What are the responsibilities and job description for the DME Biller position at Medical Service Company?
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 13 -Time recipient of the prestigious NorthCoast 99 Award as a Top Workplace to work - 2024!
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
- DEI&B Program
- Social Recognition Program
- Employee Engagement Opportunities
- CALM App
- 401k (with a matching program) / Roth IRA
- Company Discounts
- Payactiv/On-Demand Pay
- Paid vacation, Sick Days, YOU (Mental Health) Days and Holidays
The Reimbursement Specialist, is responsible for the timely and accurate billing and collections for Medicare, Medicaid, and Commercial insurance carriers.
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.
