Intake Facility Billing Specialist

Essential Duties and Responsibilities:         

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position. 

• 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.

Qualifications

• High Scholle 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.


• Work week is Monday through Friday and candidates will work an agreed upon shift.


• Possible weekend work or overtime, to include working an on-call rotation schedule.

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.

You will be expected to work during normal business hours, which are Monday through Friday, 9:00am-6:00p.m.   Please note this job description is not designed to cover and/or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.  Essential duties and responsibilities may change at any time with or without notice.