Medical Orders & Billing Specialist  

Great way to break into the medical billing and coding field! 

Our client, a renown wound care company, is looking to add to its team of Medical Orders and Billing Specialists. This role is responsible for processing of sales orders for wound care products for residents of nursing homes and skilling nursing facilities. 

We are looking for candidates with drive, critical thinking skills, attention to detail, keen memorization, and confidence navigating computer systems. Applicants should thrive in teamwork and a fast-paced environment. Some knowledge of medical terminology (such as ICD-10 codes and modifiers) and records is required, training on the medical and technical aspects of the position will be provided. 

Essential Duties and Responsibilities: 

• Respond to incoming customer phone calls in a timely manner. 

• Verify eligibility and benefits of all Medicare, Medicaid, Commercial and Managed Care insurances. 

• Process patient demographics and create patient profiles. 

• Receive, review and process orders for wound care products, while ensuring orders are in line with insurance qualifications and Durable Medical Equipment (DME) supplier standards. 

• Add correct HCPCS code(s), modifier(s), and ICD-10 code(s) to insurance order before dispensing. 

• Review clinical documentation to ensure compliance with payer’s guidelines. 

• Work in strong collaboration with all internal and external team members, inside and outside of the department. 

• Approach clinical staff with an attitude of professional service to collaborate on changes of sales orders. 

• Conduct operations in accordance with department protocol and in compliance with Federal, State, and payer regulations, guidelines, and requirements. 

• Perform miscellaneous job-related duties as assigned. 

Required Knowledge, Skills and Experience 

• High school diploma 

• At least 2 years working in an office environment 

• Knowledge of: patient registration; HCPCS coding; ICD-10 coding LCDs; Medicare Guidelines for DME; supplier standards for DME; accreditation standards for DME 

• Familiarity with insurance billing and payer requirements 

• Ability to maintain excellent, minute-to-minute communication with management and co-workers 

• Proficient use of computer systems, fast and accurate typing skills, and ability to learn new software applications 

• Highly attentive to detail and accuracy 

• Task- and goal-oriented with the ability to thrive in a fast-paced environment and meet daily quota 

• Customer service attitude 

• Experience with Durable Medical Equipment (DME) and/or Wound Care orders preferred. 

• DME certification and/or Medical Billing and Coding certification a plus. 

• Knowledge of Brightree a plus. 

Daily schedule is 8:00-4:30pm with paid lunch break, overtime will be required at times of peak business volumes.  

 

Benefits: 

• Fully paid medical, dental and vision insurance (available after 90 days) 

• 401k with employer match (available after 6 months) 

• Paid sick and vacation leave 

TSSHP
LI-TS1

#15904322

Thank you for your interest in this job posting.

We look forward to hearing from you.

TalentSphere Staffing Solutions
talentsphere.ca

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