What are the responsibilities and job description for the Customer Service Representative / Billing Specialist position at Mallard Medical Supply LLC?
Mallard Medical Supply is seeking a dependable, detail-oriented Customer Service Representative / Billing Specialist to join our team. This position will provide customer service support while assisting with billing and insurance-related responsibilities, with a strong preferred emphasis on enteral nutrition billing.
The ideal candidate will have previous medical office experience and be comfortable working with patients, insurance companies, physicians' offices, and internal departments. Experience with DME billing, enteral nutrition billing, Medicare/Medicaid, and insurance claims is highly preferred.
Responsibilities
- Provide professional and courteous customer service to patients, caregivers, referral sources, and healthcare providers.
- Answer incoming calls and assist customers with questions regarding orders, billing, insurance, and account information.
- Process and follow up on medical equipment and enteral nutrition orders.
- Assist with insurance verification and obtaining required documentation.
- Prepare, submit, and follow up on insurance claims.
- Review claims and billing information for accuracy and completeness.
- Follow up on rejected, denied, or unpaid claims and assist with resolving billing issues.
- Maintain accurate patient and billing records.
- Ensure required documentation is obtained and maintained in accordance with company policies and payer requirements.
- Communicate with physicians' offices, insurance companies, patients, and caregivers regarding documentation and billing needs.
- Assist with enteral nutrition billing, including verifying coverage, reviewing documentation, and resolving billing issues.
- Work closely with intake, billing, delivery, and customer service personnel to ensure orders are processed accurately and efficiently.
- Maintain patient confidentiality and comply with HIPAA requirements.
- Perform other administrative and customer service duties as needed.
Qualifications
Required:
- Previous experience in a medical office, healthcare, or medical billing environment.
- Strong customer service and communication skills.
- Excellent attention to detail and organizational skills.
- Ability to handle confidential patient and insurance information appropriately.
- Ability to work independently while also functioning effectively as part of a team.
- Strong computer skills and the ability to learn new software systems.
- Ability to prioritize multiple tasks and meet deadlines.
Preferred:
- Experience with Durable Medical Equipment (DME) billing.
- Experience with enteral nutrition billing.
- Knowledge of Medicare, Medicaid, and commercial insurance requirements.
- Experience with medical claims, denials, appeals, and accounts receivable.
- Familiarity with medical terminology and HCPCS/procedure codes.
- Experience working with Brightree or another DME billing/management system.
- Previous experience working with enteral nutrition products, supplies, or feeding tube-related billing.
Ideal Candidate
We are looking for someone who is organized, dependable, professional, and comfortable working with details. This position requires someone who can communicate effectively with both patients and healthcare professionals while staying focused on accurate billing and documentation.
Experience in enteral billing is highly desirable and will be given strong consideration.
Benefits:
- Dental insurance
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Vision insurance
Work Location: In person