A/R Specialist

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 clarific…