Intake Facility Billing Specialist

VieMed Careers•Lafayette, LA

1d•Onsite

About The Position

This position performs a variety of systems administration and support tasks. The specialist documents the status of referrals in the computer system and is responsible for reading, signing, and inputting contracts for private facilities/hospice companies, private individuals, and/or Government entities for home medical equipment. Responsibilities include account follow-up and compliance with all facilities/hospice companies. The role requires understanding and compliance with all governmental, regulatory, and Viemed billing and compliance regulations/policies, including Medicare and Medicaid programs. The specialist will review HCFAS and patient invoices for appropriate coding, charges, allowable amounts, co-pays, and supporting documentation. They will identify and report facility/private rental issues related to billing to management, coordinate all patient information, process paperwork, and prepare files for billing. Establishing communication with billing/administration staff at facilities, hospices, and third-party companies is key. The role involves establishing patient records, recording appropriate patient and equipment rental information, sending monthly invoices, and updating or editing invoices. The specialist will work daily with the Collection Specialist assigned to facility/hospice accounts, process accounts, and maintain appropriate records in a timely manner. All concerns or issues are to be reported directly to the Intake Manager or Intake Supervisor. Other responsibilities and projects may be assigned.

Requirements

High School Diploma or equivalent
One (1) to two (2) years working for a Durable Medical Equipment company or relevant medical office experience preferred.
Ability to file, perform contracting functions, maintain records.
Understanding of billing requirements.
Good typing and telemarketing skills.
Basic understandings of medical insurance benefits.
Skill in establishing and maintaining effective working relationships with other employees, patients, organizations, and the public.
Effectively communicate with physicians, patients, insurers, colleagues, and staff.
Able to read and understand medical documentation effectively.
Knowledge and understanding of same and similar DME equipment.
Knowledge and understanding of In-network vs Out of Network, PPO, HMO.
Thorough understanding and maintaining of medical insurances company’s regulations and requirements to include but not limited to Medicare and Medicaid.
Working knowledge of CPT, HCPCS & ICD10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits.
Learns and maintains knowledge of current patient database & billing system.
Up to date with health information technologies and applications.
Answers telephone in a polite and professional manner.
Communicates information to appropriate personnel and management in a timely manner.
Establishes and maintains effective communication and good working relationships with co-workers, patients, organizations, and the public.
Proficient in Microsoft Office, including Outlook, Word, and Excel.
Utilizes initiative, strives to maintain steady level of productivity and is self-motivated.

Nice To Haves

One (1) to two (2) years working for a Durable Medical Equipment company or relevant medical office experience.

Responsibilities

Performs a variety of systems administration and support tasks.
Documents in computer system the status of referral.
Responsible for reading, signing, and inputting contracts for private facilities/hospice companies, private individuals and/or Government entities for home medical equipment.
Account follow-up and compliance with all facilities/hospice companies.
Understand and comply with all governmental, regulatory and Viemed billing and compliance regulations/policies including but not limited to Medicare and Medicaid programs.
Review of HCFAS and patient invoices for appropriate coding, charges, allowable, co-pays and supporting documentation.
Identify and report to management facility/private rental issues with regards to billing.
Coordinate all patient information and process paperwork including preparation of file for billing.
Establish communication with billing/administration staff at all facilities, hospice, and third-party companies.
Establish patient records and record appropriate patient and equipment rental information in each patient’s record.
Send out monthly invoices to all facilities, hospice, and third-party companies.
Update or edit invoices for all facilities/hospice, and third-party companies.
Work daily with Collection Specialist assigned to all facilities/hospice companies accounts.
Process accounts and maintain appropriate records in a timely manner.
Reports all concerns or issues directly to Intake Manager or Intake Supervisor.
Other responsibilities and projects as assigned.
Handle Protected Health Information (PHI) for duties related to document and report preparation, adhering strictly to HIPAA Privacy Rule policies and procedures.