Billing Specialist

Overview

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Description

Statement of the Position : The Billing Specialist performs insurance / billing clerical duties, including reviewing and verifying patient account information against insurance program specifications. The Billing Specialist also audits branch billing packets prior to billing to ensure all information is accurate and complete. This position will be responsible for the preparation and submission of initial electronic and hard copy claims to payers.

Company Description

At all levels, working at National Seating & Mobility provides the opportunity to directly impact our clients lives by giving them self-reliance and independence. Our teams are comprised of passionate individuals, dedicated to providing the best care to each client. We focus on abilities by leveraging technology and creating mobility solutions that are as unique as our clients needs. Working at National Seating & Mobility is an opportunity to build a meaningful career, while leaving a lasting impact on the lives of those we serve. Located in more than 40 states, we strive for diversity and offer an array of benefits including 401k, company paid Long Term Disability, and tuition reimbursement. We are looking to grow our enthusiastic and engaged team at NSM. Submit your resume and join a group of enthusiastic professionals dedicated to changing lives.

Duties And Responsibilities / Essential Functions

• Responsible for preparing and submitting timely and accurate initial claims (to include initial claims on rental orders) to payers following prescribed policies and procedures.
• Generates claims for both electronic and hard-copy submission.
• Generates Missing Information Requests (MIR) following prescribed policies and procedures.
• Ensures that NSM bills claims correctly the first time and that all applicable local, state, and federal requirements are met.
• Identifies variances between booked revenue and expected reimbursement to facilitate front-end rehab adjustments.
• Participates in collecting and documenting payer specific claims processing rules, practices, and guidelines to contribute to and maintain the currency and accuracy of payer requirements for NSM personnel.
• Conducts reviews of scanned billing documents at the time of final funding approval to identify issues that will or could be a barrier to billing the claim when the delivery is completed.
• Assumes other duties and responsibilities as assigned.

Work Environment

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, printers, photocopiers, filing cabinets and fax machines.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is regularly required to sit; use hands repetitively to operate standard office equipment. The employee is frequently required to reach with hands and arms.

Required Education, Experience & Competencies

This job description in no way states or implies that these are the only duties to be performed by this employee. He / She will be required to follow any other instructions and to perform any other duties requested by his / her supervisor. Individuals will be expected to maintain a professional work environment at all times.

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