WVU Medicine
10,000+ employees
🏥 Healthcare
⚕️ Healthcare Insurance
Healthcare • Healthcare Insurance
WVU Medicine is a comprehensive health system affiliated with West Virginia University, providing medical services through a network of hospitals across West Virginia. The system includes notable facilities such as J. W. Ruby Memorial Hospital, WVU Medicine Children's, and various other regional medical centers. WVU Medicine offers a wide range of healthcare services, including specialized and advanced medical treatments such as robotic heart surgery. It's also involved in medical education, research, and community health initiatives, emphasizing a mission of delivering high-quality care to the communities it serves.
HME Biller
🔥 58 minutes ago
⚔️ Virginia, West Virginia – Remote
⏱ Part Time
🟢 Junior
🟡 Mid-level
🚫👨‍🎓 No degree required
đź“Š Check your resume score for this job
Improve your chances of getting an interview by checking your resume score before you apply.
WVU Medicine
10,000+ employees
🏥 Healthcare
⚕️ Healthcare Insurance
Healthcare • Healthcare Insurance
WVU Medicine is a comprehensive health system affiliated with West Virginia University, providing medical services through a network of hospitals across West Virginia. The system includes notable facilities such as J. W. Ruby Memorial Hospital, WVU Medicine Children's, and various other regional medical centers. WVU Medicine offers a wide range of healthcare services, including specialized and advanced medical treatments such as robotic heart surgery. It's also involved in medical education, research, and community health initiatives, emphasizing a mission of delivering high-quality care to the communities it serves.
đź“‹ Description
• Manage and resolve outstanding accounts receivables for patients and insurance companies in the home medical equipment industry • Monitor and manage accounts receivable reports and resolve held or stopped claims • Submit claims within timely filing limits and address issues delaying reimbursement • Process and update insurance information for existing patients with continuous rentals or periodic resupply needs • Maintain recertifications, prescriptions, and prior authorizations for rental and resupply patients • Manage monthly hospice billing and quarterly medical equipment facility billing • Analyze denial trends and collaborate on projects to identify root causes and implement claim-resolution strategies • Monitor and verify oxygen cylinder issues, lot numbers, and quantities; report deficiencies and perform random audits • Support inventory management and ensure stock levels meet requirements • Communicate with vendors regarding shipments and issue resolution • Maintain records of serialized rental assets • Research special-order requests and parts for patient-owned equipment; provide pricing and HCPCS information for insurance-coverage determination • Track and report the concentrator preventive-maintenance program and Medicare rental billing • Manage oxygen, equipment, and supply recalls and communicate status until completion
🎯 Requirements
• High school diploma or equivalent • Current valid driver's license • Two years' experience working with collections, billing, or accounts receivable • Strong communication skills • Knowledge of current healthcare reform and reimbursement changes • Good interpersonal, organization, and leadership skills • Ability to work independently and as part of a team • Ability to perform some heavy lifting • Functional body mobility, handling and lifting ability, manual and finger dexterity, and eye-hand coordination • Corrected vision and depth perception sufficient to read instruments and instructions and document accurately • Ability to work in fluctuating temperatures • Associate's or Bachelor's degree in business, healthcare, or a related field preferred
🏖️ Benefits
• Remote work location • Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions
Apply Now
