Insurance Coordinator HME

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 the claim.

Responsibilities

1. Register all new patients into the computer system, ensuring that all necessary information is added.
2. Analyze physician orders, certificates of medical necessity, or prescriptions submitted by physicians for proper documentation, ensuring compliance with insurance billing regulations. Obtain additional information from the physician's office when necessary.
3. Track and obtain renewal of physician orders or CMNs for recurrent orders as necessary.
4. Prepare patient charges for billing.
5. Review claims for accuracy prior to submission for payment.
6. Review all payments for accuracy, post payments to patient accounts, and adjust accounts accordingly.
7. Analyze incorrect payments and denied claims, and resubmit with additional information as necessary.
8. Use aging reports to track and follow up on unpaid claims, resubmitting with additional information as needed.
9. Perform typing and clerical duties related to the above responsibilities.
10. Perform all other related duties as assigned.

Job Qualifications and Specifications:

A High School diploma and at least one year of related experience or equivalent is required.

Care New England Health System (CNE) : Includes institutions such as Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group. These trusted organizations are at the forefront of medical research, attracting top specialists and providing innovative healthcare programs.

Americans with Disabilities Act Statement: External and internal applicants, as well as employees who become disabled, must be able to perform essential job functions with or without reasonable accommodations, as determined by the organization.

EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.

Ethics Statement: Employees are expected to conduct themselves in accordance with the organization's ethical standards, including hospital policies, mission, vision, and values.