Medical Billing Position located 100% onsite in Lake Mary, FL.
No remote, hybrid, or part-time candidates will be considered.
Work Hours: Monday–Friday, 8am-4:30pm EST
Top Skills
- Looking for someone with experience in working front end rejections.
- Someone that has previous DME experience
Responsibilities: This position is responsible for, but not limited to, the following: .
- Assures that all phases of processing client information are in compliance with HIPAA,
- PHI regulatory and related policies and practices.
- Reports any Compliance issues to the Director of Operations.
- Coordinates the insurance verification process and makes sure that the client understands their co-pay responsibility.
- Responsible to follow-up as necessary to facilitate the collection of co-pays.
- When applicable may gather credit card or other payment processing information from client and enters into system to process payment for account.
- Manages the entry of client information into computer system in a timely manner and contact of referral source, customer, and/or client to obtain missing information needed to set up client for service.
- Ensures that the data is accurate and complete.
- Confirms all sales orders in the system and ensures that all required information
- (e.g. proof of delivery, signed prescription, signed acknowledgement form, etc.) is on file before submitting claim for payment.
- Follows up on all missing sales orders and reconciles billing questions on a regular basis until payment status is complete.
- Responsible for the timely submission of claims (electronic and paper as needed) to payers;
- Corrects and resubmits front-end and back-end rejected claims.
- Ensures that all cash is posted to the correct account in a timely manner.
- Responsible for the timely follow-up and collection of payments due to the organization.
- This is accomplished by generating invoices and/or following up with clients and/or payers.
- Uses available resources to maintain current regulatory guidelines and reimbursement information to ensure that the company is obtaining all appropriate information as required for billing and reimbursement.
- Performs other duties/projects as assigned by management including customer service support: processing, resolving, and logging customer inquiries