Office Staff
Location: Huntsville, AL

Reports To:	Office Manager
Supervises:	NONE
Expectation of Work Hours:	Full Time or Part Time

Duties/Responsibilities

1. Comply with all applicable Company policies and procedures.

2. Responsible for billing private insurances, private individuals, and/or Government entities for home medical equipment.

3. Responsibilities include verifying insurance coverage, billing, collection, account follow-up, and compliance with all governmental and regulatory agencies.

4. Understand and comply with all governmental, regulatory and company billing and compliance regulations/policies including but not limited to Medicare and Medicaid programs

5. Review of HCFA’s and patient invoices for appropriate coding, charges, allowable, co-pays and supporting documentation.

6. Follow-up with payers, patients and other appropriate parties to collect open billings in a timely manner and to ensure compliance with billing regulations.

7. Identify and report to management payer issues with regards to billing and collection

8. Coordinate all patient information and process paperwork including preparation of file for billing.

9. Establish patient records and record appropriate patient and equipment rental information in each patient’s record.

10. Review and log correspondence regarding pending/denied claims

11. Assist with implementation of quality improvement program to meet Company and accreditation standards.

12. Develop and maintain working knowledge of current HME products and services offered by the Company and all applicable insurance guidelines respecting eligibility for coverage and reimbursement.

13. Accounts Receivable management.

14. Process accounts and maintain appropriate records in a timely manner.

15. Inventory Management

16. Referral Intake

17. Coordinate deliveries

Minimum Qualifications

1. Ability to file, perform accounting functions, maintain records, understanding of reimbursement requirements, good typing and telemarketing skills.

2. Skills: Basic MS Excel, Word and 10-key skills required.

3. General knowledge of government, regulatory and company billing and compliance regulations/policies for Medicare, Medicaid, preferred

4. Prior experience in insurance office, doctor’s office or three years general office experience, preferred.

5. High school education required.

6. Effective verbal and written communication skills.

7. Knowledgeable in insurance carrier reimbursement guidelines and eligibility for coverage by third party payers, preferred.

Required Knowledge/Experience:	Knowledge of computers and telephone. Knowledge of medical billing system preferred.
Required License/Certification:	NONE
Competency Requirements:	Office Staff Competency
Physical Demands:	Sitting, standing, walking at desk, in office operation of office machinery and computer. Occasionally lift/move items up to 20 lbs. Visual abilities to include reading, distance vision and peripheral vision.