Role Description
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Conducts monthly pre-billing review and data quality analysis to ensure that invoices delivered to customers and providers are accurate.
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Regularly receives and processes client and provider adjustments to ensure month end invoices are correct.
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Uses a variety of collection techniques and forms relationships with business clients to resolve payment issues and escalate collection efforts as necessary.
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Submits specialty billing for PACE and Medicaid clients using EDI software portal, reconciles EOBs, denied claims and conducts accounts receivable follow-up.
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Updates pricing on orders in system to ensure invoice accuracy for special items, agreements, substitutions, and unauthorized deliveries.
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Functions as a key contact person for all billing data integrity matters for clients, vendors, and various internal departments.
Qualifications
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High school diploma or equivalent is required.
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A bachelor’s degree in business or related field is preferred.
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Medical billing and coding license is preferred.
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At least two years of billing analytical experience in which employee worked within a team environment is required.
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Experience in the healthcare or medical fields in which incumbents have gained an understanding of durable medical equipment is preferred.
Requirements
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Proficient and accurate data-entry skills are required to record and manipulate data.
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Strong interpersonal skills due to constant contact both internally and externally; displays the ability to work within a team.
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Ability to work independently and displays good prioritization skills.
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A high attention to detailed information is required to review and reconcile data.
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Ability to read service level contracts and understand the fee schedule for clients and vendors.
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The ability to maintain confidentiality of patient information and follow standard operating procedures with regard to patient data to ensure compliance with HIPAA is required.
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Strong knowledge of business and communications software (MS Office) and web-based tools are required.
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Excellent spreadsheet (Excel) experience is required.
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Experience with DMETrack software of at least one year is preferred.
Benefits
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No travel requirements for this position.
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Work is generally performed in an office environment or remote setting with minimal exposure to unpleasant and/or hazardous working conditions.
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Regular eye-hand coordination and manual dexterity is required to operate office equipment.
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