Qualifications:

DME:

DURABLE MEDICAL EQUIPMENT EXPERIENCED BILLING SPECIALIST ONLY APPLY. EXPERIENCE 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

Benefits:

Life insurance

Work Location:

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