Specialty Billing and Collections Analyst

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🔥 4 minutes ago

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Dragonfly Health

1001 - 5000 employees

Founded 2004

🤝 B2B

☁️ SaaS

💊 Pharmaceuticals

💰 Secondary market on 2021-12

B2B • SaaS • Pharmaceuticals

<Dragonfly Health> is a care-at-home data, technology, and service platform that integrates durable medical equipment (DME) and pharmacy solutions. Formed from StateServ and Delta Care Rx, Dragonfly Health operates a 50-state provider network focused on hospice and post-acute care, using advanced technology and business intelligence to orchestrate orders, deliveries, and improve operational efficiency and patient satisfaction.

📋 Description

• Conducts monthly pre-billing review and data quality analysis to ensure that invoices delivered to customers and providers are accurate. • Regularly receives and processes client and provider adjustments to ensure month end invoices are correct. • Uses a variety of collection techniques and forms relationships with business clients to resolve payment issues and escalate collection efforts as necessary. • Submits specialty billing for PACE and Medicaid clients using EDI software portal, reconciles EOBs, denied claims and conducts accounts receivable follow-up. • Updates pricing on orders in system to ensure invoice accuracy for special items, agreements, substitutions, and unauthorized deliveries. • Functions as a key contact person for all billing data integrity matters for clients, vendors, and various internal departments. • Creates and develops reports to address management needs; analyzes information to identify issues and recommends process improvements as appropriate. • May manage special billing & collections projects. • Protects company’s intellectual property and the privacy of customers’ data • Performs other duties as assigned or apparent.

🎯 Requirements

• High school diploma or equivalent is required • A bachelor’s degree in business or related field is preferred • Medical billing and coding license is preferred • At least two years of billing analytical experience in which employee worked within a team environment is required • Experience in the healthcare or medical fields in which incumbents have gained an understanding of durable medical equipment is preferred • Proficient and accurate data-entry skills are required to record and manipulate data as previously described • Strong interpersonal skills due to constant contact both internally and externally. Displays the ability to work within a team • Ability to work with independently and displays good prioritization skills • A high attention to detailed information is required to review and reconcile data • Ability to read service level contracts and understand the fee schedule for client and vendors. • The ability to maintain confidentiality of patient information and follow standard operating procedures with regard to patient data to ensure compliance with HIPPA is required • Strong knowledge of business and communications software (MS Office) and web-based tools are required • Excellent spreadsheet (Excel) experience is required • Experience with DMETrack software of at least one year is preferred

🏖️ Benefits

• No additional information is applicable

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