TALENT Software Services

Compensation

Full Description

Duties: • Institutional Insurance and reimbursement expert for one or more of the following business lines: durable medical equipment. • Performs all aspects of the billing and collection processes for the individual business lines across the enterprise. • These processes include service pre-certification, insurance coverage review and personal responsibility determination, communications with patients, claim submissions, denial review, rebilling, appeals, and accounts receivable management. • Utilizes skills in problem solving, customer service, and communications (verbal and written) in interactions with patients and internal customers to resolve a variety of account, billing and payment issues for patients, physicians, nurses, pharmacists, technicians and social workers. • Interprets, applies and communicates policies regarding financial aspects of patient care to assure optimal reimbursement for both the patient and the institution. Skills: • Associate Degree in finance, business or healthcare related majors and one year experience in medical, pharmacy or durable medical equipment billing and collection activities or high school diploma/GED with at least 3 years' experience in medical, or durable medical equipment billing and collection activities. • Qualified candidate must possess strong human relations, communication, problem solving, and organizational skills to interact with a variety of customers and personnel, both within and outside the institution. • Must be able to work independently and in a team environment. • Candidate should have experience working with Windows based software, Microsoft Word, Excel, and the Internet. • Keyboarding experience required. • Claims management software experience desired. Additional Skills: • Customer Service • Basic to moderate computer knowledge • Microsoft Office skills • Typing speed moderate • Healthcare background/verbiage knowledge • Basic insurance knowledge • Basic communication skills to effectively collaborate with others • Basic claims maintenance or basic prior authorization is a bonus