DME Billing and Collections

4 weeks ago

Angeles, Philippines SuperStaff Full time

The DME Cash Application Coordinator is the employee that interacts with the insurance companies regarding billing guidelines, coding, & denials. This position is at the corporate office location and works closely with the Finance Supervisor, Director of Sales & Finance & Operations. This position contributes greatly to the overall satisfaction of our customers, vendors and business associates.
ESSENTIAL JOB RESPONSIBILITIES

  • Assists in confirming tickets in Brightree for re-orders to generate billing.
  • Stays current on CMS guidelines and follows NUCC standards.
  • Assists with reviewing and work electronic submission rejections.
  • Assists with working incoming correspondence and/or denials for established payors for reprocessing.
  • Review and post incoming cash for established payors as well as any denials or recoupment's that might be included in insurance EOB.
  • Assists regularly work outstanding A/R to identify claims that require follow up to prevent write offs of any kind.
  • Communicate any concerns or trends to immediate supervisor and biller for further discussion.
  • Work directly with Case Manager and Patient Care Coordinators to communicate needed information to generate clean billing and collectable revenue.
  • Works on special projects as needed. Assists with other projects.
  • Completes all month end procedures and closes out Brightree. Reports all to Finance Supervisor.
  • Performs other related duties as required and assigned.
Requirements

- Strong verbal and written communication skills are required.

- Must be knowledgeable in basic office operations and be able to perform multiple tasks simultaneously.

- Must be able to work under pressure, delineate priorities when workload is abundant.

- Must be able to represent the company in a professional manner.

- Must maintain HIPAA (Health Insurance Portability and Accountability Act) compliance in accordance with the provisions outlined in the company’s Employee Manual and HIPAA manual and understand their obligations under the Privacy Rule.

- Able to perform the essential duties of this position without posing a “direct threat” to the health or safety of self or others.

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