HME/DME Billing Analyst

Trinity HealthChelsea, MI
100d

About The Position

The Billing Analyst is responsible for a variety of tasks and activities including processing orders, checking insurance eligibility, and obtaining insurance authorizations, accounts receivables, invoices, and billing for durable medical equipment and supplies. She/he supports ChelseaCare HME (CCHME) colleagues and provides logistical assistance to the HME Manager.

Requirements

  • Minimum high school education.
  • Excellent verbal/written communication skills.
  • Computer experience.

Nice To Haves

  • Experience in billing is preferred.
  • Prefer medical billing certification.

Responsibilities

  • Maintains good rapport and cooperative relationships.
  • Approaches conflict in a constructive manner.
  • Helps to identify problems, offer solutions, and participates in their resolution.
  • Maintains the confidentiality of information acquired pertaining to patient, physicians, employees, and visitors to Chelsea Hospital/Trinity Health.
  • Discusses patient and hospital information only among appropriate personnel in appropriately private places.
  • Maintains knowledge to perform the duties of the job.
  • Assumes responsibility for performance of job duties in the safest possible manner.
  • Demonstrates self-directed learning.
  • Behaves in accordance with the Mission, Vision and Values of Chelsea Hospital/Trinity Health.
  • Provides quality patient care by considering the age specific, development and cultural needs through competent clinical practice.
  • Demonstrates unit/area competencies.
  • Identifies and assists in resolution of problems related to safety, sanitation and maintenance of the environment.
  • Practices effective communication in all interactions (patient, visitor, co-worker, etc.).
  • Promotes a positive work environment by demonstrating teamwork.
  • Processes accounts receivable for equipment and services rendered.
  • Processes insurance related issues such as verifying the completeness and accuracy of orders prior to claims submission.
  • Processes monthly patient statements and initiates collections.
  • Reviews updates on insurance and governmental guidelines and regulations.
  • Processes physician orders and checks insurance coverage and eligibility, provides financial quotes to patients and obtains insurance authorizations.
  • May triage incoming faxes and divert to appropriate person or file documents in patients' records.
  • Monitor and work to resolve issues in software workqueue's (incorrect order received/no order on file/CMN expired or not on file to be able to dispense equipment or supplies).
  • Provides customer service for all billing issues.
  • Contributes to cost containment initiatives.
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