Billing Representative
James Medical Equipment, LTD – Campbellsville, KY 42718
Qualifications:
High school diploma.
Previous billing and collections experience preferred.
Ability to file, perform accounting functions, maintain records, understanding of reimbursement requirements, good typing and telemarketing skills.
Skills: Basic MS Excel, Word and 10-key skills required.
General knowledge of government, regulatory and JAMES MEDICAL billing and compliance regulations/policies for Medicare, Medicaid, preferred
Two years experience in insurance office, doctor’s office or three years general office experience.
High school education required
Effective verbal and written communication skills.
Knowledgeable in all major insurance carrier reimbursement guidelines and eligibility for coverage by third party payers.
Required Knowledge/Experience:
Knowledge of computers and telephone
Knowledge of medical billing system preferred.
2-4 year’s HME billing. Data entry, accounting or customer service experience also required.
Physical Demands:
Sitting, standing, walking at desk, in office
Operation of office machinery and computer
Occasionally lift/move items up to 20 pounds
Duties and Responsibilities:
Under general supervision, follows up on A/R that is 90 days old and coordinates collection of the same.
Addresses denial and non-payments to correct and resume correct billing or identify how to correct billing and forwards to the appropriate personnel for payment.
Works with weekly and monthly reports to keep all billing current and accurate.
Works with weekly and monthly reports and keeps payers current.
Consults with supervisor regarding any billing problems.
Other tasks as assigned and comply with all applicable JAMES MEDICAL policies and procedures.
Responsible for billing private insurances, private individuals and/or Government entities for home medical equipment.
Understand and comply with all governmental, regulatory and JAMES MEDICAL billing and compliance regulations/policies including but not limited to Medicare and Medicaid programs
Follow-up with payers, patients and other appropriate parties to collect open billings in a timely manner and to ensure compliance with billing regulations.
Identify and report to management payer issues with regards to billing and collection
Establish patient records and record appropriate patient and equipment rental information in each patient’s record.
Review and log correspondence regarding pending/denied claims
Assist with implementation of quality improvement program to meet JAMES MEDICAL and accreditation standards.
Develop and maintain working knowledge of current HME products and services offered by the Branch and all applicable insurance guidelines respecting eligibility for coverage and reimbursement.
Job Type: Full-time
Required education: High school or equivalent
Required experience: Medical Billing: 1 year