Billing Specialist

PROTECH MEDICAL LLC•Columbia, TN

10d•$20 - $23•Remote

About The Position

DUTIES/RESPONSIBILITIES: 1. Regular and reliable and predictable attendance. 2. Comply with all applicable company policies, procedures, and patient protocols. Comply with all current government regulations and professional standards with respect to patient care. Duties / Responsibilities include: 1. Ability to update accounts in ERP (Brightree), verify insurance, create/adjust orders, submit and follow up on prior authorizations as required 2. Ability to update notes in ERP for all items touched daily to help follow up process 3. Ability to work with our referral partners as needed to gather necessary documentation. 4. Ability to work with patients to help provide guidance and answers for durable medical equipment insurance claims 5. Ability to review accounts to make sure all information is correct (address, insurance, MD, all contact numbers, emergency contact and CAQH/PECOS[DB3]) and link appropriate insurance, verify insurance, and submit authorizations. 6. Answer multi-line phone system efficiently and direct the patient to the correct person and/or department they need. 7. Ability to scan and attach documents to our ERP solution and label appropriately. 8. Assist with implementation of quality improvement program to meet company and accreditation requirements 9. Ability to help collect any deductible, copay as needed from patients and update ERP appropriately. 10. Ability to make outreach to patients for collection efforts 11. Ability to make outreach to insurance payers to work denials, AR, and other items as needed. 12. Must maintain a clean, well-organized workspace 13. Ability to file claims to insurance entities by way of electronic submission, mailouts or web portal entry 14. Ensure all filed claims are paid properly and follow appeals process to a positive conclusion when required. 15. Maintain working knowledge of insurance guidelines and policies in accordance to equipment we provide. 16. Ability to maintain >98% accuracy on all claims that are billed. 17. All other duties as assigned.

Requirements

Must be customer focused
Prior medical billing experience required
Prior DME billing or AR experience required
Exceptional clients focus and a natural ability to build relationships
Maintain a strong sense of urgency
Experience in working in a fast-paced environment
Effective verbal and written communication skills
Drive to provide best-in-class service to our partners and customers
Ability to work in a team setting as well as independently to prioritize duties to meet deadlines
Intermediate knowledge of Microsoft Outlook and Excel
High level of attention to detail
Positive influence on all employees
Able to manage multiple priorities and close the loop when interrupted
Courteous Customer Service (internally and externally)
Excellent computer and office machinery skills
Must love helping People (both internally and externally)
Able to demonstrate a high degree of passion and energy whilst maintaining a positive outlook
Must be able to pass the required background checks and drug screenings

Responsibilities

Update accounts in ERP (Brightree), verify insurance, create/adjust orders, submit and follow up on prior authorizations as required
Update notes in ERP for all items touched daily to help follow up process
Work with referral partners as needed to gather necessary documentation
Work with patients to help provide guidance and answers for durable medical equipment insurance claims
Review accounts to make sure all information is correct (address, insurance, MD, all contact numbers, emergency contact and CAQH/PECOS[DB3]) and link appropriate insurance, verify insurance, and submit authorizations
Answer multi-line phone system efficiently and direct the patient to the correct person and/or department they need
Scan and attach documents to our ERP solution and label appropriately
Assist with implementation of quality improvement program to meet company and accreditation requirements
Help collect any deductible, copay as needed from patients and update ERP appropriately
Make outreach to patients for collection efforts
Make outreach to insurance payers to work denials, AR, and other items as needed
Maintain a clean, well-organized workspace
File claims to insurance entities by way of electronic submission, mailouts or web portal entry
Ensure all filed claims are paid properly and follow appeals process to a positive conclusion when required
Maintain working knowledge of insurance guidelines and policies in accordance to equipment we provide
Maintain >98% accuracy on all claims that are billed
All other duties as assigned