ESSENTIAL DUTIES AND RESPONSIBILITIES
Strong knowledge of, and prior experience* with:
o Commercial health insurance plan coverage for pharmacy and DME services
o Medicare and Medicaid plan coverage for pharmacy and DME services
o Payor guidelines
o Medicare HCPCS codes
o Claim submissions
o Processing claims denials and insurance appeals
o Medical billing software systems
o Issuing monthly A/R statements
o Maintaining patient A/R accounts
o Monitoring A/R accounts for non-payment and other irregularities.
o Handling patient collection calls
o Working with prescribers to ensure complete and correct documentation.
o Ensure that first-time submission of claims made with proper documentation, correct patient information, and appropriate coding.
o Understanding the rules and regulations associated with medical billing for Nursing Homes and NH patients.
o Ordering DME, or medical supplies from vendors.
*At least three years prior experience preferred
Job Type: Full-time
Pay: From $20.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Employee discount
- Health insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Education:
- High school or equivalent (Preferred)
Experience:
- customer service: 1 year (Preferred)
- billing: 1 year (Preferred)
Ability to Relocate:
- Cape Girardeau, MO 63703: Relocate before starting work (Required)
Work Location: In person