Patient Billing and Claims Reviewer

Description:

The New England College of Optometry (NECO) prepares the next generation of eye care providers, educators, and innovators through a rigorous curriculum and extensive clinical experiences. NECO graduates compassionate and skilled optometrists prepared to practice in diverse settings. Located in the heart of Boston's Back Bay, the College is a small, independent graduate institution that currently enrolls students from 34 states and 8 countries. The College has its teaching location at 424 Beacon Street, Boston and three owned and operated eye clinics (Boston and Roslindale, and at Perkins).

NECO has an exciting opportunity in our Commonwealth Clinic for a Patient Billing and Claims Reviewer. NECO Center for Eye Care is the affiliated clinical system of the New England College of Optometry. The Patient Billing and Claims Reviewer (On-Site) will be located at 930 Commonwealth Avenue in our Commonwealth clinic. This is a full-time position that reports to the Revenue Cycle Manager. This position is responsible for discussing outstanding balances with patients, identifying accounts for collection, processing refunds, reviewing claims, and preparing files for electronic claims and patient statements.

Patient Billing and Claims Reviewer (On-Site) Responsibilities:

• Answer/return calls from patients regarding outstanding balances and take payment via phone when warranted
• Process patient refunds
• Identify accounts to be sent to collections
• Review electronic claims prior to them being billed; work with Providers to resolve any issues that will prevent claims from being billed or paid
• Prepare file within Compulink for electronic claims; provide Claims Coordinator with rejected claims for rebilling
• Review patient balances prior to sending patient balance statements
• Prepare file within Compulink for patient statements and send to statement service
• Update patient billing address when indicated
• Provide backup coverage for the Eligibility Coordinator consisting of verifying insurance benefits for patients with upcoming appointments
• Demonstrates a commitment to promote a safe environment for patients, visitors and peers
• Liaisons with staff responsible for daily transactional and business operations
• Supports all department initiatives in improving overall efficiency
• Meets department quality and production standards
• Able to work and adjust priorities in a fast-paced environment
• Perform other duties as required

NECO is an AA/EEO employer and actively seeks candidates from diverse backgrounds.

Salary: $23/hour

New England College of Optometry offers a robust benefits program including:

• 3 plan options for BCBS medical coverage (employer subsidized at 75% or greater)
• Mental Health and Wellness benefits
• BCBS Dental
• Discounted vision services
• 13 paid holidays and generous paid time off for sick, vacation, and personal days
• Employer-paid life insurance, and short-term and long-term disability
• Voluntary Insurance: life, critical illness, hospital indemnity, accident,
• Voluntary Benefits: employee discounts and pet insurance
• 9% employer contribution to a 403(b) retirement plan after 1 year of service with no vesting schedule or match requirement
• Qualified Public Service Loan Forgiveness Employer

Requirements:

Patient Billing and Claims Reviewer (On-Site) Qualifications:

• Two years minimum experience in medical office or billing experience preferred
• High School Diploma or equivalent work experience
• Proven track record with customer service, organizational skills, etc.
• ICD10 and CPT experience preferred

Patient Billing and Claims Reviewer (On-Site)Required Skills:

• Proficiency in Microsoft Office software
• Experience with Electronic Medical/Health Record and Practice Management software preferred
• Excellent communication skills, written and oral
• Demonstrated understanding and compliance with HIPAA privacy requirements
• Must be able to work efficiently and effectively in a busy environment
• Working knowledge of Medicare/Medicaid rules and regulations, and CPT and ICD-10 coding
• Working knowledge of private insurance and vision plan rules and regulations
• Able to work both independently and as a member of a team
• Excellent follow-up skills
• Demonstrated ability to handle details, multi-task, and prioritize work
• Ability to solve problems effectively

PM23

PI8415049ef6f0-~~~4