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Healthcare Billing Specialist
2 months ago
Hart Medical Equipment is a leading provider of home care products and services tailored to meet individual patient needs. Our commitment to excellence in patient care is reflected in our national accreditation as a premier supplier of home medical equipment and supplies.
Employment Type: Full Time
Location: Grand Blanc, MI
We offer a competitive salary along with a comprehensive benefits package. EOE
Position: Medical Biller
OVERVIEW: Responsible for managing insurance and billing activities related to the services provided to our customers.
KEY RESPONSIBILITIES: Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.
- Accurately input charges to ensure proper record management and timely payment processing.
- Initiate collection efforts for private pay accounts following insurance denials or cancellations.
- Follow up on outstanding claims within the standard billing cycle timeframe.
- Verify the accuracy of insurance payments and ensure compliance with contractual agreements.
- Identify and process secondary or tertiary insurance claims.
- Maintain updated tables and inform management of any rate changes.
- Investigate unpaid claims and liaise with patients and insurance providers to resolve issues and maintain billing efficiency.
- Research denied claims and determine necessary modifications to ensure correct processing for maximum reimbursement.
- Respond to inquiries from patients, insurance companies, or colleagues regarding assigned accounts, billing procedures, or appeals. This includes ensuring accuracy and completeness of information.
- Maintain comprehensive knowledge of reimbursement requirements for assigned payers, as well as general knowledge for other payers.
- Communicate any policy changes or issues to management for dissemination to relevant departments.
- Collaborate with payer representatives as needed.
- Foster a positive work environment and demonstrate a commitment to teamwork within the billing department and the organization.
- Serve as a troubleshooter for accounts receivable issues and provide backup support for the overall system.
- Perform additional duties as assigned by management.
This role does not involve supervisory responsibilities.
QUALIFICATIONS
To excel in this position, candidates must exhibit professionalism, proactivity, and a positive demeanor when interacting with both internal and external stakeholders.
Education and Experience
- High school diploma or equivalent (GED).
- At least six (6) months of experience in medical insurance reimbursement or relevant training; or a combination of education and experience.
- Strong interpersonal, written, and verbal communication skills.
- High attention to detail.
- Proficient data entry skills.
- Competence with computers and strong typing abilities.
- Excellent organizational skills.
Language Proficiency
English (verbal and written)
Mathematical Skills
Ability to perform basic arithmetic operations using a calculator.
Analytical and Problem-Solving Skills
Ability to apply common sense to follow instructions provided in various formats. Ability to address problems involving multiple concrete variables in standardized situations.
CERTIFICATES, LICENSES, REGISTRATIONS
None required.
PHYSICAL DEMANDS
The physical demands outlined here are representative of those required to successfully perform the essential functions of this role. Reasonable accommodations may be made for individuals with disabilities.
While performing the duties of this job, employees are regularly required to sit, talk, and hear. Occasionally, employees may need to stand and walk. The role may require lifting and/or moving up to 25 pounds. Specific vision abilities required include close vision. All employees are expected to work safely.
WORK ENVIRONMENT
The work environment described here is representative of what employees encounter while performing the essential functions of this role. Reasonable accommodations may be made for individuals with disabilities. The office environment typically has a moderate noise level.
TRAINING
Orientation and selected training courses must be completed within the designated timeframe.
ADDITIONAL QUALIFICATIONS
None specified.
Please note that this job description is not intended to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee for this position. Duties, responsibilities, and activities may change at any time with or without notice.
Hart Medical Equipment is an equal opportunity employer and does not discriminate based on race, color, religion, sex, national origin, citizenship, age, disability, genetic information, height, weight, marital or veteran status, or any other protected status as per applicable federal, state, and local laws. We also provide reasonable accommodations for individuals with disabilities in accordance with applicable law.
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