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ACU-Serve · 3 hours ago

DME Documentation Specialist

United States

Full-time

Remote

Entry Level

1+ years exp

ACU-Serve is a company that provides billing solutions to Home Medical Equipment providers. The DME Documentation Specialist is responsible for processing orders for medical equipment and ensuring accurate documentation for insurance purposes.

CRMInformation Technology

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

DME billing experienceBrightree softwareMedicare knowledgeMedical terminologyAttention to detailComputer skillsTask orientedProblem-solving skillsEffective communication

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

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

Experience working in DME billing platform – Brightree

Company

ACU-Serve

At ACU-Serve, we go beyond traditional revenue cycle management to help healthcare providers optimize operations, improve cash flow, and enhance patient care.

Founded in 1993

Akron, Ohio, USA

501-1000 employees