DME Documentation Specialist

🔥 3 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 11%

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ACU-Serve

WebsiteLinkedInAll Job Openings

501 - 1000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

💳 Fintech

Healthcare • Healthcare Insurance • Fintech

ACU-Serve is a company that specializes in optimizing revenue cycles for healthcare providers, particularly in the HME (Home Medical Equipment) and DME (Durable Medical Equipment) sectors. They focus on increasing clean claims through strategic partnerships, innovative solutions, and advanced technology. ACU-Serve's comprehensive approach includes revenue cycle management, A/R collection services, and resupply for infusion pharmacy and complex rehabilitation services, ensuring swift and accurate payments while enhancing client education and operational efficiency.

📋 Description

• Process orders for various durable medical equipment • Collect, review, and request medical documentation required to support medical necessity for Prior Authorization • Submit and maintain prior authorizations and certificates of medical necessity (CMNs) • Request documentation supporting medical necessity and ongoing need for durable medical equipment, including oxygen and sleep therapy • Create initial, revised, and recertification CMNs in DME billing software systems • Review incoming CMNs and medical records for accuracy • Review and complete stop-hold reports to resolve and release held revenue to payers • Apply Medicare, Medicaid, and other insurance rules regarding CMNs, detailed written orders, and prior authorizations • Communicate with clinicians and office staff to follow up on outstanding requests and explain required information

🎯 Requirements

• Minimum of 1 year of experience in durable medical billing requirements • Understanding of Durable Medical Equipment intake processes, including insurance verification and Prior Authorization Requests • Experience working in the Brightree DME billing platform • Knowledge of Medicare, Medicaid, and commercial payer requirements for coverage of prescribed equipment • High school diploma/GED • Knowledge of documentation requirements for multiple HCPCs • Strong computer skills, including MS Word and Excel • Strong keyboarding skills • Ability to use formal business language effectively in written communication, including spelling and punctuation • Strong attention to detail • Ability to work in a fast-paced, task-oriented environment • Results-oriented self-starter with a sense of urgency and ability to complete tasks in a timely manner • Ability to review processes and procedures and suggest improvements or solutions • Ability to work with people with diverse personalities • Problem-solving skills, including calmly and professionally managing crisis situations • Ability to maintain confidential patient, financial, and company information in accordance with HIPAA guidelines

🏖️ Benefits

• Equal opportunity employment • Workplace free of discrimination and harassment • Diversity, inclusion, and respect in the workplace