Job Details
Level
Experienced
Job Location
Brooklyn Park, MN
Remote Type
Fully Remote
Position Type
Full Time
Education Level
High School
Salary Range
$20.00 - $22.00 Hourly
Travel Percentage
Negligible
Job Shift
Day
Description
Since our doors opened in 1989, Reliable Medical has been committed to improving the lives of all who entrust us with their care and those who we entrust to provide it. We strive to be the premier provider of complex mobility solutions and other critical services for customers seeking compassionate care and optimal outcomes. Our mission is to improve the lives of those we serve by providing best in class service to customers, education, product expertise and dedicated partnership to clinicians, and development, career satisfaction and work-life balance to our team members. We aspire to bring our mission to new communities and to reinvest our growth into improving lives, treating one another and our customers, like family.
We are seeking a detail-oriented and efficient Medical Billing Specialist to join our team. DME experience is a must. As a Billing Specialist, you will play a crucial role in accurately billing all orders and ensuring that daily goals are met. Your responsibilities will include reviewing scripts and medical documentation, verifying delivery paperwork, and communicating any billing or delivery concerns. The ideal candidate will have a strong background in healthcare or durable medical experience and possess excellent organizational and communication skills.
Job Duties
- Communicates effectively with the Billing Supervisor to stay updated on departmental needs, trends in received documentation, and claim rejections.
- Assists in maintaining compliance with the professional reimbursement program, ensuring adherence to current payment guidelines, legislative regulations, HIPAA, JCAHO, and other compliance requirements.
- Monitors and communicates changes in reimbursement/payment rules and legislative regulations impacting medical billing.
- Reviews authorizations, detailed prescriptions, and verifications within the workgroup to ensure accurate claim submissions for revenue.
- Checks equipment charts and delivery tickets for completeness according to insurance guidelines, ensuring proper modifiers and authorization numbers are included for claim submission and payment.
- Ensures all orders are billed within 72 hours of task creation to meet daily goals.
- Works on correcting and resubmitting denied or rejected claims, particularly those related to demographics or modifiers.
- Manages the Stop and Hold report and denial reports in Brightree, ensuring timely acquisition of documentation to prevent denials.
- Performs other duties as assigned by management.
Qualifications
- High school graduate or equivalent.
- Minimum 1-2 years' experience in medical billing or completed Medical Billing training.
- DME experience required
- BrighTree experience preferred
- A background in healthcare industry experience and knowledge is required.
- Excellent attention to detail and proficient with Microsoft Office suite of programs.
- Works efficiently with a minimal supervision, demonstrating independent judgement within established guidelines.
Our Commitment to you:
- Work-Life Balance: Enjoy a guaranteed 40 hours per week with no weekends required in this fully remote position.
- Comprehensive Health Coverage: We provide excellent health, dental, and vision insurance coverage to prioritize the well-being of yourself and your family.
- Generous Paid Time Off: Maintain a healthy work-life balance with our generous PTO policy, including vacation days and paid holidays.
- Professional Development Opportunities: Grow your skills and advance your career with access to professional development opportunities including education programs, ongoing training, company sponsored workshops/events.
- Retirement Savings Plan: Prepare for your future with our 401(k) retirement savings plan, which includes company matching contributions.
- Wellness Programs: Participate in our wellness initiatives, such as wellness challenges and access to mental health resources, to support your overall well-being.
- Inclusive and Diverse Workplace: Be part of an inclusive team where everyone's contributions are valued and respected.
- Volunteer Opportunities: Additional paid time off to volunteer and support community initiatives. This benefit is known as “VTO – Volunteer Time Off”.
- Employee Recognition Programs: Awards and celebrations for outstanding achievements.
- Service Awards: Recognition for long-term employees with milestone rewards.
- Parental and Childbirth Leave: Receive support and time off for parental and childbirth leave to prioritize family needs during significant life events.
Join Reliable Medical, and be part of a team that values your skills and dedication!
