Billing Specialist-Intake

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position. Responsibilities include billing & account follow-up and compliance with all governmental and regulatory agencies. Responsible for billing private insurances, private individuals, and/or Government entities for home medical equipment. Understand and comply with all governmental, regulatory and Viemed billing and compliance regulations/policies including but not limited to Medicare and Medicaid programs. Review of HCFAS and patient invoices for appropriate coding, charges, allowable, co-pays, and supporting documentation. Follow-up with Therapist, Intake Specialist, CSR, and other appropriate parties to collect open billings promptly and to ensure compliance with billing regulations. Identify and report to management payer issues concerning billing. Coordinate all patient information and process paperwork including preparation of file for billing. Establish patient records and record appropriate patient and equipment rental information in each patient's record. Process accounts and maintains appropriate records promptly. All Charts/Tickets should be billed with 48hrs of receiving the paperwork emails. 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. Effectively communicate with physicians, patients, insurers, colleagues, and staff 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) Access to Protected Health Information (PHI) This position will require the employee to handle Protected Health Information (PHI) for duties related to document and report preparation. Policies and procedures will be strictly adhered to make sure PHI is protected as required by the HIPAA Privacy Rule. 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. Please note this job description is not designed to cover and/or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Essential duties and responsibilities may change at any time with or without notice. We are an equal opportunity employer and all qualified applicants will receive consideration without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other characteristic protected by law. By submitting your application and participating in the interview process, you acknowledge and consent that interviews, video meetings, phone screenings, and other recruiting interactions may be recorded for evaluation, training, quality assurance, compliance, and hiring purposes. These recordings may be reviewed by authorized company personnel and may be processed using artificial intelligence or automated tools to assist with notetaking, transcription, scheduling, candidate evaluation support, and other recruiting functions. No employment decision will be based on automated processing. By submitting an application and participating in the interview process, you acknowledge and consent to the recording and processing in accordance with applicable laws and company privacy policies. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor. #J-18808-Ljbffr