Durable Medical Equipment Billing Specialist
2 months ago
AS THE HOME MEDICAL EQUIPMENT BILLING SPECIALIST, you'll be under general supervision of the Billing Manager, the DME (DURABLE MEDICAL EQUIPMENT) Biller performs a variety of complex clerical and accounting functions for patient billing. Will be responsible for billing all payors for any DME item and rental items by verifying sales order information, obtaining authorization, if necessary, while following CMS Guidelines. Effectively manages all aspects of individual Revenue Cycle Management, including resolution of a variety of patient accounting problems. Issues and logs Certificates of Medical Necessity and follows up on unpaid claims by contacting any necessary entities. May handle cash items and accounts receivable posting. Must deliver empathetic and respectful customer service regarding our patients’ financial situation.
Requirements/Responsibilities-Ability to effectively use Brightree
-Knowledge and proficient on various payor portals
-Confirm all sales orders for various rental and purchase items of DME by verifying proof of delivery, ordering doctor, diagnosis, verify insurance and coinsurance percentages, address all coverage limitations and validation rules. Apply patient payments and upload tracking if applicable. Review prescriptions, progress notes or HSTs and edit any pending or expired CMNs (Certificates of Medical Necessity) to send to physician, mark sales order complete.
-Create validation rules and coverage limitations alerts for CSRS to aid in sales order creation
-Check electronic inbound fax for CMN’s, EOB (Explanation of Benefits), progress notes, etc.
-Work daily individual Revenue Cycle Management types: billed claim follow-up, billing stops, CMN (Certificates of Medical Necessity) follow-up, denials, ERL follow-up, expired prior authorizations, timely filing, and unapplied payments.
-Knowledge of the Medicare Appeals Process using portal i.e., redeterminations, etc.
-Responsible for processing any updated information for claims to reprocess and ensure timely
-Update patient benefit, demographic and insurance information as needed.
-Maintain a strong knowledge of guidelines related to HIPAA, OIG Compliance, medical coding, and billing/reimbursement
-Resolve customer account discrepancies
-Monitor and maintain assigned accounts, customer calls, account adjustments, small balance write off, customer reconciliations and process patient and insurance refunds
-Reconcile customer disputes regarding balances due
-Assist Sales and other departments to resolve billing issues
-Ability to be discreet and maintain the security of patient or customer information
-Bill secondary claims electronically or by paper
-Log/send/recert/revise CMN’s.
-Bill all insurances, facilities, and non-insurance orders.
-Check daily work in progress for outstanding orders and tasks
-Complete timely billing audits/correspondence to insurance companies
-Create sales order if appropriate especially for oxygen contents and oxygen maintenance checks
-Communicate/obtain to personnel/supervisor/referral sources for non-compliance of documentation to ensure proper billing
-Knowledge of NAVINET, Promise, UPMC and all CHC (Community Health Choices) portals and its tools
-Knowledge of and verifying Same and Similar on Noridian JA portal
-Logging prior authorizations and create PAR (Prior Authorization Request) tasks for re-authorizations
-Maintain all price tables
-Fix front end denials before claims transmission to clearinghouse
-Bill for maintenance and contents of oxygen if possible
-Maintain and understand the patient pay portal and collection process in Collect Plus
-Notify billing manager of any problems noticed with repetitive denials/contracting denials, software issues, etc.
Qualifications:
-High school diploma (or equivalent) required
-3 years’ experience in insurance billing
-Knowledge of electronic billing preferred
-High attention to detail and able to multitask
-Meets company minimum standard of Background Check
-Comply with Company Employee Manual
-Comply with company policies, procedures, and compliance.
-Comply with all company, state, and federal policies, laws, and regulations, including -HIPPA
-Maintain positive attitude and conduct yourself in a professional, ethical, and knowledgeable manner toward supervisor, patients, referral sources, co-workers, colleagues, subordinates, and members of the public: everyone
-Report to work regular, timely and gives advanced notice to supervisor for time off
Please do not send any emails, resumes, or call.
We are making it really easy to apply for this position.
Simply submit a ZippyApp application package which may include the Common Employment Application, Resume, and a Cover Letter. In your Cover Letter, please write a short paragraph describing yourself and why you would make a great addition to our team.
