DME items, with high volume for oxygen, PAP devices, hospital beds and support surfaces
Review qualifying documentation and testing for the above products
Create and send orders/CMN/SMNs to providers for signature
Work aging accounts daily to insure appropriate documentation is complete in order to submit to payers for timely reimbursement
Written and verbal skills to ensure accurate communication with commercial and government for all DME equipment, follow HIPAA guidelines, Medicare ACA guidelines, Medicare ADR audits, CERT audits and any other regulatory requirements for obtaining qualifying supporting documentation to send for reimbursement
Verify prior authorizations requirements are met for DME products according to payer guidelines and complete necessary adjustments when required
Education:
High School Diploma/GED required
Qualifications/Skills :
Required Skills:
Previous DME experience
Outlook, Word and Excel knowledge
Basic medical terminology and familiarity with ICD-9/ICD-10 coding
Strong verbal and written communication skills
Prioritization and customer services skills
Ability to work on team and individually
Conflict resolution and problem solving skills
Strong organization abilities
Preferred Skills:
Medical accounts receivable business office experience
Allina Health Home Oxygen & Medical Equipment (HOME) offers oxygen and medical equipment solutions to help keep patients safe, comfortable and independent in their own home. With headquarters located in St. Paul, Minn., services are provided in 42 Minnesota counties, western Wisconsin and northern Iowa 24 hours a day, seven days a week.