Billing Specialist

VieMed Healthcare•Lafayette, LA

11d•Onsite

About The Position

This position is responsible for billing and account follow-up, ensuring compliance with all governmental and regulatory agencies. The role involves billing private insurances, private individuals, and/or Government entities for home medical equipment. The Billing Specialist must understand and comply with all governmental, regulatory, and company billing and compliance regulations/policies, including Medicare and Medicaid programs. Key duties include reviewing HCFAS and patient invoices for appropriate coding, charges, allowable amounts, co-pays, and supporting documentation. The specialist will follow up with various internal departments to collect open billings promptly and ensure regulatory compliance. They will also identify and report payer issues to management, coordinate patient information, process paperwork, and prepare files for billing. Establishing patient records and accurately recording patient and equipment rental information is crucial. Accounts must be processed and records maintained promptly, with all charts/tickets billed within 48 hours of receiving paperwork. Concerns or issues should be reported directly to the Intake Manager or Intake Supervisor.

Requirements

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.

Nice To Haves

One (1) to two (2) years working for a Durable Medical Equipment company or relevant medical office experience preferred.
Basic knowledge of medical billing system preferred.

Responsibilities

Billing & account follow-up and compliance with all governmental and regulatory agencies.
Billing private insurances, private individuals, and/or Government entities for home medical equipment.
Understanding and complying with all governmental, regulatory and company 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.