DME Biller

4 weeks ago

Huntsville, United States The Orthopaedic Center Full time
Primary Responsibilities/Requirements:

  • Answer billing calls from patients and assist with account resolution
  • Reviews patient bills for accuracy and completeness and obtains any missing information.
  • Verifies correct coding/charge entry to ensure prompt payment.
  • Prepares, reviews, and transmits claims using billing software, including electronic and paper claim processing.
  • Follows up on unpaid claims within standard billing cycle timeframe.
  • Checks each payment for accuracy and compliance.
  • Calls insurance companies regarding any discrepancy in payment, if necessary.
  • Identifies and bills secondary or tertiary insurances.
  • Follows up with the referral source to obtain necessary paperwork as required by Insurance.
  • Works with Medicaid, Medicare, and various commercial insurers for billing and collection purposes.
  • Ability to master the EMR/PM systems.
  • Ability to utilize software applications to process claims, research statements, and research accounts.
  • Process claims, referrals, crossovers, and authorizations
  • Responsible for filing appeals and following them through the process of payment
  • Work AR work list as assigned
  • Print records requested for proper claims processing
Must Also Posses:
  • Ability to communicate well with patients, physicians, and staff
  • Self-motivated and ability to work independently
  • Positive “teamwork” attitude
  • Assist with other duties as assigned
Education and Experience:
  • Two years of experience in clerical/office support work and/or education at the high school level
  • Minimum of two years billing experience - preferred
  • Minimum: DME experience required, two years AR experience required
  • Knowledge of Insurance guidelines and other payment requirements
  • Knowledge of ICD 10 Codes
  • Knowledge of HCPCS Codes
  • Knowledge of LCD’s
  • CPC/CPC-A encouraged but not required