Medical Billing Specialist

JOB SUMMARY

We are looking for a Medical Billing Specialist who is seeking their next exciting opportunity in a complex and ever-evolving work environment! In this role, you will utilize your exceptional customer service and phone skills while you work with the Intake Department and Documentation Specialists to collect information needed to bill medical claims. You will complete electronic and manual billing and work through denials and accounts receivable.

We are on the hunt for someone authentic who enjoys working with a fun, creative and diverse group of people. If you are passionate about customer service and taking the initiative to dive right in and help out where needed, we would like to talk to you!

ABOUT US

Here at Total Respiratory, we are a fast-growing Durable Medical Equipment (DME) company that provides a wide variety of respiratory equipment, such as CPAPs/BiPAPs, oxygen concentrators, and other respiratory equipment. Total Respiratory has been the best source for respiratory medical supplies and equipment because of our superior commitment to providing our patients with the absolute best in product quality and customer care! Our highly trained staff help make the best choices for patient needs, while providing friendly service and expert advice. Every effort is made to ensure the patient experience is as pleasant and efficient as possible. Total Respiratory’s mission is to meet the respiratory needs of our patients by providing the highest quality respiratory equipment, supplies and customer service. We ensure that members of our team receive ongoing education and training so that they are knowledgeable about the latest home health care technology and provide care with the highest quality service.

RESPONSIBILITIES

• Independently work monthly reports to maintain a 95% collection rate.


• Request assignment of benefits, prescriptions, letters of medical necessity, and other required information.


• Perform manual or electronic processing of reimbursement claims.


• Perform billing and collections of Medicare, Medicaid, and private insurance billing and collections.


• Perform private pay billing and collections.


• Maintain accurate and complete records concerning billing activity.


• Track and request renewal authorizations as needed.


• Maintain billing files.


• Communicate problems and concerns with supervisor/office manager, that may lead to inaccurate or untimely completion of reimbursement processing.


• Keep up to date with compliance, coverage criteria, International Classification of Diseases 10th Revision (ICD-10) information, and update all employees as needed. This includes (but not limited to) maintaining familiarity with the rules and regulations regarding the type of coverage being billed.


• Serve as customer service liaison when patients have questions about bills.


• Establish and maintain effective working relationships with patients, employees, and the public.


• Demonstrate timeliness, courtesy, sincerity, and patience when dealing with customers.


• Always market the company in a positive and professional manner, performing all job functions with Company Mission, Vision, and Goal Statements in mind.

• Flexible attitude and willingness to take on extra tasks as necessary.

• Miscellaneous duties as assigned. This job description is not inclusive of all responsibilities and duties and can be changed by management discretion at any time.

EXPERIENCE & QUALIFICATIONS

• High degree of integrity.


• High school diploma or equivalent required.


• Excellent communication and customer relations skills required.


• Brightree knowledge is preferred, but not required. 

• Exceptional verbal, written and interpersonal communication skills.


• Excellent time management skills.


• Must be detail oriented.


• Ability to cater to diverse customer base.


• Knowledge in MS Office Suite (Word, Excel, Outlook)

• Ability to demonstrate initiative, teamwork, and flexibility.


• Must be eligible to work in the United States.

SCHEDULE

• This is a full-time position that will require a 40-hour work week.


• Hours: Generally, 8:00 AM-5:00 PM, Monday-Friday.


• Overtime as needed.

Employment is contingent upon a satisfactory response from a Background Screening.

We thank all that apply; however, only the most qualified candidates selected for an interview will be contacted.

Total Respiratory and Rehab believes in the principle of and practice of equal employment opportunity. The Company is committed to providing equal opportunity in all of its employment practices, including the selection, hiring, promotion, transfer, and compensation of all qualified applicants and employees without regard to race, religion, color, sex, sexual orientation, national origin, ancestry, citizenship status, uniform service member status, marital status, pregnancy, age, medical condition (including cancer-related or HIV/AIDS-related), disability or any other protected status in accordance with the requirements of all federal, state, and local laws.