DME Biller
Medical Services Company
- Lewis Center, Ohio, United States
- Lewis Center, Ohio, United States
Über
Conducts review of rejected claims from the clearinghouse and front-end payor edits, follows up on unprocessed claims, and researches denials for resubmission to ensure timely collection and maximum reimbursement. Maintains accurate and complete notes on each invoice worked. Responds to patient inquiries received via phone, email, or from other internal departments. Assists internal departments and staff with billing related issues. Communicates obstacles or challenges to Billing Manager that may lead to inaccurate or untimely resubmission of claims. Performs other duties as assigned.
Qualifications
Education: Graduate of an accredited high school or GED equivalent. Experience/Knowledge/Skills/Physical Requirements:
Minimum of three years of progressively responsible third-party payor reimbursement experience in healthcare. Strong knowledge of Medicare, Medicaid and commercial insurance guidelines, procedures, and rules and regulations for HME billing. Experience with escalating billing disputes, including appeals, reviews, and redeterminations.
Excellent communication and customer relation skills. Excellent interpersonal and organizational skills (a team player). Normal office/clerical motor skills in addition to extensive computer and telephone experience. Brightree experience preferred.
Sprachkenntnisse
- English
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