Durable Medical Equipment Billing and Collections Specialist

2 weeks ago

Parkville, Maryland, United States Northern Pharmacy & Medical Equip Corp Full time
Job Summary

We are seeking a highly skilled and detail-oriented Durable Medical Equipment Billing and Collections Specialist to join our team at Northern Pharmacy & Medical Equip Corp.

In this role, you will be responsible for providing administrative support in the billing and collections function of the medical revenue cycle process. Your primary focus will be on ensuring accurate invoicing, collecting outstanding accounts receivable, and maintaining compliance with all applicable regulations.

Key Responsibilities:

  • Review Sales Orders for Hospitals, confirm orders, request purchase orders (POs), prepare and send invoices, and manage outstanding accounts receivable.
  • Print and review monthly Facility and Long-Term Care (LTC) invoice billing with aging reports and ensure timely submission.
  • Run monthly Accounts Receivable (AR) reports and follow up on past-due billing.
  • Maintain databases by entering, updating, and retrieving data and generating reports.
  • Resolve outstanding accounts receivable issues from past-due accounts.
  • Respond to inquiries from facilities and customers regarding billing.
  • Contact facilities, hospitals, or responsible parties to obtain necessary or corrected information.
  • Verify the accuracy of all uploaded patient information.
  • Follow up with payers, patients, and other relevant parties to collect open billing promptly.
  • Identify and report any payer issues related to billing and collections to management.
  • Review, analyze, and reconcile initial Accounts Receivable and Order Entry exceptions and discrepancies to ensure accurate invoicing.
  • Review incoming mail daily, sort it, and distribute it to the correct team members, including scanning financial and insurance documents.
  • Perform cash posting by reviewing and creating daily cash deposits and posting payments.
  • Process outgoing daily mail.
  • Ensure compliance with applicable governmental laws, rules, and regulations in the United States through initial and annual training.

Requirements:

  • High school diploma or equivalent required.
  • Minimum of 1-2 years of related experience in billing and collections, specifically within the durable medical equipment (DME) field. Knowledge of Brightree is a plus.
  • Familiarity with payer reimbursement guidelines and government, regulatory, and company billing and compliance regulations/policies.
  • Basic proficiency in MS Office Applications, with strong analytical skills and the ability to create detailed reports.
  • Strong communication, organizational, and problem-solving skills.
  • Ability to work independently, multitask, and handle various priorities in a fast-paced environment.
  • Customer-focused with a sense of urgency and a mindset oriented toward Health Insurance Portability and Accountability Act (HIPAA) compliance and Protected Health Information (PHI).
  • Effective verbal and written communication skills.

Work Environment and Values:

  • Customer Focus: We listen to our customers' needs and respond with urgency.
  • Teamwork: We value every team member, treat each other with respect, and work together to achieve common goals.

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