Overview
Skills
Job Details
Duties:
- Institutional Insurance and reimbursement expert for one or more of the following business lines: durable medical equipment.
- Performs all aspects of the billing and collection processes for the individual business lines across the enterprise.
- These processes include service pre-certification, insurance coverage review and personal responsibility determination, communications with patients, claim submissions, denial review, rebilling, appeals, and accounts receivable management.
- Utilizes skills in problem solving, customer service, and communications (verbal and written) in interactions with patients and internal customers to resolve a variety of account, billing and payment issues for patients, physicians, nurses, pharmacists, technicians and social workers.
- Interprets, applies and communicates client Clinic policies regarding financial aspects of patient care to assure optimal reimbursement for both the patient and client Clinic.
Associate Degree in finance, business or healthcare related majors and one year experience in medical, pharmacy or durable medical equipment billing and collection activities Or high school diploma/GED with at least 3 years' experience in medical, or durable medical equipment billing and collection activities. Qualified candidate must possess strong human relations, communication, problem solving, and organizational skills to interact with a variety of customers and personnel, both within and outside the institution. Must be able to work independently and in a team environment. Candidate should have experience working with Windows based software, Microsoft Word, Excel, and the Internet. Keyboarding experience required. Claims management software experience desired.
Skills:
- Customer Service
- Basic to moderate computer knowledge
- Microsoft Office skills
- Typing speed moderate
- Healthcare background/verbiage knowledge
- Basic insurance knowledge
- Basic communication skills to effectively collaborate with others
- Basic claims maintenance or basic prior authorization is a bonus
Education: Associate Degree in finance, business or healthcare related majors and one year experience in medical, pharmacy or durable medical equipment billing and collection activities Or high school diploma/GED with at least 3 years' experience in medical, or durable medical equipment billing and collection activities. Qualified candidate must possess strong human relations, communication, problem solving, and organizational skills to interact with a variety of customers and personnel, both within and outside the institution. Must be able to work independently and in a team environment. Candidate should have experience working with Windows based software, Microsoft Word, Excel, and the Internet. Keyboarding experience required. Claims management software experience desired.
Schedule Notes: Mon-Friday 8 a.m. to 5 p.m. CST
Hours Per Day: 8.00
Hours Per Week 40.00
Pay rate: $/hr on W2.