About The Position

This position is responsible for receiving and coordinating staff/patient telephone calls, case contacts, and related communications. The role involves answering incoming calls professionally, courteously, and competently, as well as attending to walk-in client needs. The representative will be familiar with Medicare, Medicaid, and other insurance billing procedures and coverage criteria, taking referrals, and verifying patient insurance. Responsibilities include obtaining prior authorizations, informing patients of copays/deductibles, managing a mask resupply program, mailing supplies to patients, and verifying receipt of items. The role also involves monthly collections, setting up payment plans, sending overdue balances to a collection agency, creating and following up on orders in Brightree, and maintaining required activity reports. Performance improvement activities, preparation for surveys, and managing C-PAP supplies, inventory, and ordering are also key duties. The position requires balancing the cash drawer, coding and verifying invoices, and tracking RULs, tank refills, and concentrator checks. The representative will work with others to complete stop/hold reports and organize yearly inventory. Maintaining favorable attendance and performing other duties as required are also part of the role. The position also involves maintaining professional growth and development and potentially managing day-to-day operations in the absence of the manager.

Requirements

  • High school diploma or equivalent required from an accredited institution
  • Must be able to read, write, speak and comprehend English
  • BLS certification required
  • A current Michigan driver’s license, availability of a car for business use on a daily basis and proof of auto insurance is required
  • The ability to lift or manipulate weights in excess of 50 pounds is inherent within this job

Nice To Haves

  • Previous experience in an office or retail setting preferred
  • Excellent interpersonal skills including the ability to communicate effectively with a variety of individuals such as physicians, patients, family members, insurance carriers, vendors and the general public
  • Should be proficient in the use of standard office equipment to include: multi-line telephone, fax machine, copier, etc.
  • Able to operate computer equipment and be familiar with Microsoft Word, Excel, Power Point and other computer applications
  • Must embrace vision, mission, values and culture of Hillsdale Hospital
  • Medical terminology preferred

Responsibilities

  • Receives and coordinates staff/patient telephone calls, case contacts and related communications.
  • Answers incoming calls professionally, courteously and competently.
  • Attends to walk in client needs/activity.
  • Is familiar with Medicare, Medicaid and other insurance’s billing procedures and coverage criteria.
  • Takes referrals and verifies patient insurance.
  • Obtains prior authorizations when required; informs patients of copays/deductibles, etc.
  • Works on mask resupply program daily.
  • Returns calls in a timely manner.
  • Mails supplies to patient through the connect system daily.
  • Verifies the patient received the items.
  • Works collection monthly, with phone call, sets up payment plans with monthly credit card payments, etc.
  • Sends all patient balance over 120 days to our collection agency.
  • Creates orders in the Brightree, follows up with CMN log CMN, authorizations and confirms the order.
  • Maintains required activity reports.
  • Performs performance improvement activities as required.
  • Prepares for surveys and inspections as required by CMS and any other regulatory/ survey/accreditation bodies as required.
  • Places order for C-PAP supplies, manages inventory, puts away inventory, enters items in Bright Tree inventory.
  • Balances the cash drawer, separating taxable and non-taxable items.
  • Sends balance sheet over to fiscal for approval.
  • Codes and verifies all invoices.
  • Sends to fiscal for payment to our vendors.
  • Scans invoices to Home Oxygen folder for future reference.
  • Responsible for tracking of RUL’s, tank refills, concentrator checks, provides technician with a monthly print out of concentrator checks that need to be completed.
  • Works with others to complete the stop/ hold report to ensure all orders are billing.
  • Organize yearly inventory with spread sheets and counts.
  • Add items to Brightree inventory for billing purposes and item count, reordering.
  • Maintains favorable attendance.
  • Reports absences in accordance with the Employee Handbook in the manner prescribed by the Department Manager.
  • Is responsible for day-to-day operations in the absence of the manager.
  • Maintains professional growth and development through attendance at seminars, workshops, and other means to keep abreast of latest trends in the field of home oxygen, DME, reimbursement, warranties, and regulatory agencies.
  • Perform other duties as required or assigned.

Benefits

  • Hillsdale Hospital is dedicated to excellence in healthcare community service, continued improvement, and respect for human life.
  • We manage the health needs of our local community through compassionate and highly skilled care in our clean, safe, healing environment.
  • Additionally, Hillsdale Hospital is a Detroit Free Press Top Workplace, and a USA Today Top Workplaces!
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