J&B Medical Supply Co Inc

Developing and executing organizational strategies, managing budgets, overseeing operations, and mentoring senior staff. | Extensive senior management experience (10+ years), strong leadership, strategic thinking, and decision-making skills, with a relevant educational background. | Description The Executive Leader is a top-level organizational authority responsible for strategic decision-making, setting company direction, and fostering a high-performance culture. They drive long-term goals by inspiring teams, managing, and navigating complex, evolving business landscapes. Requirements Key Responsibilities • Strategic Planning: Develop and execute long-term, high-impact strategies for organizational growth and sustainability. • Financial Oversight: Manage budgets, analyze financial statements, and ensure company profitability. • Operational Leadership: Oversee daily operations, establish policies, and improve efficiency across departments. • Team Management & Mentorship: Hire, coach, and direct senior staff, setting a high standard for performance and culture. • Risk Management: Evaluate company performance, mitigate risks, and ensure compliance with regulations. Requirements and Qualifications • Education: Bachelor’s or Master’s degree in Business Administration, Management, or a related field. • Experience: Extensive, proven experience in senior management or leadership roles ( 10+ years). • Skills: Exceptional leadership, strategic thinking, decision-making, and communication skills. Work Environment: · Full time working at our Corporate Office located in Wixom, MI.

The Medical AR Follow-up & Denial Specialist is responsible for analyzing and resolving insurance claim denials for DME Supplies. This includes generating written appeals and utilizing various resources to ensure timely and correct appeal processes. | Candidates must have three or more years of DME billing/coding experience and a strong understanding of payer websites and appeal processes. A high school diploma or GED is required, and candidates must have their own computer. | Description HIRING REMOTE EXPERIENCED BILLERS IN THE FOLLOWING STATES: FL, GA, IN, KY, LA, MS, NC, SC, TN, TX, VA, & WV Ready for a change? Are you an Experienced Medical Biller LOOKING FOR GROWNING COMPANY WITH ROOM FOR ADVANCEMENT? APPY NOW! - Full Benefits after 30 Days!! PTO after 90 Days! and MORE!!!! NEW HIRE ORIENTATIONS START SEPT 10TH AND 24TH! The Medical AR Follow-up & Denial Specialist is primarily responsible for analyzing and resolving all insurance claim denials for DME Supplies. The individual in this position will generate effective written appeals to carriers using well-researched logic in order to recoup reimbursement on incorrectly denied claims. Appeal carrier denials through coding review, contract review, medical record review, and carrier interaction. Utilize a multitude 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 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 Reviews denied claims to ensure coding was appropriate and make corrections as needed. Ensures billing and coding are correct prior to sending appeals or reconsiderations to payers. Investigate claims with no payer response to ensure claim was received by payer Strong understanding of payer websites and appeal process by all payers including commercial and government payers including Medicare, Medicaid, and Medicare Advantage plans Reviews and finds trends or patterns of denials to prevent errors Assists and confers with coder and billing manager concerning any coding problems. Strong research and analytical skills. Must be a critical thinker. Stays current with compliance and changing regulatory guideline. Demonstrates knowledge of coding and medical terminology in order to effectively know if claim denied appropriately and if appeal is warranted. Supports and participates in process and quality improvement initiatives. Achieve goals set forth by supervisor regarding error-free work, transactions, processes and compliance requirements. Position Type This is a full-time 40 hour work week. Monday -Friday day shift. Occasional evening and weekend work may be required as job duties demand Requirements Three or more years of DME billing/coding experience is required. Collections of insurance claims experience. Medicare and/or Medicaid background. Durable Medical Equipment (DME) experience. EDI transmission experience preferred. High school diploma or GED diploma ***** EQUIPMENT IS NOT PROVIDED, YOU MUST HAVE YOUR OWN COMPUTER. Other Duties All other duties as assigned by management. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are request of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.