Patient Financial Services, i.e, with month-end processes, including financial reports and other requested projects. Prepares, prints and submits all reports, documents and summaries on a regular basis. Utilizes interpersonal communication skills in order to exchange information in a clear and accurate manner within the agency as well as outside. Responsible for follow-up with Manager on all questions/problems discovered and keep Manager informed. Establishes and maintains a work area that is well-organized, clean and net. Operates and maintains equipment carefully and in accordance with procedures. Takes initiative to help maintain commonly-used equipment and work areas. Immediately reports unsafe conditions to appropriate personnel. Performs all other related duties as assigned. Requirements: High school diploma or equivalent required. Associates Degree in related subject(s) preferred. Six-months of job-related experience or equivalent required. Demonstrated competency in office/clerical procedures, including typing, professional telephone skills, filing, photocopying and fax operations. Previous experience with various software packages, PCs and database knowledge required. Ability to apply common sense instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations. Excellent command of the English language required. Ability to read, analyze and interpret general business reports. Ability to effectively present information and respond to questions from staff and managers. Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting the nations top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health. Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis. EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.

Accurately prepares edits and submits bills in a timely manner, in accordance with requirement of third-party payers. Conducts related activities to support the efficient operations of the department. Knowledgeable in all aspects of Agency policy and services. Maintains knowledge of all billing policies, regulations, rules and reimbursement. Requirements: High school diploma or equivalent required. Associate s Degree preferred. Two (2) years billing experience in a medical setting preferred. Demonstrated competency in typing, use of a calculator, professional telephone skills, filing, photocopying and fax operations. Previous experience with PCs and knowledge of the computer systems and software, including Excel and Word, as well as electronic billing required. Care New England Health System (CNE) and its member institutions Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center are trusted organizations fueling the latest advances in medical research, attracting the nation s top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health. Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis. EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.

Primary Function Responsible for submitting accurate, clean claims to third parties and private pay accounts, collecting and posting payments to patients accounts and following up on unpaid/incorrectly paid claims through to resolution of claim. Responsibilities Register all new patients into computer system, ensuring that all necessary information is added to system. Analyze physician order/certificate of medical necessity/prescription submitted by physician for proper documentation of item ordered to ensure compliance with insurance billing regulations. Obtain additional information from physician office, when necessary. Track and obtain renewal of physician order/CMN for recurrent orders as necessary. Prepare patient charges for billing. Review claims for accuracy prior to submitting claims to proper party for payment. Review all payments made for accuracy and post all payments to patient accounts and adjust accounts accordingly. Analyze all incorrect payments and denied claims and resubmit with additional information as necessary. Use aging reports to track and follow-up unpaid claims and resubmit with additional information as necessary. Perform a variety of typing and clerical skills in relation to above duties. Performs all other related duties as assigned. Job Qualifications and Specifications: A High School diploma and a minimum of one year job-related experience or equivalent is required. Care New England Health System (CNE) and its member institutions Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center are trusted organizations fueling the latest advances in medical research, attracting the nation s top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health. Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis. EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.