Responsibilities:

• DME items, with high volume for oxygen, PAP devices, hospital beds and support surfaces
• Review qualifying documentation and testing for the above products
• Create and send orders/CMN/SMNs to providers for signature
• Work aging accounts daily to insure appropriate documentation is complete in order to submit to payers for timely reimbursement
• Written and verbal skills to ensure accurate communication with commercial and government for all DME equipment, follow HIPAA guidelines, Medicare ACA guidelines, Medicare ADR audits, CERT audits and any other regulatory requirements for obtaining qualifying supporting documentation to send for reimbursement
• Verify prior authorizations requirements are met for DME products according to payer guidelines and complete necessary adjustments when required

Education:

• High School Diploma/GED required

Qualifications/Skills :

• Required Skills:
• Previous DME experience
• Outlook, Word and Excel knowledge
• Basic medical terminology and familiarity with ICD-9/ICD-10 coding
• Strong verbal and written communication skills
• Prioritization and customer services skills
• Ability to work on team and individually
• Conflict resolution and problem solving skills
• Strong organization abilities

Preferred Skills:

• Medical accounts receivable business office experience
• EPIC/Excellian, TIMS, Onbase, & Rightfax experience

Work Schedule – Additional Position Details:

• Monday - Friday
• 7am-3:30pm

License/Certificate Required :

• No