Medical Insurance Billing and Collections

Company: Better Living Now
Location: Hauppauge
Posted on: May 14, 2022

Job Description:

Better Living Now is a family owned and operated Durable Medical Equipment Company accredited with the BOC (Board of Certification/Accreditation) servicing thousands of residents living with chronic and acute medical conditions throughout all 50 states, US Virgin Islands and Puerto Rico. -The mission of Better Living Now, Inc. is to provide the highest quality of customer care to a variety of individuals. -We are dedicated to assisting our customers with managing and improving their health through education, empowerment and our highly detailed -comprehensive wellness programs while guiding them through the American Health Insurance system. -We strive to provide our customers with the highest quality products at discounted rates, in a one stop shopping experience, dedicated to convenience and efficiency. -At Better Living Now, we do not just provide these medically necessary items to our customers, We Care!
We seek an experience, motivated, and well versed Medical Insurance Biller and Collections Representative with excellent communication skills and who can adapt to being a part of a fast-moving industry leader.
If you are an experienced Medical Insurance Biller and Collections Representative with working knowledge and proficiency of the Medical Insurance Industry, pays close attention to detail, can adapt to a fast pace work environment and has excellent communication skills then this position is for you ! -Apply today!
Essential Job Duties and Responsibilities:
- - - - - - - - -Breaking down an account and determining the reason (or reasons) there are unpaid or incorrectly paid dates of service from an insurance company
- - - - - - - - -Applying full understanding of how insurance works to be proactive & deter billing scenarios that could result in denial EOBs.
- - - - - - - - -Proper evaluation of insurance payments for accuracy and full understanding of patient's coverage and benefits
- - - - - - - - -Full understanding of par vs. non par and how that affects both billing procedures & claims payment
- - - - - - - - -Assuring excellent collection rate each month
- - - - - - - - -Through an assigned work queues, the Accounts Receivable Specialist I will follow protocols to determine best course of action to follow up on open receivables.
- - - - - - - - -Applies strong working knowledge of all aspects of billing and collections including billing policies, regulations, diagnosis and procedure coding, and applicable to determine resolution.
- - - - - - - - -Researches root issue of denial. Apply knowledge of payer policies to pursue proper course of appeal or follow up to obtain payment.
- - - - - - - - -Reviews account history for continuous follow up.
- - - - - - - - -Addresses incoming correspondence and respond timely to ensure prompt resolution. Prepares correspondence to insurance companies, patient and/or guarantor, as necessary.
- - - - - - - - -Contacts insurance companies and/or patient/guarantor through phone contact, correspondence, online portals and other approved means to obtain status of outstanding claims and submitted appeals.
- - - - - - - - -Documents clearly in billing system the claim issue and course of action taken on every account worked. Documentation and action must be clearly noted for future follow up and review.
- - - - - - - - -Escalates issues and problems to Supervisor as appropriate.
- - - - - - - - -Identifies trends or pattern of persistent problems.
- - - - - - - - -Performs demographic and insurance coverage updates on account as appropriate and bill new insurance as appropriate.
- - - - - - - - -Performs other job duties as required and assigned, but not limited to job functions within the area of accounts receivable follow up.
- - - - - - - - -Conforms to all applicable HIPAA, Billing Compliance and safety policies and guidelines.
Role Requirements:
1-2 years experience in a professional setting, preferably healthcare Familiarity with medical terminology and insurances
Familiarity with Medicare, Medicaid and/or private insurance guidelines or policies.
Proficient in computer software, specifically Microsoft Word and Excel. AS400 (Iseries) a plus
Ability to communicate clearly and effectively both written and verbally
Excellent Customer Service Skills
Skills, Knowledge and Abilities:
Effectively communicate in English; both oral and written, with physicians, employees, and patients to ensure questions and concerns are processed in a timely manner
Helpful, knowledgeable and polite while maintaining a positive attitude
Multi-task along with attention to detail
Self-motivation, organized, time management and deductive problem solving skills
Work independently and as part of a team
Knowledge of Durable Medical Equipment (DME) or Home Medical Equipment (HME)
Maintain confidentiality and practice discretion and caution when handling sensitive information

Physical Demands of the Position:
Hours of talking and hearing on a daily basis
Occasional lifting and/or moving up to 25 pounds
Requires close vision to small print on computer and or paperwork
Requires sitting, walking, standing, talking (phone and in person), or listening
Routine walking and standing for long periods of time
Use of hands to write, use computers and manipulate paper

Better Living Now is conveniently located in the Hauppauge Industrial Park, Suffolk County New York and is one of the largest industrial parks in the nation.
Better Living Now offers:
Employee Discounts
Challenging and rewarding work environment
Excellent Growth and advancement opportunities
Medical package includes: Medical/Prescription/Dental/Vision/Life Insurance
Health Reimbursement Account
Paid Time Off -and Paid Holidays
Flexible work schedules
Competitive Pay

Keywords: Better Living Now, Stamford , Medical Insurance Billing and Collections, Healthcare , Hauppauge, Connecticut