-
Durable Medical Equipment Driver/Technician
3 months ago
Rochester, United States Shan Medical Equipment Warehouse Full timeJob DescriptionJob DescriptionDelivers, assesses, educates, and documents plan of service to ensure the safe and appropriate use of Medical equipment by performing the following duties.ESSENTIAL DUTIES and RESPONSIBILITIES: Includes the following and other duties that may be assigned by management.· Provide exceptional customer service to our internal and...
-
Durable Medical Equipment Driver/Technician
3 months ago
Rochester, United States Shan Medical Equipment Warehouse Full timeJob DescriptionJob DescriptionDelivers, assesses, educates, and documents plan of service to ensure the safe and appropriate use of Medical equipment by performing the following duties.ESSENTIAL DUTIES and RESPONSIBILITIES: Includes the following and other duties that may be assigned by management.· Provide exceptional customer service to our internal and...
-
Warehouse Manager Medical Equipment Company
3 months ago
Rochester, United States Shan Medical Equipment Warehouse Full timeJob DescriptionJob DescriptionShan Medical Equipment has over 25 years of servicing our community and delivering top quality medical equipment and supplies to our patients. We need a motivated and driven individual that will not only take on the task but build a team under them.The Warehouse Assistant is responsible for the cleaning, maintenance, and testing...
-
Warehouse Manager Medical Equipment Company
3 months ago
Rochester, United States Shan Medical Equipment Warehouse Full timeJob DescriptionJob DescriptionShan Medical Equipment has over 25 years of servicing our community and delivering top quality medical equipment and supplies to our patients. We need a motivated and driven individual that will not only take on the task but build a team under them.The Warehouse Assistant is responsible for the cleaning, maintenance, and testing...
-
Medical Equipment Inventory Coordinator
7 days ago
Rochester, Michigan, United States Shan Medical Equipment Warehouse Full timeJob SummaryShan Medical Equipment Warehouse is seeking a highly motivated and detail-oriented individual to join our team as a Warehouse Assistant. As a key member of our operations team, you will be responsible for ensuring the efficient and effective management of our medical equipment inventory.Key ResponsibilitiesClean and maintain durable medical...
-
Medical Equipment Delivery Specialist
6 days ago
Rochester, Michigan, United States Shan Medical Equipment Warehouse Full timeJob DescriptionAt Shan Medical Equipment Warehouse, we are seeking a highly skilled and dedicated Medical Equipment Delivery Specialist to join our team. As a key member of our operations team, you will be responsible for delivering, assessing, educating, and documenting plans of service to ensure the safe and appropriate use of medical equipment.Key...
-
Medical Billing Specialist
7 days ago
Rochester, New York, United States Earlene C Siebold MD PC Full timeJob SummaryWe are seeking a highly organized and detail-oriented Medical Billing Specialist to join our team at Earlene C Siebold MD PC, a private independent Ophthalmology practice.Key ResponsibilitiesProcess and post medical claims in a timely and accurate mannerObtain insurance approvals and authorizations for patient servicesManage and track accounts...
-
Medical Equipment Technician
6 days ago
Rochester, New York, United States Consolidated Medical Travel Full timeJob Title: Sterile Processing SpecialistJob Summary:Consolidated Medical Travel is seeking a skilled Sterile Processing Specialist to join our team. As a Sterile Processing Specialist, you will be responsible for ensuring the proper processing and sterilization of medical equipment.Responsibilities:Process and sterilize medical equipment to ensure it is safe...
-
Heavy Equipment Service Specialist
2 weeks ago
Rochester, Minnesota, United States Nuss Truck & Equipment Full time***Attractive sign-on bonuses available for qualified candidates*** As a Heavy Equipment Service Specialist, you will be responsible for diagnosing, repairing, and maintaining a variety of heavy machinery in the field. The equipment you will work on includes compactors, excavators, loaders, dozers, and more. Your expertise will cover major components such as...
-
Administrative and Billing Specialist
2 weeks ago
Rochester, New York, United States Jewish Community Center of Greater Rochester INC Full timePosition OverviewThe Jewish Community Center of Greater Rochester is a vibrant facility dedicated to promoting fitness, wellness, and community engagement. We are seeking a full-time Administrative and Billing Specialist to enhance the operational efficiency of our licensed childcare program.This role involves delivering outstanding customer service to...
