Job Overview: As an Authorization Coordinator & DME Billing Specialist, you will oversee the authorization process for durable medical equipment (DME) services and manage all aspects of DME billing. This role requires meticulous attention to detail, proficiency in medical billing software, and a strong understanding of insurance policies and healthcare regulations. You will collaborate closely with healthcare providers, insurance companies, and patients to ensure timely authorizations and accurate billing, contributing to efficient healthcare service delivery.
Duties:
- Obtain and verify insurance authorizations for durable medical equipment (DME) services, adhering to payer-specific requirements and timelines.
- Coordinate with healthcare providers to gather necessary documentation for authorization submissions, ensuring completeness and accuracy.
- Communicate effectively with insurance companies and patients to facilitate the authorization process, addressing inquiries and providing status updates as needed.
- Monitor authorization status and proactively follow up to expedite approvals, escalating issues to management when necessary.
- Review and verify medical necessity documentation to support authorization requests, ensuring compliance with insurance guidelines.
- Prepare and submit claims for DME services using appropriate billing codes (CPT, HCPCS, ICD-10), ensuring accuracy and completeness.
- Collaborate with the billing department to reconcile accounts and resolve billing discrepancies related to DME services.
- Maintain detailed records of authorization approvals, billing transactions, and patient information in compliance with HIPAA regulations.
- Stay informed about changes in insurance policies, billing regulations, and healthcare industry trends affecting DME billing and authorizations.
- Provide exceptional customer service to patients and stakeholders, addressing billing inquiries and concerns professionally and courteously.
Skills:
- Proficiency in medical billing software and electronic health records (EHR) systems, with experience in DME billing preferred.
- Strong knowledge of insurance policies, medical terminology, and billing codes (CPT, HCPCS, ICD-10).
- Excellent verbal and written communication skills to interact effectively with healthcare providers, insurance companies, and patients.
- Detail-oriented mindset focusing on accuracy and quality in authorization submissions and billing processes.
- Organizational skills to manage multiple tasks and priorities efficiently in a fast-paced healthcare environment.
- Problem-solving abilities to resolve authorization and billing issues promptly and effectively.
- Ability to work independently as well as collaboratively in a team environment, demonstrating flexibility and adaptability.
Job Type: Part-time
Pay: $18.00 per hour
People with a criminal record are encouraged to apply
Application Question(s):
- How many years of experience do you have in obtaining DME authorizations from insurance companies?
Experience:
- Medical billing: 1 year (Required)
Ability to Commute:
- Mount Vernon, NY 10550 (Required)
Ability to Relocate:
- Mount Vernon, NY 10550: Relocate before starting work (Required)
Work Location: In person