DME Billing Specialist

Job Description

Job Description

Salary :

The high value we place on our employees is reflected in ourcompetitive pay andexceptional benefits package, which includes Medical insurance (company pays 75% of the premium), Dental and Vision (company pays 100% of the premium), free life insurance, generous paid vacation time, paid sick time, paid company holidays, and more!

What we stand for : Our goal is to achieve nothing less than ecstatic customers. We do that by operating in a healthy culture of excellence and hiring employees who are happy to go the extra mile to achieve that vision.Workingwith purposeful energy and accountability comes naturally. Credibility always matters and small details are huge!

A Billing Specialist / Medical Coder serves as a liaison to outside clinics billing departments and to assist with internal billing needs. The Billing Specialist / Medical Coder is responsible for insurance follow up and Accounts Receivable Management. This position may also be responsible for Charge Review, Claims Mailing, Documentation Attachment and other duties as necessary to get charges submitted. Experience in DME or Podiatry is a plus!

Essential Functions :

• Timely filing of claims
• Actively working to maintain a 95% net collection rate or higher for all clinics
• Work denials that are emailed by in house billing of clinics or DME Coordinators
• Work in multiple software systems to accomplish AR results
• Manage assigned Work Ques independently
• Furnish invoices for WCC claims when requested
• Daily, weekly, or monthly tracking and reporting
• Participation in weekly conference calls
• Tracking and organizing insurance information
• Effectively communicating outstanding A / R with clinics and management
• Effectively communicating billing, insurance, and coverage criteria updates with staff and management
• Help with administrative assignments and projects as needed
• Serve as the liaison to clinic billing departments
• Keep up with compliance, coverage criteria, ICD-10 information and update all employees as needed
• Other duties, as assigned

Required Experience :

Competencies :

Work Environment : This position requires professional behavior and consideration of our Clients staff at all times.

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. This is largely a sedentary role. While performing the duties of this job, the employee is required to communicate effectively. The employee may also be required to perform high functioning dexterity tasks.

Travel : Minimum travel may be expected in certain areas for training purposes.