Talent.com
A / R Specialist

A / R Specialist

New England Life CareScarborough, ME, US
5 days ago
Job type
  • Full-time
Job description

Job Description

Job Description

New England Life Care (NELC) is one of the fastest growing home infusion therapy services 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 past 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!

The Accounts Receivable Specialist is a REMOTE POSTION and is responsible for the follow-up, collections, and recovery of problematic accounts due from health insurance payers. The normal schedule will be Monday - Friday from 8 : 00am until 4 : 30pm.

Career Ladders : NELC’s auditing department offers career ladders to auditors. Candidates who achieve excellent performance in their job duties, who demonstrate a commitment to personal development, participation in department and company strategic programs and projects, who develop superior working relationships inside and outside the department and who show a commitment to the success of the department are eligible for promotion to the following positions :

Accounts Receivable Specialist – represents an entry level position into the department. Candidates who meet defined goals, objectives and accomplishments can generally expect to be promoted in 2-3 years to :

Senior Accounts Receivable Specialist – Candidates who meet defined goals, objectives and accomplishments and who demonstrate engagement and ownership of departmental and organization activities would generally expect to be promoted in 4-5 years to :

Lead Accounts Receivable Specialist – Candidates who are part of the department leadership team and who have responsibility for advanced departmental, company and member hospital engagement.

  • Only hiring remotely in the following states : Connecticut, Florida, Maine, Massachusetts, Maryland, New Hampshire, North Carolina, Ohio, Rhode Island, Texas, and Vermont

Benefits :

  • Remote / Hybrid Position
  • Career Ladders
  • Health Insurance
  • Career ladders and opportunities for advancement
  • Dental insurance
  • Vision insurance
  • Generous employer-matched 403b savings program
  • Company paid : Life insurance, Short- and long-term disability insurance
  • Paid time off
  • And much more!
  • Primary Responsibilities :

  • Achieve performance appraisals with "meets expectations" or better
  • Demonstrate independence and competence to work basic denials
  • Demonstrate independence and competence in payer requirements for basic appeals
  • Demonstrate independence and competence and ability in submitting correct claims for payers
  • Demonstrate independence and competence in refund processing
  • Demonstrate independence and competence and ability to teach how to check claim status via phone or website
  • Demonstrate ability to complete on average 20 accounts per day
  • Demonstrate ability to work accounts timely within 2 weeks of receiving denial or needing follow up
  • Maintain audit percentage of 98%
  • Follows NELC policies and procedures in the normal conduction of company business.
  • Assures that professional practice complies with state and federal regulations including, but not limited to the HIPAA Privacy and Security regulations and NELC’s Corporate Compliance Program.
  • Ensures that confidentiality of patient information is maintained in accordance with state and HIPAA Privacy and Security regulations.
  • Effectively communicates both verbally & in writing inside and outside the organization; selects appropriate means of communication; questions to seek clarification and understanding; maintains confidentiality; listens actively to others; conveys appropriate information to others.
  • Takes the initiative to meet internal and external customer needs in a timely and courteous manner; maintains a high level of customer satisfaction; follows up on customer complaints / concerns.
  • Establishes and maintains good working relationships; shows respect and concern for the feelings of others; interfaces effectively with all levels of the organization; focuses on situations rather that personalities in relating to others; works cooperatively within a group; accepts constructive feedback.
  • Displays good judgment; takes the initiative rather than waiting to be told; make practical suggestions; learns from past experiences and uses those insights to handle new situations effectively; defines problems logically and develops appropriate solutions; uses creative approaches.
  • Completes appropriate amount of work in a timely manner without jeopardizing quality; uses time effectively to consistently accomplish objectives and meet deadlines; organizes workload for requirements of the job; set priorities and discriminates between important and unimportant matters; anticipates needs / problems; maintains attention to detail.
  • Required Qualifications :

  • A minimum of 3 years’ experience with third party health insurance claims office or plan administrator involved in processing health provider claims required.
  • A working knowledge of government health insurance plan benefits and the rules & regulations for obtaining reimbursement required.
  • Experience with healthcare patient accounting / billing / collections computer applications including electronic claims processing preferred.
  • Working knowledge of Home Infusion Therapy billing & collection preferred.
  • Practical experience with Medicare; Medicaid; and third-party payer contracts.
  • Preferred Experience :

  • Associates Degree or bachelor’s degree in Business Administration preferred.
  • Regulatory requirements :

  • Knowledge of HIPAA Privacy and Security requirements.
  • Working knowledge of federal / state fraud and abuse laws required.
  • Skills :

  • Demonstrated knowledge of medical terminology; CPT; ICD9; and HCPC coding required.
  • Excellent customer service skills required.
  • Excellent communications (verbal and written) skills required.
  • Excellent organizational skills required.
  • Ability to work independently as well as part of a team required.
  • Practical experience with microcomputer systems and applications to include Microsoft Word and Excel required.
  • Demonstrated ability to identify, research and solve problems required.
  • ''It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.''

    EOE

    Monday - Friday from 8 : 00am until 4 : 30pm.

