DME Cap Denials

Integrated Home•Miramar, FL

About The Position

Integrated Home Care Services (IHCS) provides in-home Durable Medical Equipment, Respiratory, Home Health, and Home Infusion services through a network of Medicare- and Medicaid-certified and accredited providers. The company serves more than 2 million lives across the United States and Puerto Rico and emphasizes compassionate, coordinated care, exceptional customer service, and patient outcomes. The DME Cap Denials incumbent reviews patient account open balances, assigns or reviews ICD-10-CM, CPT, and HCPCS codes for outpatient medical records, and resubmits claims for incorrect denials.

Requirements

  • High school diploma or GED.
  • Effective verbal and written communication skills.
  • Ability to use various computer programs and applications, including EMR/EHR systems.
  • Ability to self-motivate and work independently.
  • Ability to multitask, set priorities, and manage time effectively.

Nice To Haves

  • Two to three years of healthcare billing and coding support experience within Home Care Services is preferred.
  • Medical Biller/Coder certification is highly desired.

Responsibilities

  • Review patient account open balances.
  • Assign or review ICD-10-CM, CPT, and HCPCS codes for outpatient medical records.
  • Resubmit claims for incorrect denials.

Benefits

  • Medical, vision, and dental coverage.
  • Short- and long-term insurance.
  • Six or more days of holiday pay.
  • 13 days of PTO.
  • Employer-paid life insurance.
  • 401(k) with employer contribution.
  • Wellness program with reward incentives.
  • Employee recognition and reward programs.
  • Comprehensive paid training program.
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