Job Type: Full-time
A rapidly growing durable medical equipment (DME) provider in Van nuys, is seeking candidates to be part of this exciting growth.
Immediate opportunity for an experienced billing and collections specialist. We are looking for an individual that is a team player and can work independently. Willing to work close with the Operations Manager to complete all necessary tasks and projects. Candidate must have the ability to learn and grow with the company.
Billing and Collections: Comprehensive understanding of the entire billing cycle, medical terminology, coding, charge entry, insurance adjudication, contractual agreement, payment posting, statements and collections.Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.A/R Follow up: Reviewing patient bills for accuracy and completeness, and obtaining any missing information.Contacting insurance companies to start apply for In Network contact.Posting payment: Checking each insurance payment for accuracy and compliance with contract discount.Calling insurance companies regarding any discrepancy in payments if necessaryIdentifying and billing secondary or tertiary insurances.Reviewing accounts for insurance of patient follow-up.Researching and appealing denied claims.Following up on unpaid and denied claims, understanding all aspects of insurance "EOB's" and the appropriate claims response to improper denials within standard billing cycle timeframe.Receives, verifies and input pre-authorizations into designated softwareEstablishes and maintains patient profiles, setting up patient payment plans and work collection accounts.Answers telephones to discuss or answer patient requests or questions.Performs billing and claim adjudication of DME claims.Solve eligibility and processing issues.
The following requirements are as followed:
- 2 plus years of medical billing experience
- Experience with PPO, HMO, W/C, Medicare, PI, etc.
- Ability to follow up with claims
- Knowledge of ICD-10
- DME billing experience preferred but not required
Brightree 5 yrs experience.
Billing & Collections: 5 year or more
Job Type: Full-time
Salary: upon interview
Medical Billing And Coding: 2 years (Preferred)Medical Billing: 2 years (Required)
United States (Required)