DME Claim Submission Specialist II

Solventum • San Antonio, TX

6d • Hybrid

About The Position

At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers’ toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue. We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you. The Impact You’ll Make in this Role As a DME Claim Submission Specialist II , you will have the opportunity to tap into your curiosity and collaborate with some of the most innovative and diverse people around the world. Here, you will make an impact by: Supporting the necessary actions related to V.A.C. ® Therapy claims and billing and will be to work on numerous reports to drive cleaner claim submissions. You will need to analyze and prioritize work, effectively use business and clinical data in accordance with 3M policies, meet weekly/monthly/quarterly production expectations based on department priorities. Review payer websites, contact payers, patients, and physician offices through (outbound/inbound) calls or email, to obtain the necessary information for billing. You will update claim information and re- filing claim in a timely manner .

Requirements

• High School Diploma/GED or higher (completed and verified prior to start) AND t wo (2) years of experience in Medical Billing or Healthcare Support.

Nice To Haves

• Experience working in a post-acute care setting including Home Health Agencies, Skilled Nursing Facilities, Wound Care Centers or with providers in this sector is a plus.
• Experience with CPT and HCPCS coding systems and ICD-10 diagnosis coding.
• Familiarity with Electronic Health Records systems, as the role may involve accessing and updating patient information within electronic medical records.
• Attention to detail and accuracy, candidates must have a keen eye for detail and the ability to maintain accuracy while processing billing information and documentation.
• Time management and organizational skills, prioritizing tasks, managing work efficiently, and meeting deadlines are essential.
• Compliance knowledge, candidates should understand HIPAA regulations and other compliance standards governing patient privacy and healthcare billing practices.

Responsibilities

• Supporting the necessary actions related to V.A.C. ® Therapy claims and billing
• Work on numerous reports to drive cleaner claim submissions
• Analyze and prioritize work
• Effectively use business and clinical data in accordance with 3M policies
• Meet weekly/monthly/quarterly production expectations based on department priorities
• Review payer websites
• Contact payers, patients, and physician offices through (outbound/inbound) calls or email, to obtain the necessary information for billing
• Update claim information and re- filing claim in a timely manner

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees