CRT Billing Clerk

Description:CRT Billing Clerk

Sherwood, AR

DescriptionYou can have a positive impact to help individuals with significant disabilities. We empower individuals with disabilities to access their world!

Action Seating and Mobility is currently seeking outstanding candidates to help us Keep our Clients Moving! We are in search of a full-time Complex Rehab Billing Specialist. In this position, you will work alongside other professionals to provide the most appropriate, best-fitting mobility equipment. You will learn the multifaceted world of Complex Rehab Technology and be an integral part of our team.

Action Seating provides competitive pay and benefits, on the job training and a chance for advancement!

Responsibilities and Duties include, but are not limited to:

· Daily billing of Private Insurance, Medicare and/ or Medicaid claims as assigned and directed.

· Verifies all pertinent and applicable insurance information and checks each claim for accuracy and correctness of charges.

· Shares process improvement ideas by working and collaborating with other departments companywide.

· Bills secondary insurances by collecting the proper Explanation of Benefits and resending to proper insurance company on 1500 Claim Forms

· Bills electronically all claims that are eligible

· Bills hard copy all claims that are not eligible for electronic remittance.

· Responsible for follow-up of all claims as directed with appropriate documentation being made in software.

· Consistently and efficiently works dashboard and billing tasks as assigned.

· Calls Clients, Medicare, Medicaid, and insurance companies, to check the status of accounts and when to expect payment.

· Makes all Medicare and Medicaid corrections on appropriate online systems as assigned.

· Responds to requests for medical documentation in a timely manner.

· Sends appeals when appropriate for Clients.

· Communicates needed adjustments as assigned to all Medicare and Medicaid claims.

· Responsible for working knowledge of medical policies, current LCD’s and the application to third-party reimbursements.

· Process payment determination for all payor sources for denied claims, deductibles, and co-pays. Updates status code for claim, document claims management notes, and bills residual to proper payor source.

· Responsible for processing primary claims and managing up front denials.

· Responsible to assisting Billing Team Lead and / or Revenue Cycle Manager for designated reports: collecting, analyzing, and trending.

· Responsible for addressing customer concerns as needed for excellent customer service and confidentiality.

· Responsible for attendance at in-store in services and meeting and other workshops to stay current with job responsibilities.

· Perform other duties as deemed appropriate by management.

We offer a 401K and Health Benefits.

Requirements:Requirements

Requirements:

Qualifications

20Physical:

• In an average 8-hour day the employee lifts/carries up to 15 pounds frequently.
• In an average 8-hour day the employee stands/walks 4 hours.
• In an average 8-hour day the employee sits 4 hours. (These hours include up to 4 hours of data entry/phone work)
• The employee lifts/carries up to 25 lbs. maximum.
• Must be clean and neat in personal appearance.

Education:

• College Degree is not required, but commensurate level experience in DME/HME medical billing is required.

Experience/Knowledge/Personality:

• An ideal candidate possesses 3-5 years verifiable experience in medical DME/HME billing to Private Insurance, Medicare and Medicaid; Experience in billing Complex Rehab Technology is preferred.
• Arkansas Medicaid and PASSE Billing experience required.
• Knowledge of medical terminology, Medicare LCD’s, HCPCs, and diagnosis codes.
• Able to function as a polite and cooperative team member with a positive attitude.
• Knowledge of Google Suite, Adobe Reader/Pro, and various web-based systems (Atlas & insurance portals) necessary.
• Good oral and written communication skills.
• Detail oriented.
• Able to work independently and efficiently. Able to multitask, switching from one job task to another frequently.

Key Characteristics of an Action TEAM member:

• Compassionate: We seek to understand each client’s physical, emotional, and financial needs through his/her unique story.
• Knowledgeable: We exist on the cutting edge of the technology our clients need to function every day and the insurance policies that dictate funding.
• Efficient: We maintain a sense of urgency that is equal to the client’s dependence on the technology we provide.
• Critical Actions that drive our Mission:

Critical Actions of an Action TEAM member:

• We act with empathy. Compassion and respect guide us as we listen to client needs and consider their input. We take time to understand their goals and communicate issues.
• We learn. Constantly. We actively seek the latest and best clinical education, innovative products, and insurance protocols because clients, therapists, and co-workers rely on our leadership.
• We embrace technology. Because our work blends human need with emerging technology, we engage all the tools necessary to improve our accountability, efficiency, and accuracy.