    Create a job alert for this search

    Ar Specialist • Scarborough, ME, US

    Related jobs
    • Promoted
    Technical Specialist

    Technical Specialist

    AppleSouth Portland, ME, United States
    Full-time
    Apple Retail is where the best of Apple comes together.We bring our expertise to help people do what they love, delivering an only-at-Apple experience. At Apple, we believe inclusion is a shared res...Show moreLast updated: 30+ days ago
    • Promoted
    Account Specialist

    Account Specialist

    Applied Industrial TechnologiesAuburn, ME, US
    Full-time
    Applied Industrial Technologies is currently seeking an Account Specialist to join our team.In this role, you'll get to flex your muscles by planning, implementing, and executing target industry ma...Show moreLast updated: 30+ days ago
    • Promoted
    Delivery Specialist - Hub

    Delivery Specialist - Hub

    O'Reilly AutomotiveLewiston, ME, US
    Full-time
    Deliver parts and / or products to O'Reilly stores and DC in a safe and efficient manner.Bilingual candidates encouraged to apply. Drive company vehicle to deliver parts and products to stores and / or ...Show moreLast updated: 30+ days ago
    • Promoted
    Technical Support Specialist

    Technical Support Specialist

    WinxnetPortland, ME, United States
    Full-time
    Winxnet is a vibrant, growing and fast paced IT consulting firm.We are seeking a candidate to join our support team.If you have technical experience, a positive can-do attitude, and are customer-fo...Show moreLast updated: 30+ days ago
    • Promoted
    Provider Quality Compliance ASU / IR Specialist

    Provider Quality Compliance ASU / IR Specialist

    MaineHealthSouth Portland, ME, United States
    Full-time
    Fully Remote or Hyrid schedule.The Provider Quality Compliance ASU / IR Specialist role is responsible for the oversight, auditing and training of ICD and CPT coding and charging of diagnoses and pro...Show moreLast updated: 30+ days ago
    • Promoted
    Transportation Revenue System Specialist

    Transportation Revenue System Specialist

    CDM SmithAuburn, ME, United States
    Full-time
    Works with and leads multi-disciplinary teams to help our customers design, test, implement, and oversee solutions for transportation revenue collection. The position will focus on design, procureme...Show moreLast updated: 2 days ago
    ROW Specialist

    ROW Specialist

    Cornerstone Energy ServicesPortland, Maine, United States, 04101
    Full-time
    About Cornerstone Energy Services.Cornerstone Energy Services, Inc.From initial concept through project completion, we provide comprehensive services including civil, process, mechanical, and I&E e...Show moreLast updated: 30+ days ago
    • Promoted
    Imaging Support Specialist I

    Imaging Support Specialist I

    MaineHealthBrunswick, ME, United States
    Full-time
    The Imaging Support Specialist I role is responsible for the delivery of a broad spectrum of reception and administrative support services to clinical staff and patients. Required Minimum Knowledge,...Show moreLast updated: 20 days ago
    • Promoted
    AP / AR Specialist

    AP / AR Specialist

    Maine StaffingMechanic Falls, ME, US
    Full-time
    Position Summary : The AP / AR Specialist is responsible for processing cash receipts, credit memos, AP invoices, ACH and check payments to vendors. The AP / AR Specialist is also responsible for maintai...Show moreLast updated: 3 days ago
    • Promoted
    Procurement Specialist

    Procurement Specialist

    MaineHealthPortland, ME, United States
    Full-time
    The Procurement Specialist role is responsible for the purchasing of supplies, services, and equipment; collaborating with and assisting customers in determining purchasing needs and requirements; ...Show moreLast updated: 22 days ago
    • Promoted
    Sr. Sourcing Specialist

    Sr. Sourcing Specialist

    Portland StaffingPortland, ME, US
    Full-time
    When you join the team at Unum, you become part of an organization committed to helping you thrive.Here, we work to provide the employee benefits and service solutions that enable employees at our ...Show moreLast updated: 5 days ago
    Regulatory Affairs Specialist II

    Regulatory Affairs Specialist II

    MMQCISaco, ME, US
    Full-time
    Quick Apply
    We are seeking to add a Regulatory Affairs and Quality Assurance (QA / RA) Specialist II to our growing team, who will be a key team member in ensuring compliance with applicable regulatory requireme...Show moreLast updated: 30+ days ago
    • Promoted
    Sr. Procurement Specialist

    Sr. Procurement Specialist

    1014 AD FederalElizabeth, MA, United States
    Full-time +1
    NASDAQ : ADI ) is a global semiconductor leader that bridges the physical and digital worlds to enable breakthroughs at the Intelligent Edge. ADI combines analog, digital, and software technologie...Show moreLast updated: 30+ days ago
    • Promoted
    Retail Sales Specialist

    Retail Sales Specialist

    Emery Jensen Distribution, LLCAuburn, ME, US
    Full-time
    Ace Hardware Corporation that distributes hardware & home improvement products to the independent Pro Lumber, Paint, Hardware, and E-retailer customer segments. This field-based Retail Sales Special...Show moreLast updated: 6 days ago
    • Promoted
    Patient Service Specialist-Urology

    Patient Service Specialist-Urology

    MaineHealthBiddeford, ME, United States
    Full-time +1
    Clerical / Administrative Support.For a limited time, MaineHealth is offering a $3,000 sign-on bonus for qualified applicants. This bonus will be prorated for part-time positions.Please note this bonu...Show moreLast updated: 8 days ago
    • Promoted
    AP / AR Specialist

    AP / AR Specialist

    ITW Performance PolymersMechanic Falls, ME, US
    Full-time
    The AP / AR Specialist is responsible for processing cash receipts, credit memos, AP invoices, ACH and check payments to vendors. The AP / AR Specialist is also responsible for maintaining reconciliatio...Show moreLast updated: 2 days ago
    Security Specialist

    Security Specialist

    Security Industry Specialists, Inc.South Portland, Maine, United States
    Part-time
    Quick Apply
    About this position : .Security Industry Specialists, Inc.SIS) provides security solutio...Show moreLast updated: 30+ days ago
    • Promoted
    Senior Contracts Specialist

    Senior Contracts Specialist

    AmerisourceBergen Corporation (Cencora)Portland, ME, United States
    Full-time
    Our team members are at the heart of everything we do.At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on ...Show moreLast updated: 21 days ago