-
Commercial Billing Specialist
4 days ago
Rochester, New York, United States Benike Construction Full timeJob OverviewBenike Construction is seeking a skilled Commercial Billing Specialist to join our accounting team. As a key member of our operations, you will play a critical role in ensuring the timely and accurate preparation of project invoices.Key Responsibilities:Develop a thorough understanding of company procedures and relevant software, including Vista...
-
Healthcare Billing Specialist
2 weeks ago
Rochester, New York, United States R&R Support Services, Inc. Full timeJob OverviewWe are currently in search of a skilled Healthcare Billing Specialist to join our dedicated team. This is a full-time position that requires working in-office during standard business hours.Key ResponsibilitiesManage and follow up on unpaid claims.Resolve complex account issues efficiently.Rebill claims as necessary.Engage with healthcare...
-
Heavy Equipment Service Specialist
2 weeks ago
Rochester, Minnesota, United States Nuss Truck and Equipment Full timePosition Overview:As a Heavy Equipment Service Specialist, you will be responsible for diagnosing, repairing, and maintaining a variety of heavy machinery in the field. This role is crucial for ensuring that our fleet of construction equipment operates at peak performance.Key Responsibilities:- Receive and interpret repair orders from service advisors.-...
-
Healthcare Billing Specialist
1 week ago
Rochester, New York, United States Earlene C Siebold MD PC Full timeJob OverviewWe are seeking a skilled Healthcare Billing Specialist to join our dedicated team at Earlene C Siebold MD PC, a reputable independent practice specializing in Ophthalmology.Key ResponsibilitiesPerform charge entry and manage insurance approvals and authorizations.Post payments during patient visits efficiently.Send and process claims, ensuring...
-
Sales Professional
7 days ago
Rochester, Minnesota, United States RDO Equipment Full timeJob SummaryWe are seeking a highly motivated and experienced Sales Professional to join our team at RDO Equipment Co. as a Compact Equipment Specialist. In this role, you will be responsible for developing long-term partnerships with our customers to build win-win solutions within an assigned territory and account list.Key ResponsibilitiesDevelop and...
-
Rochester, United States Rotech Inc Full timeAbout Rotech Rotech Healthcare Inc. is a national leader in providing ventilators, oxygen, sleep apnea treatment, wound care solutions, diabetic solutions and home medical equipment. We help patients lead a more comfortable and productive life by keeping them engaged in their care and empowering them to manage their health and treatment at home. Rotech...
-
Medical Equipment Customer Service Representative
3 months ago
Rochester, United States Rotech Healthcare Full timeAbout RotechRotech Healthcare Inc. is a national leader in providing ventilators, oxygen, sleep apnea treatment, wound care solutions, diabetic solutions and home medical equipment. We help patients lead a more comfortable and productive life by keeping them engaged in their care and empowering them to manage their health and treatment at home. Rotech...
-
Medical Equipment Customer Service Representative
2 months ago
Rochester, United States Rotech Inc Full timeAbout Rotech Rotech Healthcare Inc. is a national leader in providing ventilators, oxygen, sleep apnea treatment, wound care solutions, diabetic solutions and home medical equipment. We help patients lead a more comfortable and productive life by keeping them engaged in their care and empowering them to manage their health and treatment at home. Rotech...
-
Medical Equipment Customer Service Representative
3 months ago
Rochester, United States Rotech Healthcare Full timeOVERVIEW: Rotech Healthcare Inc. is a national leader in providing ventilators, oxygen, sleep apnea treatment, wound care solutions, diabetic solutions and home medical equipment. We help patients lead a more comfortable and productive life by keeping them engaged in their care and empowering them to manage their health and treatment at home. Rotech provides...
-
Medical Equipment Customer Service Representative
3 months ago
Rochester Hills, United States Rotech Inc Full timeAbout Rotech Rotech Healthcare Inc. is a national leader in providing ventilators, oxygen, sleep apnea treatment, wound care solutions, diabetic solutions and home medical equipment. We help patients lead a more comfortable and productive life by keeping them engaged in their care and empowering them to manage their health and treatment at home. Rotech...
