Medical Billing Specialist for Durable Medical Equipment Company

hace 1 mes


Santiago, Metropolitana, Chile Course A tiempo completo

Company Overview:

OSA is a boutique business process outsourcing company, specializing in providing top-quality back office and customer service support to businesses in the USA.

We offer opportunities to work with amazing United States-based companies, either from our local offices or through the WFH (work from home) option.

Job Description:

The client, a Durable Medical Equipment (DME) provider, is seeking an experienced DME billing specialist to submit and audit claims within the DME industry.

The billing specialist will communicate with patients, medical professionals, and insurance companies regarding claims, ensuring the claim includes proper documentation, correct patient information, and appropriate coding for timely payment.

Required Skills and Qualifications:

  • Excellent Communication Skills: Verbal, interpersonal, and written communication skills are essential for this role.
  • Clerical/Office Support Experience: Two years of experience in clerical/office support work and/or education at the high school level are required.
  • Billing Experience: A minimum of two years of billing experience is preferred, with one year of DME experience and two years of AR experience being required.
  • Knowledge of Insurance Guidelines: Knowledge of insurance guidelines and other payment requirements is necessary for this role.
  • ICD 10 Codes, HCPCS Codes, and LCDs: Knowledge of ICD 10 Codes, HCPCS Codes, and LCDs is also required.
  • CPC/CPC-A Certification: While not required, CPC/CPC-A certification is encouraged.

Duties:

  • Compliance: Ensure compliance with payors' guidelines.
  • Claims Submission: Submit and follow up on claims.
  • Account Management: Post account charges and payments, process claims denials and insurance appeals, and monitor accounts for non-payments, delayed payments, and other irregularities.
  • Patient Communication: Handle patient collection calls and resolve unpaid claims and denials.
  • Billing Software: Use various billing software systems to perform medical billing functions via Electronic Medical Record (EMR).

Estimated Salary:$45,000 - $65,000 per year, depending on location and experience.

Location:Santiago



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