200+ applicants
ACU-Serve Corp. · 2 days ago
DME Documentation Specialist
United States
Full-time
Remote
Entry Level
1+ years exp
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Responsibilities
Collects, reviews and requests medical documentation required to support medical necessity to submit for Prior Authorization.
Submits and maintains prior authorizations and all certificates of medical necessity (CMN)
Requests documentation to support medical necessity and ongoing need for various durable medical equipment items including and not limited to oxygen and sleep therapy.
Creates initial, revised and recertification certificates of medical necessity within various DME billing software systems.
Reviews incoming CMN’s and medical records for accuracy.
Reviews and completes stop hold reports to resolve and release held revenue to various payers.
Knowledgeable of Medicare, Medicaid and other insurance companies’ rules regarding CMN’s, detailed written orders and prior authorizations.
Ability to converse with clinicians and office staff to follow up on outstanding requests and to describe information required.
Qualification
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Required
Minimum of 1 year of experience in durable medical billing requirements.
Understanding Durable Medical Equipment intake processes including insurance verification, and Prior Authorization Requests.
Experience working in DME billing platform – Brightree.
Knowledge of requirements for Medicare, Medicaid, and Commercial payers as for what qualifies a patient for coverage of prescribed equipment.
HS diploma/GED.
Knowledge of documentation requirements for multiple HCPCs.
Strong computer skills including MS Word, Excel and strong keyboarding skills.
Proven ability to use formal business language to communicate effectively in written form including spelling and punctuation.
Strong attention to detail.
Task oriented while performing in a fast-paced environment.
Results-oriented self-starter with a can-do attitude.
A sense of urgency and ability to complete tasks in a timely manner.
Proven ability to review current processes and procedures and suggest process improvements or solutions.
Able to work with others with diverse personalities.
Good problem-solving skills including managing crisis situations calmly and professionally as well as the ability to maintain confidential patient, financial and company information following HIPAA guidelines.
Preferred
Experience in durable medical field preferred specifically insurance and medical terminology.
Company
ACU-Serve Corp.
ACU-Serve Corp. is an outsourcing company offering HME, DME, infusion outsourcing, and auditing services.
201-500 employees
Funding
Current Stage
Growth StageTotal Funding
unknownKey Investors
Lovell Minnick Partners
2023-10-19Private Equity· Undisclosed
Recent News
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