Description of Responsibilities:
Rehabilitation Equipment Professionals (REP) was founded in 1989 in Alexandria, Virginia. Our company specializes in custom, wheelchairs and durable medical equipment.We are the Ritz of Rehab and we have a wonderful and rare employment opportunity for a new Account Manager.
The Account Manager is responsible for timely and accurate billing activities, including interactions with referral sources, physical therapists, physician’s offices, third party payers, and patients, and maintaining accurate records of these interactions in our Customer Relationship Management system.
Responsibilities of the Account Manager include the following:
1. Update patient/customer demographics to accurately reflect customer status.
2. Verify current insurance coverage with third party payers, and obtain authorizations as needed.
3. Maintain current coverage status information on an ongoing basis for existing patients.
4. Verify that the correct HCPCS codes are being used for the DME and CRT parts orders.
5. Maintain timely communications with the customers and all parties of REP’s business interests.
6. Submit bills for reimbursement from third party payers.
7. Submit invoices to patients for unpaid co-pay and insurance deductible amounts.
8. Credit patient and/or insurance for over-payments and returns of equipment and supplies, and/or arrange for refunds of overpaid amounts.
9. Communicate with patients about account status, including the processing of financial hardship forms.
10. Communicate with Chief Operations Officer as needed with regards to discrepancies and complaints.
11. Maintain current files and billing records, and make changes as needed so that patient information on file is accurate and complete.
12. Accurately and efficiently processes requests for denied claims information using website portals and outbound phone calls for all Commercial, Medicare and Medicaid insurance payors.
13. Researches and responds to documentation requests from insurance carriers in a timely manner.
14. Processes appeals of insurance denials and follows-up until the appeal is resolved.
15. Documents in the CRM system clear and concise activities performed for each account worked.
16. Adheres to all HIPAA (Health Insurance Portability and Accountability Act) guidelines and regulations.
17. Ability to consistently maintain productivity and quality expectations as defined by management.
18. Provide reports on billing activities as requested by supervisor.
19. Participate in surveys conducted by authorized inspection agencies.
20. Participate in the company’s Performance Improvement program as requested by the Performance Improvement Coordinator.
21. Participate in company committees when requested.
22. Participate in in-service education programs provided by the company.
23. Report any misconduct, suspicious or unethical activities to the Compliance Officer.
24. Alert management to irregularities, insurance trends and areas of concern with reimbursement.
25. Completes other tasks and responsibilities as assigned.
Job Type: Full-time
Pay: $23.00 - $30.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Education:
- High school or equivalent (Preferred)
Experience:
- Medical Billing or Coding: 1 year (Preferred)
Language:
- Spanish in addition to English (Preferred)
Work Location: In person
