CSR DME Revenue specialist (Medical Billing) Position Available In Lexington, South Carolina

CSR DME Revenue specialist (Medical Billing) 3.7 3.7 out of 5 stars Lexington, SC 29072 A Growing leader in the Durable Medical Equipment industry with a focus on clinical respiratory equipment is seeking to add a Revenue specialist to our team.

Job Summary:

The Revenue Specialist is responsible for coordinating and securing initial and renewal authorizations for Durable Medical Equipment (DME) from insurance providers. This role ensures compliance with all payer requirements and to stay on top of changes in the insurance industry regarding authorizations. This specialist serves as a liaison between healthcare providers, patients, insurance companies in order to provide uninterrupted billing. This team member will be required to possess a vast knowledge of DME qualifications for equipment, preferred Brightree experience, and experience with inital and renewal authorizations. Fluent with being able to identify problems with CMN’s and PA’s. Ability to contact doctor’s offices and patient’s requesting information needed by phone, faxes, and letters. Must have the ability to manage run and manage reports to obtain updated authorizations before they expire. Request documentation as needed. The ideal candidate will be self-starter with strong communication skills, and organizational skills, a positive attitude and one who possesses a passion for customer service.

Key Responsibilities:

Prepare and submit prior authorization and renewal requests to insurance companies for durable medical equipment services. Review medical documentation to ensure completeness and compliance with insurance requirements. Communicate with insurance providers to follow up on the status of pending authorizations and resolve any issues or denials. Work closely with physicians and patients to gather necessary clinical information. Track and manage expiring authorizations; proactively initiate renewal requests to avoid interruptions in billing. Document all communication and authorization activities accurately in our Brightree system. Maintain knowledge of payer-specific authorization policies, guidelines and documentation requirements. Requirements Must possess exceptional communication and customer service skills Excellent organizational and time management skills Extreme attention to detail is required Strong Computer skills Team player who is able to multitask Professional appearance and positive attitude are essential Able to pass a background check

Job Type:

Full-time Benefits:

401(k) 401(k) matching Dental insurance Health insurance Paid time off Vision insurance

Schedule:

Monday to

Friday Experience:

DME:

1 year (Preferred) Ability to

Commute:

Lexington, SC 29072 (Required)

Work Location:

In person