Hiring Medical Billing Leader

Barber DME is now hiring a Medical Billing Leader. Thank you for your interest in Barber DME Supply Group. Below you will find the Medical Billing Leader job description. Please read through it to see if you feel that you are a proper fit for the position. If so, please filled out the form below to upload your resume for review by our human resources team.

Necessary Qualifications:

High school or equivalent (Preferred)
Medical billing denials: 5 years (Preferred)
Brightree EHR: 3 year (Preferred)
Certified Professional Coder (Preferred)
Tricare, Medicare and Commercial Insurance

Company & Position Summary:

Barber DME Supply Group, LLC is a multispecialty medical supply company, providing medical equipment supplies and services across the U.S. We are currently seeking a DME Medical Billing Leader to join our committed team of professionals.

The DME Medical Billing Leader is primarily responsible for analyzing and resolving all insurance claim denials for Barber DME Supply Group. The individual in this position will generate effective written appeals to insurance carriers using well-researched judgment to recoup reimbursement on incorrectly denied claims. Appeal carrier denials through coding review, contract review, medical record review, and carrier interaction. Utilize a range of resources to ensure correct appeal processes are followed and completed in a timely manner. Demonstrate a high level of expertise in the management of denied claims and deploy an analytical approach to resolving denials while recognizing trends and patterns in order to proactively resolve recurring issues. Communicate identified denial patterns to team and management. Prioritize and process denials while maintaining high quality of work. Serve as an escalation point for unresolved denial issues. Inform team members of payer policy changes. Assist in educating employees when needed. Collaborate on special projects as needed. Assist manager of additional tasks as needed.

 

Essential Responsibilities and Tasks:

Review denied physician billing medical claims to ensure coding was appropriate and make corrections as needed.

Ensure billing and coding are correct prior to sending appeals or reconsiderations to payers.

Strong understanding of payer websites and appeal process by all payers including Commercial and government payers including VA, Tricare, Medicare, Medicaid, and Medicare Advantage plans.

Review and identify trends or patterns of denials to prevent errors and improve conversion.

Assist and coordinate with coder and billing manager concerning claim coding problems.

Strong research and analytical skills. Must be a critical thinker.

Stay current with compliance and changing regulatory guideline.

Demonstrate knowledge of coding and medical terminology to effectively know if claim denied appropriately and if appeal is warranted.

Support and participate in process and quality improvement initiatives.

Achieve goals set forth by supervisor regarding error-free work, transactions, processes and compliance requirements.

Promote the CCPSA culture of team collaboration, while identifying and implementing opportunities to enhance the shared values of the group.

Exhibit exceptional customer service skills; answering patient and insurance calls; prompt return and follow up to all interactions; prompt response to requests for information, both internally and externally.

Proactive resolution of issues and timely response to questions and concerns.

Clearly document issues and resolution.

Deliver timely required reports to the management team; initiates and communicates the resolution of issues, such as payor denial trends due to coding and billing errors.

Identify missing payments, overpayments, and analyze account credits.

Ability to successfully track and follow up on information requests.

Work with collaborative group to facilitate information and resolve charge questions.

Other duties as assigned.

 

Skills, Education and/or Work Experience Requirements:

Minimum of 5 years’ experience in a Physician or DME Billing department working denials, appeals, insurance collections, and related follow-up is required.

Demonstrated knowledge of ICD-10 and CPT coding assessment skills required.

Must demonstrate a solid ability to apply contract language in conjunction with a comprehensive understanding of claims denial appeal logic.

Brightree Revenue Cycle Management module working knowledge and experience strongly preferred.

Intermediate PC software experience required. Extensive knowledge on use of email, search engine, Internet; ability to effectively use payer websites; knowledge and use of Microsoft Products: Outlook, Word & Excel.

Advanced verbal and written communication skills are essential.

Strong reasoning, critical thinking, analytical and mathematical skills.

Ability to work independently, flexibly shifting from big picture to detailed tasks, with high productivity, and regularly execute to deadlines.

CPC certification is preferred but not required.

High School Diploma or GED required.

 

Physical Requirements:

Ability to consistently perform the essential job functions safely and successfully within ADA, FMLA and other federal, state and local standards, including meeting qualitative and/or quantitative productivity standards.

Ability to sit for extended time periods.

Must be able to bend, lift and carry up to 20 lbs.

Job Type: Full-time

Expected hours: 40 per week

 

Benefits:

401(k)

Dental insurance

Health insurance

Life insurance

Paid time off

Vision insurance

 

Schedule:

Monday to Friday

Application Question(s):

What are the top 3 DME items that you arw most familiar billing?

What are the top 3 payors that you have had experience billing?

Which denial code do you appeal most often?

Experience:

Durable Medical Equipment: 5 years (Preferred)

Work Location: Remote

Please fill out the form below and upload your resume for our review.