Billing /dme Clerk

3 weeks ago


Houston, United States Medical Insights Full time

**RESPONSIBLE TO**: HME Office and/or billing manager

**QUALIFICATIONS**:

- Graduate from an accredited high school. One year clerical/office experience. Typing and 10-key skills. Excellent communication and customer relations skills. Detail oriented.

**PHYSICAL QUALIFICATIONS**:

- Must possess mobility to work in and move about in a standard office setting and to use standard office equipment, including a computer.

Sitting in a seated position for extended periods of time.
- Reaching out by extending hands or arms in any direction
- Finger dexterity required to manipulate small objects such as using a keyboard

Strength to lift and carry files weighing up to 10 pounds
- Communication skills using the spoken word, both in person and over the telephone.
- Visual ability to read materials in either a printed format or on a computer screen
- Ability to hear well enough to carry on a normal conversation, both in person and over the telephone.

Stamina to maintain attention to detail despite frequent interruptions.

**Main Function**:

- Works with intake and documentation specialists to collect all information needed to bill a claim. Completes electronic and manual billing. Post cash. Works denials and accounts receivable.

**Responsibilities and Duties**:

- Is familiar with the rules and regulations regarding the type of coverage being billed.

Requests assignment of benefits, prescriptions, letters of medical necessity, and other required information.

Performs manual or electronic processing of reimbursement claims.

Performs billing and collections of Medicare, Medicaid, and private insurance billing and collections.

Performs private pay billing and collections.

Maintains accurate and complete records concerning billing activity.

Prepares and mails 10 month cap letters to recurring rental patients.

Tracks and requests renewal authorizations as needed.

Post cash to billing system.

Maintains billing files

Communicates problems and concerns with supervisor/office manager that may lead to inaccurate or untimely completion of reimbursement processing.

Other duties assign by direct manager


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