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VieMed Healthcare · 3 days ago

Billing Specialist-Intake

Lafayette, LA

Full-time

Onsite

Entry Level

2+ years exp

VieMed Healthcare is seeking a Billing Specialist to manage billing processes for home medical equipment. The role involves ensuring compliance with regulatory agencies, processing billing for private insurances and government entities, and maintaining accurate patient records.

Health Care

Responsibilities

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

Qualification

Medical billing knowledgeInsurance benefitsCPTHCPCS & ICD10 codesData entry experienceCustomer service experienceProficient in Microsoft OfficeMaintain recordsTyping skillsEffective communication skillsSelf-motivated

Required

High School Diploma or equivalent

Ability to file, perform billing 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 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