DME Claim Submission Specialist II

SOLVENTUM • San Antonio, TX

8d • Hybrid

About The Position

Thank you for your interest in joining Solventum. Solventum is a new healthcare company with a long legacy of solving big challenges that improve lives and help healthcare professionals perform at their best. At Solventum, people are at the heart of every innovation we pursue. Guided by empathy, insight, and clinical intelligence, we collaborate with the best minds in healthcare to address our customers’ toughest challenges. While we continue updating the Solventum Careers Page and applicant materials, some documents may still reflect legacy branding. Please note that all listed roles are Solventum positions, and our Privacy Policy: https://www.solventum.com/en-us/home/legal/website-privacy-statement/applicant-privacy/ applies to any personal information you submit. As it was with 3M, at Solventum all qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Description: DME Claim Submission Specialist II (Solventum) 3M Health Care is now Solventum 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 required 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 two (2) years of experience in Medical Billing or Healthcare Support.
• 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.
• Must be legally authorized to work in country of employment without sponsorship for employment visa status (e.g., H1B status).

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.

Responsibilities

• Supporting the necessary actions related to V.A.C. ® Therapy claims and billing and will be required to 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.

Benefits

• Solventum offers many programs to help you live your best life – both physically and financially.
• To ensure competitive pay and benefits, Solventum regularly benchmarks with other companies that are comparable in size and scope.
• Medical, Dental & Vision, Health Savings Accounts, Health Care & Dependent Care Flexible Spending Accounts, Disability Benefits, Life Insurance, Voluntary Benefits, Paid Absences and Retirement Benefits

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED