Job Description

DUTIES/RESPONSIBILITIES:           

·        Comply with all applicable Company policies and procedures.

·        Responsible for billing private insurances, private individuals and/or Government entities for home medical equipment.

·        Responsibilities include billing, collection, account follow-up and compliance with all governmental and regulatory agencies.

·        Understand and comply with all governmental, regulatory and company billing and compliance regulations/policies including but not limited to Medicare and Medicaid programs  

·        Review of HCFAS and patient invoices for appropriate coding, charges, allowables, co-pays and supporting documentation.

·        Follow-up with payers, patients and other appropriate parties to collect open billings in a timely manner and to ensure compliance with billing regulations. 

·        Identify and report to management payer issues with regards to billing and collection

·        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.

·        Review and log correspondence regarding pending/denied claims

·        Assist with implementation of quality improvement program to meet Company and accreditation standards.

·        Develop and maintain working knowledge of current HME products and services offered by the Branch and all applicable insurance guidelines respecting eligibility for coverage and reimbursement.

·        Accounts Receivable management.

·       Process accounts and maintain appropriate records in a timely manner.

MINIMUM QUALIFICATIONS:

·        Ability to file, perform accounting functions, maintain records, understanding of reimbursement requirements, good typing and telemarketing skills.

·        Skills: Basic MS Excel, Word and 10-key skills required.

·        General knowledge of government, regulatory and company billing and compliance regulations/policies for Medicare, Medicaid, preferred

·        Two years experience in insurance office, doctor's office or three years general office experience.

·        High school education required

·        Effective verbal and written communication skills.

·       Knowledgeable in all major insurance carrier reimbursement guidelines and eligibility for coverage by third party payers.

REQUIRED KNOWLEDGE/EXPERIENCE:

·        Knowledge of computers and telephone

·        Knowledge of medical billing preferred.

·        Data entry, accounting or customer service experience also required.

REQUIRED LICENSE/CERTIFICATION:      NONE

PHYSICAL REQUIREMENTS

·        Sitting, standing, walking at desk, in office

·        Operation of office machinery and computer

·        Occasionally lift/move items up to 20 pounds

·        Visual abilities to include reading, distance vision and peripheral vision

SCHEDULE

8:00a – 5:00p Monday though Friday

LOCATION

ABCO Medical Supply- Knoxville Office

STATUS

Full-time, Non-exempt

Company Description

Durable Medical Equipment Company providing equipment directly to patients in Tennessee and Kentucky.