Customer Service Rep/Billing

Serenity Home Medical is a locally owned and operated durable medical equipment and supply company with locations in Granger and Elkhart, IN. We are seeking a mature, self-driven and dedicated Billing Professional to join our team! DME billing specialists need to be detail-oriented and comfortable working with patient files and in front of a computer. They should also have a strong understanding of medical terminology, be willing to learn new procedures and coding guidelines, and be committed to great customer service! This position also requires working in a positive team environment and an ideal candidate should be willing to adapt easily to changing situations and customer needs. Experience in the home medical equipment industry preferred.

Shift: This is a full-time 40-hour work week. Monday -Friday day shift. Occasional evening and weekend & on-call work may be required as job duties demand.

Benefits: On-the-job training, Paid time off

Work Location: In person

Job description:

A durable medical equipment (DME) billing and coding specialist is responsible for submitting claims to insurance companies and ensuring their accuracy to receive payment. They perform a variety of clerical and accounting tasks to reduce claim rejections. Responsibilities include:

• Daily work to keep ACU Serve updated with the latest information and servicing their requests
• Maintain a strong knowledge of guidelines related to HIPAA, OIG Compliance, medical coding, and billing/reimbursement
• Compliance: Maintaining knowledge of HIPAA, OIG, medical coding, and billing/reimbursement guidelines
• Claim accuracy: Verifying sales orders, checking and correcting HCPCS codes, and ensuring claims contain all required paperwork
• Claim submission: Submitting claims, following up on unpaid claims, and initiating prior authorization
• Financial counseling: Interpreting patient benefits and helping patients create payment plans
• Responsible for all phases of the billing and collection activities, including but not limited to:
• Research and correct rejected claims and post payments.
• Resubmissions of claims as required with supporting documentation as needed.
• Post payments or rejections received.
• Resolve billing problems with clients.
• Answer telephone inquiries from clients, caregivers or insurance companies.
• Calling payers and/or working on payer websites to status or reprocess claims as necessary to secure payment for claims.
• Update patient information as required.
• Various reporting as required by department and/or management.
• Other tasks as assigned by management.
• Knowledge and proficient on various payor portals
• Confirm all sales orders for various rental and purchase items of DME by verifying proof of delivery, ordering doctor, diagnosis, verify insurance and coinsurance percentages, address all coverage limitations and validation rules.
• Apply patient payments and upload tracking if applicable.
• Resolve customer account discrepancies
• Review prescriptions, progress notes or HSTs and edit any pending or expired CMNs (Certificates of Medical Necessity) to send to physician, mark sales order complete.

Qualifications:

• High school diploma (or equivalent) required
• 3 years’ experience in insurance billing
• Knowledge of electronic billing preferred
• High attention to detail and able to multitask
• Meets company minimum standard of Background Check
• Comply with all company, state, and federal policies, laws, and regulations, including -HIPPA

Job Type: Full-time

Pay: $17.00 - $20.00 per hour

Expected hours: 40 per week

Shift:

• Day shift

Ability to Commute:

• Elkhart, IN 46514 (Required)

Ability to Relocate:

• Elkhart, IN 46514: Relocate before starting work (Required)

Work Location: In person

Salary : $17 - $20