DME Billing Specialist

3 weeks ago


Cleveland, United States Medical Service Company Full time
Position: DME Billing Specialist Location: Cleveland, OH
Job Id: 1829 # of Openings: 1 MEDICAL SERVICE COMPANY is a family owned and operated durable medical equipment and respiratory provider that's been in business for 70+ years
MSC is a 12-Time recipient of the  prestigious  NorthCoast 99 Award as a Top Workplace to work - 2023 MSC is a two-time recipient of the prestigious National HME Excellence Award for  Best Home Medical Equipment company in the US. In Addition, we are very proud to share that we have been awarded the distinguished honor of 2021 - HME Provider of the Year  We are hiring: FULL TIME WITH BENEFITS APPLY TODAY Competitive Pay Advancement Opportunities Medical, Dental & Vision Insurance HSA Account w/Company Contribution Pet Insurance Company provided Life and AD&D insurance Short-Term and Long-Term Disability Tuition Reimbursement Program Employee Assistance Program (EAP) Employee Referral Bonus Program 401k (with a matching program) / Roth IRA Company Discounts PayActive/On-Demand Pay  Paid vacation, Sick Days, You Days and Holidays *** Starting no less than $18.14/hr Responsibilities and Duties: Conducts review of rejected claims from the clearinghouse and front-end payor edits, follows up on unprocessed claims, and researches denials for resubmission to ensure timely collection and maximum reimbursement. Maintains accurate and complete notes on each invoice worked. Responds to patient inquiries received via phone, email, or from other internal departments. Assists internal departments and staff with billing related issues. Communicates obstacles or challenges to Billing Manager that may lead to inaccurate or untimely resubmission of claims. Performs other duties as assigned. Qualifications: Education: Graduate of an accredited high school or GED equivalent. Experience/Knowledge/Skills/Physical Requirements: Minimum of three years of progressively responsible third-party payor reimbursement experience in healthcare.  Strong knowledge of Medicare, Medicaid and commercial insurance guidelines, procedures, and rules and regulations for HME billing. Experience with escalating billing disputes, including appeals, reviews, and redeterminations. Excellent communication and customer relation skills. Excellent interpersonal and organizational skills (a team player). Normal office/clerical motor skills in addition to extensive computer and telephone experience. Brightree experience preferred.


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