Billing Specialist

Essential Duties and Responsibilities:

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)
• Possible weekend work or overtime.

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.