BackBilling Specialist-Intake
@ VieMed
Essential Duties and Responsibilities:
- Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.
- Responsibilities include billing & account follow-up and compliance with all governmental and regulatory agencies.
- Responsible for billing private insurances, private individuals, and/or Government entities for home medical equipment.
- 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.
- Follow-up with Therapist, Intake Specialist, CSR, and other appropriate parties to collect open billings promptly and to ensure compliance with billing regulations.
- Identify and report to management payer issues concerning billing.
- Coordinate all patient information and process paperwork including preparation of file for billing.
- Establish patient records and record appropriate patient and equipment rental information in each patient's record.
- Process accounts and maintains appropriate records promptly.
- All Charts/Tickets should be billed with 48hrs of receiving the paperwork emails.
- Reports all concerns or issues directly to Intake Manager or Intake Supervisor
Qualifications:
Qualifications:
- 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 billing functions, maintain records, understanding of billing requirements, good typing and telemarketing skills.
- Basic understandings of medical insurance benefits
- Basic knowledge of medical billing system preferred.
- 2-4 years’ HME billing. Data entry, accounting, or customer service experience.
- 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 the 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 politely and professionally. Communicates information to appropriate personnel and management promptly.
- 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.
- Work week is Monday through Friday and candidates will work an agreed-upon shift (current shifts include 7am-4pm, 8am-5pm, 9am-6pm)
- Possible weekend work or overtime.
Access to Protected Health Information (PHI):
- This position will require the employee to handle Protected Health Information (PHI) for duties related to document and report preparation.
- Policies and procedures will be strictly adhered to make sure PHI is protected as required by the HIPAA Privacy Rule.
Working Conditions:
- This position will work in an office environment.
How to Apply:
Apply online at https://www.viemed.com/corporate-careers/.
Visit Site to Apply
Location: Lafayette, LA
Date Posted: October 16, 2024
Application Deadline: January 20, 2025
Job Type: Full-time