Billing Specialist, DME

Responsibilities

• Process insurance claims to Medicare and all payors within timely filing limits.
• Ensure all claims and invoices are tracked to daily census to capture and maximize timely reimbursement.
• Follow up on and send documentation as required for billing of claims to payors.
• Interact with various personnel in nursing home and rehab facilities as required.
• Build relationships internally and externally while adjusting to a fast-paced environment.
• Monthly billing of electronic claims (primary and secondary) and/or invoices for patients and facility accurately and timely.
• Communicate updates required within the system to correct billing errors and rebill claims.
• Research, resolve, and resubmit any rejected claims or billing denials in a timely manner.
• Navigate multiple online EMR systems and use Bright Tree software.
• Contact facility on the status of Medicaid pending residents.
• Develop and maintain a working knowledge of products offered to ensure proper HCPCS coding/billing.
• Complete insurance verification to validate patient's eligibility and correct filing information.
• Maintain patient confidentiality and function within the guidelines of HIPAA and company.
• Meet daily, monthly, and quarterly billing metrics.
• Perform other related duties as assigned.

Requirements

• High School Diploma or equivalent (GED).
• Excellent communication skills and professionalism.
• 2-3 years of healthcare billing experience.
• Billing Certification preferred.
• General Knowledge of Medicare, Medicaid, Commercial and Managed Medicaid requirements preferred.
• DME experience preferred with proficiency in HCPCS and ICD-10 coding.
• Experience with Bright Tree software and payer portals.
• Proficiency in Microsoft Office (Word, Excel, etc.) and virtual means of communication.