Prochant logo
Prochant

Prochant is the leading reimbursement firm with a dedicated focus on HME and pharmacy.

DME Reimbursement Specialist

GeneralGeneralFull TimeRemoteMid LevelTeam 501-1,000H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

2 days ago

Salary

0

Seniority

Mid Level

High School2 yrs expEnglish

Job Description

DME Reimbursement Specialist

Prochant

• Billing Review • Claim Generation • A/R & Denial Management • Unaddressed Claim Management • Stop/Held Revenue review • Correspondence review and Indexing • Reporting and reconciliation of all executable work tasks • Escalations/tasking of work exceptions to appropriate parties • Management of follow-ups • Peer support/Peer coaching • Quality Assurance • Eligibility • Prior Authorization • Intake • Cash posting • Manage inbound queue of orders to be reviewed/claims to be generated • Quality review prior to claim generation • Claim generation within specified turnaround time • Maintenance of downloads and production logs • Exception Tasking • Follow Ups • Denied claim review and analysis • Denied claim resolution action including, but not limited to: • Telephone claim status requests • Telephone re-opening requests • Medical documentation/Supporting documentation reviews • Redeterminations and appeals • Review of inbound scanned documentation • Analysis of documents and assignment to appropriate document classes (for follow up) • Eligibility or benefit verification • Prior authorization submission

Job Requirements

  • High School diploma or GED
  • 2+ years DME / HME billing & collections experience
  • Experience managing intake, billing, collections, and cash posting
  • Knowledge of the HDMS billing system
  • Willingness to undergo additional identity verification through ID.me
  • Knowledge of one or more of the following additional DME / HME billing systems: Brightree, TIMS, Bonafide, or CPR+ preferred
  • California Insurance experience preferred

Benefits

  • Health Insurance
  • Gap Insurance
  • Dental Insurance
  • Vision Insurance
  • Short Term / Long Term Disability (company paid)
  • Term Life Insurance (company paid, employee can elect additional)
  • Full suite of CHUBB supplemental insurance plans including:
  • Disability Income
  • Level Term Life
  • Accident Insurance
  • Critical Illness Insurance
  • Pre-Paid Legal
  • FSA / HSA with eligible plans
  • 401K with company match
  • Floating holidays and paid time off

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