Primary: Function: Responsible for maintaining patient accounts and submitting Home Medical Equipment claims to various insurance companies for payment.

Responsibilities:

-Analyze certificates/prescriptions for proper diagnosis/prognosis pertaining to insurance reimbursement of services provided.

-Prepare patient account charges for input into computer system and submission to insurance companies.

-Analyze needs of consumers and healthcare professionals to expedite proper service/care requested.

-Contact physician offices for proper certificates/prescriptions required to bill insurances.

-Direct patient account claims to proper insurance carriers for reimbursement via electronic and paper billing.

-Working knowledge of ICD-10 codes and medical terminology.

-Process claim payments and adjust accounts accordingly.

-Use aging/computer reports to track unpaid claims and initiate appropriate follow-up action.

-Perform a variety of typing and clerical duties as necessary.

Specifications: 1. High School Diploma or Equivalent. 2. Medical Terminology and one year's 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.