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Medical Billing Specialist - RCM

Company: AdaptHealth LLC
Location: Murray
Posted on: September 24, 2022

Job Description:

Description:Job DescriptionAdaptHealth Opportunity - Apply Today!At AdaptHealth we offer mail-order nebulized pharmaceuticals, full-Service home medical equipment products and services to empower patients to live their best lives- out of the hospital and in their homes. We are actively recruiting in your area. If you are passionate about making a profound impact on the quality of patients' lives please click to apply, we would love to hear from you.Billing and Collections SpecialistThis position is responsible for maintaining a timely revenue cycle and ensures accurate payment for goods and services according to contracted rates and/or payor fee schedules, for nebulizer medications. We work in a team atmosphere to resolve outstanding balances and resolve insurance denials, following up with insurance companies, approving pharmacy orders to bill out, following Medicare guidelines with received documents and reconciling accounts. Also responsible for maintaining patient confidentially and function within the guidelines of HIPPA.Job Duties:Accounts Receivable: - Investigate and resolve customer inquiries regarding charges. - Monitor patient account details for non-payments, delayed payments, and other irregularities. - Communicate with customers and insurances regarding payments and denials. - Following up on denials and billing to the patient when appropriate. - Filing and noting documentation received into patient's accountsUnbilled Revenue: - Analyze documentation required for billing services and ensure compliance to payer requirements. - Resolve pending revenue by reconciling received documentation, and pending charges. - Communicate with external sources such as Hospice providers, doctors' offices, and caregivers.Patient Financial Services - Identify trends and root causes related to inaccurate private pay billing and report to the manager while resolving account errors. - Notifying patients of the outstanding balances, try to collect or offer payment plans. - When a patient's account has been identified as being in collection, relay collections information to the patient to resolve the issue.Other Responsibilities: - Educate patients, staff, and providers regarding payer coverage, eligibility guidelines, documentation requirements, and insurance changes. - Maintains extensive knowledge of different types of medical and pharmacy payer coverage, insurance policies, payer guideline, and changes. To ensure accurate billing and timely payment is received. - Maintain knowledge of what insurance we are in and out of network with - Performs other related duties as assigned.RequirementsCompetency, Skills and Abilities: - Analytical and problem-solving skills with attention to detail and accuracy. - Proficient verbal and written communications. - Excellent customer service skills - Proficient operation in Microsoft office and basic computer skills. - Multitasking, organization, and the ability to prioritize issues.Requirements:Minimum Job Qualifications: - High school diploma or equivalent - Preferred one (1) year of work-related experience in healthcare, pharmacy, financial, or insurance customer services, claims, billing, or call center.AdaptHealth is an equal opportunity employer and does not unlawfully discriminate against employees or applicants for employment on the basis of an individual's race, color, religion, creed, sex, national origin, age, disability, marital status, veteran status, sexual orientation, gender identity, genetic information, or any other status protected by applicable law. This policy applies to all terms, conditions, and privileges of employment, including recruitment, hiring, placement, compensation, promotion, discipline, and termination.#INDPPI191274238

Keywords: AdaptHealth LLC, Clarksville , Medical Billing Specialist - RCM, Accounting, Auditing , Murray, Tennessee

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