Billing Specialist

DUTIES/RESPONSIBILITIES:

1. Regular and reliable and predictable attendance.

2. Comply with all applicable company policies, procedures, and patient protocols. Comply with all current government regulations and professional standards with respect to patient care.

Duties / Responsibilities include:

1. Ability to update accounts in ERP (Brightree), verify insurance, create/adjust orders, submit and follow up on prior authorizations as required

2. Ability to update notes in ERP for all items touched daily to help follow up process

3. Ability to work with our referral partners as needed to gather necessary documentation.

4. Ability to work with patients to help provide guidance and answers for durable medical equipment insurance claims

5. Ability to review accounts to make sure all information is correct (address, insurance, MD, all contact numbers, emergency contact and CAQH/PECOS[DB3]) and link appropriate insurance, verify insurance, and submit authorizations.

6. Answer multi-line phone system efficiently and direct the patient to the correct person and/or department they need.

7. Ability to scan and attach documents to our ERP solution and label appropriately.

8. Assist with implementation of quality improvement program to meet company and accreditation requirements

9. Ability to help collect any deductible, copay as needed from patients and update ERP appropriately.

10. Ability to make outreach to patients for collection efforts

11. Ability to make outreach to insurance payers to work denials, AR, and other items as needed.

12. Must maintain a clean, well-organized workspace

13. Ability to file claims to insurance entities by way of electronic submission, mailouts or web portal entry

14. Ensure all filed claims are paid properly and follow appeals process to a positive conclusion when required.

15. Maintain working knowledge of insurance guidelines and policies in accordance to equipment we provide.

16. Ability to maintain >98% accuracy on all claims that are billed.

17. All other duties as assigned.

EXPERIENCE & QUALIFICATIONS INCLUDE:

1. Must be customer focused

2. Prior medical billing experience required

3. Prior DME billing or AR experience required

4. Exceptional clients focus and a natural ability to build relationships

5. Maintain a strong sense of urgency

6. Experience in working in a fast-paced environment

7. Effective verbal and written communication skills.

8. Drive to provide best-in-class service to our partners and customers

9. Ability to work in a team setting as well as independently to prioritize duties to meet deadlines

10. Intermediate knowledge of Microsoft Outlook and Excel

11. High level of attention to detail

12. Positive influence on all employees

13. Able to manage multiple priorities and close the loop when interrupted

14. Courteous Customer Service (internally and externally)

15. Excellent computer and office machinery skills

16. Must love helping People (both internally and externally)

17. Able to demonstrate a high degree of passion and energy whilst maintaining a positive outlook.

18. Must be able to pass the required background checks and drug screenings

PHYSICAL DEMANDS:

While performing the duties of this position, the employee may be required to stand for extended periods of time and must talk and hear. Occasional stooping, bending, twisting and crouching may be required. The employee sits, walks, kneels and reaches with hands and arms. May be required to lift and/or move up to 50 lbs. Specific vision abilities required by this job include distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus.

PTM offers a competitive wage of up to $22.00/hour, depending on DME experience, plus benefits which include: paid holidays, PTO, group health insurance, as well as a retirement plan.

PTM is an Equal Opportunity Employer.

Job Type: Full-time

Pay: $20.00 - $23.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• Medical billing: 1 year (Required)
• Brightree: 1 year (Required)
• Microsoft Office: 1 year (Required)

Work Location: Remote

Salary : $20 - $23