Medical Billing & Collections Specialist (CMN)

Rotech Healthcare Inc.; Indiana, Lafayette (PA, LA); On-site; USD 35,000 - 55,000; Full time

Job summary

An established industry player is seeking a detail-oriented Medical Billing & Collections Specialist to enhance patient care through meticulous auditing and processing of medical documentation. This role is pivotal in ensuring that all Certificates of Medical Necessities are accurately handled, contributing to the seamless operation of the billing center. The ideal candidate will thrive in a collaborative environment, demonstrating strong customer service skills and a solid understanding of medical billing practices. Join a forward-thinking team dedicated to improving the lives of patients through exceptional service and support.

Benefits

Generous Paid Time Off

Paid Holidays

Employee Discount Program

401k

Medical, Dental, and Vision Insurance

Life Insurance

Disability Insurance

Employee Recognition Program

Bonus Opportunities

Mileage Reimbursement

Qualifications

• 1-3 years of related work experience in a team-oriented environment.
• Experience in medical field and administrative record management.

Responsibilities

• Audit and key all Certificate of Medical Necessities (CMNs).
• Communicate variances from original BL-200 to store location.

Skills

Communication Skills

Customer Service

Attention to Detail

Knowledge of DME/HME

Mathematical Skills

Education

High School Diploma or GED

Tools

Microsoft Word

Microsoft Excel

10-Key Computer

Job description

About Rotech

Rotech Healthcare Inc. is a national leader in providing ventilators, oxygen, sleep apnea treatment, wound care solutions, diabetic solutions and home medical equipment. We help patients lead a more comfortable and productive life by keeping them engaged in their care and empowering them to manage their health and treatment at home. Rotech provides high quality medical products, services and outstanding customer care through hundreds of locations across 45 states. For additional information, visit our company homepage Rotech.com

Overview and Responsibilities

Summary

We are seeking a dedicated Medical Billing & Collections Certificate of Medical Necessities (CMN) Specialist for our Billing Center. In this position you will be responsible for the auditing and keying of all Certificate of Medical Necessities; for Managed Care, position is responsible for submittal of CMNs/SOPs to the prescribing entity via fax or mail.

Essential Duties and Responsibilities

• Accepts and keys or returns all CMNs/SOPs within 48 hours from the date stamped
• Audits patient within IMBS; selects patient within IMBS Cert file; enters all sections of the CMN/SOPs and reviews for accuracy and completeness; reviews any CPAP statements, RAD letters, or additional supporting documents identified in IMBS, which were already received by the QA; accepts or rejects CMN/SOP; and documents within IMBS any relevant information
• Audits the CMN/SOP for accuracy and completeness
• Communicates all variances from original BL-200 to the store location
• Performs an audit of all activity that was entered during the day
• Reviews all incoming CMNs/SOPs for completion and accuracy
• Verifies that each CMN has been date stamped by the Mail Clerk and stamps those that have not
• Verifies the control sheet BL-200 includes all CMNs/SOPs received by the store
• Performs other duties as assigned

Supervisory Responsibilities

• None

Qualifications

Employment is contingent on

• Background investigation (company-wide)
• Drug screen (when applicable for the position)
• Valid driver's license in state of residence with a clean driving record (when applicable for the position)

Education and/or Experience

• High school diploma or GED equivalent
• One to three years of related prior work experience in a team-oriented environment
• Experience in medical field and administrative record management
• Strong customer service background

Skills, Knowledge and Abilities

• Effectively communicate in English; both oral and written, with physicians, location employees and patients to ensure questions and concerns are processed in a timely manner
• Helpful, knowledgeable and polite while maintaining a positive attitude
• Interpret a variety of instructions in a variety of communication mediums
• Knowledge of Durable Medical Equipment (DME) or Home Medical Equipment (HME)
• Knowledge of insurance policies and requirements
• Knowledge of medical billing practices and of billing reimbursement
• Maintain confidentiality and practice discretion and caution when handling sensitive information
• Multi-task along with attention to detail
• Must be able to accurately perform simple mathematical calculations using addition, subtraction, multiplication and division
• Self-motivation, organized, time-management and deductive problem solving skills
• Work independently and as part of a team

Physical Demands

• Requires sitting, walking, standing, talking or listening
• Requires close vision to small print on computer and or paperwork

Machines, Equipment and Technical Abilities

• Email transmission and communication
• High data entry speed on a 10-key computer and calculator is desired
• Internet navigation and research
• Microsoft applications including but not limited to Word, Excel, etc.
• Office equipment; fax machine, copier, printer, phone and computer

Work Environment

• Office environment

Rotech Information

Benefits

• Generous paid time Off and paid holidays
• Overtime pay for non-exempt hourly positions based on business needs
Commission for Account Executives
Fixed and variable rate car reimbursement for Area Managers and Account Executives
• Employee discount program
• Employee recognition program
• Bonus and incentive opportunities
• Mileage reimbursement (when applicable for the position)
• Telephone reimbursement (when applicable for the position)
• EAP
• 401k
• Medical, Prescription, Dental and Vision
• HSA and FSA/Dependent Care FSA
• Life Insurance, Disability, Accidental death, Identity protection and Legal services
Meru Health Mental health and Mercer SmartConnect Medicare programs
Livongo Diabetes and High Blood Pressure programs
Healthcare Bluebook and RX Savings solutions programs
• HEPB and TB vaccinations

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Equal Opportunity Employer of Minorities, Females, Protected Veterans and Individuals with Disabilities. Rotech Healthcare Inc. recruits, employs, trains, promotes, transfers, separates from employment and compensates employees without regard to membership in, association with, or perception of race, color, age, gender, gender identity, religion, creed, national origin, ancestry, citizenship, marital status, veteran status, sexual orientation, physical or mental disability, pregnancy or any other personal characteristic protected by applicable federal, state and local laws governing nondiscrimination in employment in each locality where Rotech has employees.