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Billing Specialist
2 months ago
Understand and complete all processes of insurance billing for individuals in own home and residents of LTC communities.
Work with the sales and support teams for the achievement of customer satisfaction, revenue generation and long-term account goals in line with company vision and values. Interact with customers to provide information in response to inquiries about products and services and to handle and resolve complaints.
RESPONSIBILITIES:
Communicate effectively with customers, payers, vendors via phone, letter, fax and email.
Responsible for 3rd Party Billing Program for individuals with strict adherence to company policies, HIPAA regulations, Joint Commission requirements and government standards.
Accurate processing of customer’s medical and insurance information into the company systems.
Complete reports as assigned regarding revenue, denials, appeals, recoupments, etc.
Maintaining thorough and accurate records and notes.
Enter payments, work denials, and manage an aging of balances utilizing excellent time management and accuracy.
Participate in all Third Party Billing Team processes
Communicate any trends in reimbursement or errors in claims submission to the Billing Manager.
Adhere to all company policies, procedure and business ethics codes and ensures that they are communicated and implemented within the team.
JOB SPECIFICATIONS:
3-4 years healthcare insurance billing experience (DME preferred)
1-2 years’ experience or educational equivalent of medical coding and medical terminology preferred
Ability to locate, understand and apply local coverage determinations and policy articles for both Medicare and Mississippi Medicaid.
Experience with software solutions and large, complex organizations (experience with Brightree preferred)
Excellent oral and written communication skills
Willingness to work in a positive, professional, team environment
Company DescriptionM-D Medical Services is one of Mississippi’s most trusted medical equipment and care suppliers.
Since 1997, we have supplied hospices, home health agencies, long-term care facilities and nursing homes with Medicare Part B durable medical equipment such as enteral nutrition, wound care dressings, ostomy supplies, tracheostomy supplies and catheter supplies. We also work to meet the needs of patients who need incontinence and urology and ostomy supplies via our home ship programs.Company DescriptionM-D Medical Services is one of Mississippi’s most trusted medical equipment and care suppliers.\r
Since 1997, we have supplied hospices, home health agencies, long-term care facilities and nursing homes with Medicare Part B durable medical equipment such as enteral nutrition, wound care dressings, ostomy supplies, tracheostomy supplies and catheter supplies. We also work to meet the needs of patients who need incontinence and urology and ostomy supplies via our home ship programs.
