What are the responsibilities and job description for the Billing Specialist - DME position at Mat's Pharmacy and Medical Supply?
Best of Bucks 11plus years in a row!
Founded in 1991, Mat's Pharmacy and Medical Supply has been delivering the quality of life its customers come to expect, and deserve. Our high standards for health and wellness, coupled with our devotion to the community, distinguish us not just as another local establishment, but as an essential catalyst for achieving a happy and healthy lifestyle.
DME Department is a vital part of our mission. The DME Billing Specialist position provides liaison between the DME Department and the patient’s insurance company by verifying DME clean claims and ensuring proper payments are made.
Mat's Pharmacy and Medical Supply remains open as an essential provider to serve our communities by offering critical medications and medical supplies to our customers.
Duties and Responsibilities:
- Ensures medical compliance by maintaining standards set forth by insurances and HIPAA.
- Submits daily claims to insurance companies.
- Uses analytical skills to investigate the issues with unpaid claims and/or denied payments.
- Reviews authorizations for rental equipment daily.
- Verifies and confirms all DME retail and insurance sales.
- Contacts insurance providers for issue clarifications.
- Obtains appropriate paperwork from doctors such as prescriptions, Certificates of Medical Necessities, prior authorizations
- Initiates billing review for New Sales and Refills Sales for pre-dispensing medical equipment.
- Verifies patient’s insurance eligibility for Durable Medical Equipment.
- Maintains a daily record of incoming payments.
- Collects daily payments from insurances/patients, and records these transactions in Brightree software.
- Works with Accounts Receivable department for invoicing patients.
- Reviews for insurance updates, as needed.
- Works on medical review, appeals, and reconsideration as needed.
Qualifications:
- 1 year of medical billing experience
- High School diploma or equivalent
- Knowledge of Microsoft Office (Word, Excel)
Other requirements:
- Detail-oriented
- Excellent communication skills
- Be a team-player with the focus on common goal
What we offer:
- Weekly pay
- Health, Dental, Vision insurance
- Simple IRA
- Paid Holidays
- 2 weeks of paid vacation
- Opportunities for growth
- A team work environment with support and encouragement
Equal Opportunity Employer
Mat's Pharmacy and Medical Supply is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of age, sex, sexual orientation, race, color, creed, national origin, ancestry, disability, marital status, or any other legally protected basis under federal, state or local law.
Job Type: Full-time
Pay: From $17.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee discount
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
Work Location: In person
Salary : $17
