Medical Billing Specialist

Qualifications: DME: DURABLE MEDICAL EQUIPMENT EXPERIENCED BILLING SPECIALIST ONLY APPLY

• High school diploma.
• Previous billing and collections experience preferred.
• Ability to file, perform accounting functions, maintain records, understanding of reimbursement requirements, good typing and telemarketing skills.
• Skills: Basic MS Excel, Word and 10-key skills required.
• General knowledge of government, regulatory and JAMES MEDICAL billing and compliance regulations/policies for Medicare, Medicaid, preferred
• Two years experience in insurance office, doctor's office or three years general office experience.
• High school education required
• Effective verbal and written communication skills.
• Knowledgeable in all major insurance carrier reimbursement guidelines and eligibility for coverage by third party payers.
• Must have DME Experience Required
• Bright tree Experience

Required Knowledge/Experience:

• Knowledge of computers and telephone
• Knowledge of medical billing system preferred.
• 2-4 year’s DME billing Required Data entry, accounting or customer service experience also required.

Physical Demands:

• Sitting, standing, walking at desk, in office
• Operation of office machinery and computer
• Occasionally lift/move items up to 20 pounds

Duties and Responsibilities

• Under general supervision, follows up on A/R that is 90 days old and coordinates collection of the same.
• Addresses denial and non-payments to correct and resume correct billing or identify how to correct billing and forwards to the appropriate personnel for payment.
• Works with weekly and monthly reports to keep all billing current and accurate.
• Works with weekly and monthly reports and keeps payers current.
• Consults with supervisor regarding any billing problems.
• Other tasks as assigned and comply with all applicable JAMES MEDICAL policies and procedures.
• Responsible for billing private insurances, private individuals and/or Government entities for home medical equipment.
• Understand and comply with all governmental, regulatory and JAMES MEDICAL billing and compliance regulations/policies including but not limited to Medicare and Medicaid programs
• Follow-up with payers, patients and other appropriate parties to collect open billings in a timely manner and to ensure compliance with billing regulations.
• Identify and report to management payer issues with regards to billing and collection
• Establish patient records and record appropriate patient and equipment rental information in each patient's record.
• Review and log correspondence regarding pending/denied claims
• Assist with implementation of quality improvement program to meet JAMES MEDICAL and accreditation standards.
• Develop and maintain working knowledge of current DME products and services offered by the Branch and all applicable insurance guidelines respecting eligibility for coverage and reimbursement.

Job Type: Full-time

Job Type: Full-time

Pay: $15.00 - $19.00 per hour

Expected hours: 40 per week

Benefits:

• Life insurance

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• DME: 1 year (Required)

Work Location: In person

Salary : $15 - $19