Intake Facility Billing Specialist

VieMed Healthcare•Lafayette, LA

2d•Onsite

About The Position

This position involves performing a variety of systems administration and support tasks related to billing for a Durable Medical Equipment (DME) company. The specialist will be responsible for inputting and managing contracts, account follow-up, and ensuring compliance with all relevant billing and compliance regulations, including Medicare and Medicaid. Key duties include reviewing invoices for accuracy, identifying billing issues, coordinating patient information, processing paperwork, and communicating with various facilities, hospice companies, and third-party payers. The role requires maintaining patient records, sending and updating monthly invoices, and working closely with collection specialists. The specialist will report any concerns to the Intake Manager or Supervisor and may be assigned other responsibilities as needed. The position requires handling Protected Health Information (PHI) in strict adherence to HIPAA regulations.

Requirements

High School Diploma or equivalent
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 preferred.

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.
Responsibilities include 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.