Individual will handle billing and/or collections functions regarding Durable Medical Equipment sales for all primary and secondary payers, whether it be commercial, managed care, Medicaid or Medicare.
Handles billing of payer claims (primary, secondary and tertiary) according to contract terms to include Medicare and Medicaid guidelines.
Runs assigned daily billing reports to determine accounts needs and update files with current billing information.
Reviews and confirms that appropriate billing documentation has been obtained, including authorizations and Certificates of Medical Necessity (CMNs) as required.
Maintains knowledge of Medicare and Medicaid guidelines and applies that knowledge to billing as required by individual contracts.
Understands Medicaid, Medicare and insurance billing, including coordination of benefits.
Works with supervisor to maintain accuracy of reference materials and implementation of new billing codes and fee schedules.
Reviews and approves price adjustments for 1st level approval from Accounts Receivable Specialist.
High School Diploma or equivalent.
AA Degree preferred but not required.
1-2 years medical billing/collections experience.
Knowledge of Medicare guidelines, Medicaid programs, managed care and commercial contracting.
Good analytical skills and a high degree of accuracy.
Computer literacy in a Windows environment.
Experience with multiple billing software/system conversions beneficial.
Hoveround offers excellent compensation and a comprehensive benefits program which includes: Medical, Dental, Vision, Life Insurance, Short/Long Term Disability, company-matched 401(k) with full vesting after two years, and an Employee Assistance Program.
It's a place where you can work with other intelligent and motivated people. It is a place where you can find a work and life balance. We're doing work that makes a difference in the quality of people's lives. Bring your passion and ideas and we'll give you the resources, creative freedom and the right atmosphere to implement them.
To apply for this position, please send your resume to :