DME Biller

Medical Service Company; Evansville, South Bend, Fort Wayne, Indianapolis (IN, IN, IN, IN); On-site; USD 40,000 - 52,000; Full time

Benefits offered by this job

HSA Account

Pet Insurance

Company provided Life and AD&D

Short-Term and Long-Term Disability

Tuition Reimbursement Program

EAP

Employee Referral Bonus Program

401k (with matching)

Paid vacation

Sick Days and Holidays

Job summary

Medical Service Company in Evansville, IN is hiring a Reimbursement Specialist for a full-time hybrid role. You will manage Medicare, Medicaid and commercial payer billing, handle denials and resubmissions, and respond to patient inquiries while coordinating with internal teams.

The role requires at least 3 years in third-party payor reimbursement, strong insurance knowledge, and excellent communication skills. Hybrid work setup with benefits and ongoing training are provided.

Qualifications

• Minimum of three years of progressively responsible third-party payor reimbursement experience in healthcare.
• Strong knowledge of Medicare, Medicaid and commercial insurance guidelines and rules for HME billing.
• Experience with appeals, reviews, and redeterminations.

Responsibilities

• Reviews rejected claims from the clearinghouse and front-end payor edits and follows up on unprocessed claims.
• Researchers and resubmits denials to ensure timely collection and maximum reimbursement.
• Maintains accurate and complete notes on each invoice worked.
• Responds to patient inquiries via phone or email and from other internal departments.
• Assists internal departments with billing-related issues.
• Communicates obstacles to Billing Manager to prevent delays in resubmission.

Skills

Communication skills

Interpersonal skills

Organization

Team player

Customer service

Education

High school diploma or GED

Tools

Brightree

Job description

Location: Evansville, South Bend, Fort Wayne, Indianapolis, IN

Job Id:2390

# of Openings:1

At MSC, we are dedicated to enhancing patient comfort and quality of life with over 75 years of experience and accredited by the Accreditation Commission for Health Care (ACHC).

MSC is a 13 -Time recipient of the prestigious NorthCoast 99 Award as a Top Workplace to work!

MSC is a two-time recipient of the prestigious National HME Excellence Award for Best Home Medical Equipment company in the US.

In addition, MSC is very proud to announce its debut on theInc. 5000list in 2024, marking a significant milestone in our company's growth and success!

Join Our Team!

We are excited to announce that we are hiring for afull-time hybrid position. Work in our office location onTuesdays, Wednesdays, and Thursdays, and enjoy the flexibility of remote work on other days. Benefits included!

Competitive Pay

HSA Account w/Company Contribution

Pet Insurance

Company provided Life and AD&D insurance

Short-Term and Long-Term Disability

Tuition Reimbursement Program

Employee Assistance Program (EAP)

Employee Referral Bonus Program

Social Recognition Program

Employee Engagement Opportunities

CALM App

401k (with a matching program) / Roth IRA

Company Discounts

Payactiv/On-Demand Pay

Paid vacation, Sick Days, YOU (Mental Health) Days and Holidays

Reimbursement Specialists are r esponsible for the timely and accurate billing and collections for Medicare, Medicaid, and Commercial insurance carriers.

Responsibilities and Duties

• Conducts review of rejected claims from the clearinghouse and front-end payor edits, follows up on unprocessed claims, and researches denials for resubmission to ensure timely collection and maximum reimbursement.
• Maintains accurate and complete notes on each invoice worked.
• Responds to patient inquiries received via phone, email, or from other internal departments.
• Assists internal departments and staff with billing related issues.
• Communicates obstacles or challenges to Billing Manager that may lead to inaccurate or untimely resubmission of claims.
• Performs other duties as assigned.

Qualifications

Education: Graduate of an accredited high school or GED equivalent.

Experience/Knowledge/Skills/Physical Requirements:

• Minimum of three years of progressively responsible third-party payor reimbursement experience in healthcare.
• Strong knowledge of Medicare, Medicaid and commercial insurance guidelines, procedures, and rules and regulations for HME billing.
• Experience with escalating billing disputes, including appeals, reviews, and redeterminations.
• Excellent communication and customer relation skills.
• Excellent interpersonal and organizational skills (a team player).
• Normal office/clerical motor skills in addition to extensive computer and telephone experience. Brightree experience preferred.