Job Description

Job Description

Job Description

Work Location: Remote

• Candidates located in Central, Mountain, Pacific, Alaskan, & Hawaiian US - Time Zones are encouraged to apply.

SUMMARY: Coordinate all insurance and patient pre-authorization and collection efforts for Durable Medical Device Company by performing the following duties.

ESSENTIAL DUTIES/RESPONSIBILITIES:

• Contact payers to verify patient eligibility and product specific coverage information.
• Interface with physicians, advocates, patients and manufacturer representatives to obtain and provider payer policy and specific coverage information.
• Provide accurate and timely follow-up to all reimbursement inquires in accordance with program guidelines.
• Obtain prior authorization when required.
• Research and compile payer specific information for reimbursement database
• Review aging reports and correspondence to locate and address outstanding insurance claims, and patient balances
• Responsible for reconciling delinquent claims
• Responsible for coordinating and communicating patient balances with management, patients and outside management company
• Respond to and resolve patient billing inquires via email, phone and in person
• Other duties as assigned
• This job has no supervisory responsibilities

REQUIREMENTS:

• Minimum of 3 years recent medical collection and prior authorization experience (excluding school/externship)
• Ability to multitask and handle a high volume in a fast-paced environment with frequent interruptions
• Previous experience with Medical Collections, Reimbursements or Prior-Authorizations
• Ability to effectively communicate using proper grammar, spelling and punctuation
• Ability to read and properly evaluate an EOB and to enter data quickly and accurately
• Ability to use sound independent judgment and self-supervise
• Intermediate knowledge of standard office procedures and software applications
• Working knowledge of Microsoft Word and Excel
• Experience utilizing Practice Management software
• Basic knowledge of CPT and ICD-9 / ICDc-10 coding as well as medical terminology
• Experience with in and out of network appeals
• Experience with Military and government payers including VA
• High School Diploma or GED required
• Brightree Experience Preferred

Job Type: Full-time Salary: $18-$25 an hour

Benefit Conditions:

• Waiting period may apply
• Only full-time employees eligible

Benefits offered:

• Health insurance
• Dental insurance
• Retirement benefits or accounts

Work Remotely

• Yes
• Candidates located in Central, Mountain, Pacific, Alaskan, & Hawaiian US - Time Zones are encouraged to apply.

Job Type: Full-time

Benefits:

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

Work Location: Remote

• Candidates located in Central, Mountain, Pacific, Alaskan, & Hawaiian US - Time Zones are encouraged to apply.
• Applicants who do not answer all 5 screening questions will not be considered.

Durable Medical Equipment & Orthotics Company located in Scottsdale, AZ

Company Description

Durable Medical Equipment & Orthotics Company located in Scottsdale, AZ

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