Patient Accounts Coding Specialist

New England Life Care (NELC) is one of the fastest growing home infusion therapy companies in New England and is the region's only non-profit home infusion provider. NELC is a hospital collaborative serving more than 70 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 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 an opening for a Patient Accounts Coding Specialist / Biller. This is a full-time, hourly, non-exempt position. The normal working hours will be Monday – Friday from 8:00am until 5:00pm. 

 Although this is a remote position, we are only hiring in the following states: Massachusetts, New Hampshire, and Maine. This person must also be certified in medical billing and coding.

Job Summary: The person in this position is responsible for auditing medical records to ensure compliance with the organization's coding procedures and standards. Also reviews insurance payments and denials and recommends billing corrections.

Primary Responsibilities:

• Audit and assign Per Diem codes to ensure PD codes are specific to therapy type.
• Audit Medicare and Replacement Plan claims and DIF's to ensure that correct claims are transmitted.
• Maintain, create, and terminate employee web access to all payer websites. In addition, maintaining the access database in SharePoint.
• Support the Coding Technician as needed in reviewing clinical documentation and entering diagnosis codes, and creating DIFs
• Support the Coding Technician as needed in communicating with medical providers, patients, and insurance companies to obtain proper clinical documentation
• Supporting the Coding Technician with assuring patient compliance with payer regulations regarding appropriate clinical documentation and insurance forms
• Achieve performance appraisals with "meets expectations" or better
• Demonstrate independence and competence and ability to review and navigate patient accounts and delivery tickets
• Demonstrate independence and competence and ability to create and accept claims from clearing houses and work claim rejections 
• Demonstrate independence and competence in working daily billing reports
• Demonstrate independence and competence and ability to teach basic billing knowledge, splitting claims, recognize billing and