What are the responsibilities and job description for the DME Biller / Intake position at Kerae Medical?
Durable medical equipment company located in Concord, CA looking for a professional, and reliable medical biller / intake coordinator with DME experience. The ideal candidate possesses strong organization skills in planning, prioritization, goal setting, time management and physical organization. The coordinator will be responsible for ensuring excellence in the intake, qualification, and ordering process for durable medical equipment (DME) products, supplies, and services. This role involves direct communication with clients, patients, providers, and referral sources, providing first-line support for the intake and processing of various medical equipment and nutritional supplies orders.
Experience & Requirements :
Minimum of 1 year of experience with Durable Medical Equipment intake processes, including insurance verification, Enteral Nutrition requirements, and prior authorization requests.
Knowledge of billing requirements for Medicare, Medicaid, and commercial payers, and the qualifications necessary for coverage of prescribed equipment.
High school diploma or GED required.
Strong proficiency in Microsoft Office Suite of Products including Microsoft Word and Microsoft Excel.
Excellent attention to detail and ability to work in a fast-paced, task-oriented environment.
Self-motivated and results-oriented with the ability to complete tasks through the end efficiently and independently.
Proven ability to suggest process improvements based on current procedures.
Excellent problem-solving skills, with the ability to manage crises calmly and professionally.
Ability to work effectively with diverse personalities and maintain confidentiality in line with HIPAA guidelines.
Maintain a comprehensive understanding of billing, documentation, and reimbursement guidelines (Medicare, Medicaid, third-party, and contracted payers).
Receive and process inquiries, escalations, and referral requests via phone, fax, email, vendor portals, and task systems.
Contact patients to confirm receipt of referrals, verify demographic information, and ensure eligibility.
Enter patient data into the software system, create sales orders for equipment and supplies, obtain prior authorizations, and ensure all medical documentation is filed accurately.
Process referrals promptly and accurately to enhance patient satisfaction and optimize client revenue.
Gather necessary documentation based on payer requirements, standard operating procedures, and compliance programs.
Communicate with patients when documentation does not meet payer guidelines, providing updates and offering alternative options.
Advise providers on equipment and supply prescriptions to ensure appropriate documentation and order requirements are met.
Maintain detailed progress notes on all aspects of the intake process.
Address client, patient, and provider concerns, coordinating corrective action when necessary.
Set up new referring providers in the billing system and verify licensure.
Answer incoming calls and return voicemails professionally and promptly.
Participate in quality reviews and achieve performance goals set by leadership.
Maintain the confidentiality of patient health information.
Provide exceptional customer service to clients, patients, and providers through friendly, caring, and informative interactions.
Answer inbound calls and respond to customer questions.
Connect with new customer or patients via phone / patient screening.
Process medical equipment orders and respond to inquiries and issues regarding said orders.
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