Billing Specialist-Intake

Essential Duties and Responsibilities

• Billing & Account Follow-Up: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position. Responsibilities include billing private insurances, private individuals, and/or Government entities for home medical equipment.
• Compliance: Understand and comply with all governmental, regulatory and Viemed billing and compliance regulations/policies including but not limited to Medicare and Medicaid programs.
• Review and Coding: Review of HCFAS and patient invoices for appropriate coding, charges, allowable, co-pays, and supporting documentation.
• Follow-Up: Follow-up with Therapist, Intake Specialist, CSR, and other appropriate parties to collect open billings promptly and to ensure compliance with billing regulations.
• Reporting: Identify and report to management payer issues concerning billing.
• Conglomerate Patient Information: Coordinate all patient information and process paperwork including preparation of file for billing.
• Establish Records: Establish patient records and record appropriate patient and equipment rental information in each patient's record.
• Process Accounts: Process accounts and maintains appropriate records promptly.
• Reports: All Charts/Tickets should be billed with 48hrs of receiving the paperwork emails.
• Concerns Reporting: Reports all concerns or issues directly to Intake Manager or Intake Supervisor

Qualifications

• High School Diploma or equivalent
• One (1) to two (2) years working for a Durable Medical Equipment company or relevant medical office experience preferred.
• Ability to file, perform billing functions, maintain records, understanding of billing requirements, good typing and telemarketing skills.
• Basic understandings of medical insurance benefits
• Basic knowledge of medical billing system preferred.
• 2-4 years’ HME billing. Data entry, accounting, or customer service experience.
• Skill in establishing and maintaining effective working relationships with other employees, patients, organizations, and the public.
• Able to read and understand medical documentation effectively.
• Knowledge and understanding of the same and similar DME equipment.
• Knowledge and understanding of In-network vs Out of Network, PPO, HMO
• Thorough understanding and maintaining of medical insurances company’s regulations and requirements to include but not limited to Medicare and Medicaid.
• Working knowledge of CPT, HCPCS & ICD10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits.
• Learns and maintains knowledge of current patient database & billing system.
• Up to date with health information technologies and applications.
• Answers telephone politely and professionally. Communicates information to appropriate personnel and management promptly.
• Establishes and maintains effective communication and good working relationships with co-workers, patients, organizations, and the public.
• Proficient in Microsoft Office, including Outlook, Word, and Excel.
• Utilizes initiative, strives to maintain steady level of productivity and is self-motivated.
• Work week is Monday through Friday and candidates will work an agreed-upon shift (current shifts include 7am-4pm, 8am-5pm, 9am-6pm).
• May work weekends or overtime.
• Access to Protected Health Information (PHI)

Working Conditions

• This position will work in an office environment.
• You will be expected to work during normal business hours, which are Monday through Friday, 8:00 a.m. to 5:00 p.m.