Billing Specialist

Hart Medical Equipment provides a full range of home care products and support services based on individual needs. We strive to conduct our patient care operation with the highest standards. We are a nationally accredited, premier provider of home medical equipment and supplies.

Status: Full Time
Location: Grand Blanc, MI

About the role

Coordinates insurance and billing related activities associated with the care of service provided to the customers of the company.

Responsibilities

• Enter charges accurately and expeditiously to ensure proper records handling and fast payment responses
• Initiate private pay collections after insurance cancellation, denial or other issue
• Obtain referrals and pre-authorizations as well as eligibility and verification of benefit when required
• Prepare, review, and transmit claims using billing software, including electronic and paper claim processing
• Follow up on unpaid claims within standard billing cycle timeframe
• Check each insurance payment for accuracy and compliance with contract discount
• Identify and bill secondary or tertiary insurances
• Maintain accuracy of tables as well as inform management with rate changes
• Check to see if claims remain unpaid and follow up with patients and insurance companies to determine the cause of the delay and to keep the billing cycle on track
• Look into claims that are denied and research how to modify the claim to ensure it is processed correctly at maximum reimbursement
• Answer inquiries made by patients, insurance companies, or fellow employees regarding assigned accounts, the billing process or the appeals process. This includes reviewing for accuracy, completeness, and obtaining missing information
• Maintain complete understanding and knowledge of all reimbursement requirements for assigned payer as well as general knowledge for payers outside of those assigned. Communicate policy changes/issues to management so information can be communicated out to other areas of company
• Liaise between payers/provider representatives when necessary
• Uphold positive attitude towards tasks and co-workers, as well as a commitment to teamwork throughout the billing team and the organization
• Serve as troubleshooter for accounts receivable problems and as back-up troubleshooter for complete system
• Other duties as requested by Management

Requirements

• High school diploma or general education degree (GED)
• Minimum of six (6) months in a medical related field and/or training; or equivalent combination of education and experience

Skills

• Excellent interpersonal, written and verbal communication skills
• Attention to detail
• Good data entry skills
• Proficiency with computers, with strong typing skills
• Good organization skills
• Proficient English (verbal, written)

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• While performing the duties of this job, the employee is regularly required to sit, talk and hear
• The employee is occasionally required to stand and walk
• The employee must occasionally lift and/or move up to 25 pounds
• Specific vision abilities required by this job include close vision
• All employees are required to work in a safe manner

Work Environment

The work environment described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Office environment

Benefits

Hart Medical Equipment offers a competitive salary and benefits package.