Job Description
Job Description
Description : Job Type
Full-time
Responsibilities and Duties :
A Billing Specialist manages rehab claim denials associated with referrals, authorizations, notifications, non-coverage, and medical necessity. An Accounts Receivable Specialist reviews claim denials and notes, and the patient’s medical record, to determine whether resubmission, retro-authorization, appeal, or no action is needed.
- Maintains working reimbursement knowledge of rehab equipment provided by the organization
- Researches payer denials and billing which resulted in denial and payment delay
- Submits appeals to payers based on review of medical records and in accordance with payer requirements
- Performs resubmissions. Submits retro-authorizations and appeals.
- Identifies denial patterns and assists management with root cause analysis, education, and / or recommendations for workflow changes to improve business practices
- Assists patients over the phone and in-person
- Attends in-services and meetings
About Us
Quipt Home Medical, is a full service DME and complex mobility medical provider focused on continued excellence in patient care. Our family of companies have grown over the last several years and so has our commitment to provide the best possible service one patient at a time.
Our Values : A Quipt Home Medical team member is...
Collaborative and works with others to find solutionsResults-driven and identifies and achieves goals that further our MissionInnovative and seeks solutions to challenges and takes initiative to improveSincere and works with honesty, integrity and empathyProfessional with high expectations for quality of work, competence, demeanor, ethicsOur Mission : Enhance patient outcomes by providing exceptional service and compassionate care
Benefits :
Paid Time OffOn-the-job trainingRequirements : About You
High school diploma or equivalentMinimum two years related experienceExperience with Medicare and third-party reimbursement preferredPrevious large practice or DME experience preferredStrong verbal and written communication skills; Strong organizational skills and attention to detail; Strong analytical, problem-solving, and time management skillsProficient with Microsoft Office, including Word, Teams, and Outlook; particular proficiency with Excel workbooks