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Medical Biller Collections Specialist - DME experience preferred

Work from home Full-time role Hiring

We are a boutique Durable Medical Equipment Company that supplies enteral nutrition formulas including medical foods for inborn errors of metabolism. We are seeking a remote experience medical biller collections specialist, preferably with a DME and enteral supplies background. Hearts Enteral is the sister company of our non-profit organization Compassion Works Medical. Our mission is to help fight the challenges of healthcare reimbursement for people who struggle with rare diseases and conditions that require enteral nutrition and medical foods to sustain and prolong their lives. The position is based on a 1099 (W-9) and not a W-2. There are full-time and part-time positions. Hearts Enteral DME is an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, creed, color, age, sex, religion, or national origin. • *MUST have 3 years minimum experience with medical billing with HCPCS codes and claims submissions. STRONG ATTENTION TO DETAIL A MUST ** JOB: Navigate between patients, healthcare providers, and insurance companies (also known as payers) to arrange for reimbursement of healthcare services. The medical billing and collection specialist is responsible for ensuring accurate billing, timely submission of electronic and/or paper claims, monitoring claim status, researching rejections and denials, documenting related account activities, and posting adjustments and collections of Medicare, Medicaid Managed Care, and commercial insurance payers. The medical billing and collection specialist must possess critical thinking skills and an understanding of Medicare, and Medicaid eligibility requirements as well as commercial insurance payer payment methods to correctly record contractual adjustments based on payer contracts or government regulations. In addition, the medical billing and collection specialist must demonstrate proficiency with the billing system to ensure all functionality is utilized for the Apply Job!

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