OVERVIEW:
Rotech Healthcare Inc. is a national leader in providing ventilators, oxygen, sleep apnea treatment, wound care solutions, diabetic solutions and home medical equipment. We help patients lead a more comfortable and productive life by keeping them engaged in their care and empowering them to manage their health and treatment at home. Rotech provides high quality medical products, services and outstanding customer care through hundreds of locations across 45 states. For additional information, visit our company homepage
JOB INFORMATION:
Summary
We are seeking a dedicated Medical Billing & Collections Quality Assurance Specialist for our Billing Center. In this position you will be responsible for auditing all intake paperwork entered in Rotech’s proprietary Medical Billing System prior to selecting the account to bill.
Working from home 90% of the time, in office 10% due to meetings and training.
Essential Duties And Responsibilities
Audits incoming paperwork including new patient setups, existing patients and other documents
Communicates any form errors to the store or makes necessary corrections in IMBS, based on the information written on the form
Corrects any errors identified by the Claims Supervisor, enters IMBS audit control number located on “Maintenance Audit Report”, verifies in the system that there is an AOB for each claim, files the “Maintenance Audit Report”, and identifies any claims that will release during the nightly cycle, makes copies of necessary forms, and identifies Cash Sale Delivery tickets
Ensures appropriate authorizations are included from Case Managers
Ensures service provided to patients is covered in our contract
Makes a copy of the original form and sends the original back to the store for corrections; maintains a copy of the form until the original is returned
Must understand VA/Managed Care requirements when working in the VA/Managed Care Billing Center
Prints the “Maintenance Audit Report” from the system and verifies that the information in the report is accurate; attaches the audit report to supporting documents; submits the packet to the Claims Supervisor for review prior to entering Audit Control
Receives all Store Patient Packets from Mail Clerk
Reviews and audits the forms for accuracy and completeness
Sorts incoming patient paperwork from store locations
Verifies all documents located on the Batch-Work Control Sheet were included in the patient packet
Verifies insurance information to ensure accuracy
Verifies the accuracy of the information in IMBS compared to information on the required forms
Works with VA/Managed Care Intake Center to ensure authorization is from the carrier and VA and that the information is accurate
Performs other duties as assigned
Supervisory Responsibilities
None
QUALIFICATIONS:
Employment is contingent on
Background investigation (company-wide)
Drug screen (when applicable for the position)
Valid driver’s license in state of residence with a clean driving record (when applicable for the position)
Education and/or Experience
High school diploma or GED equivalent
Experience in medical field and administrative record management
Minimum Of One Year Experience In Medical Authorizations Preferred
One to three years of related prior work experience in a team-oriented environment
Strong customer service background
Skills, Knowledge And Abilities
Effectively communicate in English; both oral and written, with physicians, location employees and patients to ensure questions and concerns are processed in a timely manner
Helpful, knowledgeable and polite while maintaining a positive attitude
Interpret a variety of instructions in a variety of communication mediums
Knowledge of Durable Medical Equipment (DME) or Home Medical Equipment (HME)
Knowledge of federal payer program regulations and guidelines
Knowledge of insurance policies and requirements
Knowledge of medical billing practices and of billing reimbursement
Maintain confidentiality and practice discretion and caution when handling sensitive information
Multi-task along with attention to detail
Must be able to accurately perform simple mathematical calculations using addition, subtraction, multiplication and division
Self-motivation, organized, time-management and deductive problem solving skills
Work independently and as part of a team
Physical Demands
Requires sitting, walking, standing, talking or listening
Requires close vision to small print on computer and or paperwork
Machines, Equipment and Technical Abilities
Email transmission and communication
High data entry speed on a 10-key computer and calculator
Internet navigation and research
IMBS Bank Management system
Microsoft applications including but not limited to Word, Excel, etc.
Office equipment; fax machine, copier, printer, phone and computer
Work Environment
Office environment
ROTECH INFORMATION:
Benefits
401k
Medical, Dental and Vision
Life Insurance and Disability
Generous Paid Time Off and Paid Holidays
Employee Discount Program
Employee Recognition Program
Bonus and Incentive Opportunities
Mileage reimbursement (when applicable for the position)
Telephone reimbursement (when applicable for the position)
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Equal Opportunity Employer of Minorities, Females, Protected Veterans and Individuals with Disabilities. Rotech Healthcare Inc. recruits, employs, trains, promotes, transfers, separates from employment and compensates employees without regard to membership in, association with, or perception of race, color, age, gender, gender identity, religion, creed, national origin, ancestry, citizenship, marital status, veteran status, sexual orientation, physical or mental disability, pregnancy or any other personal characteristic protected by applicable federal, state and local laws governing nondiscrimination in employment in each locality where Rotech has employees.