Medicare Part B DME Biller - Assisted Living Experience Required
MedWiz PharmacyNanuet, NY, USjob_description.job_card.30_days_ago
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job_description.job_card.job_descriptionHigh school diploma or equivalent; Associate's degree in a related field preferred. Proven experience (minimum of X years) in DME billing, specifically with Medicare Part B, AND demonstrated experience working with assisted living facilities. Strong understanding of Medicare Part B regulations and guidelines for DME, with specific knowledge of their application in assisted living. Experience with medical billing software and electronic health records (EHR) systems. Excellent attention to detail and accuracy. Strong organizational and time-management1 skills. Effective communication and interpersonal skills, with the ability to interact professionally with2 assisted living staff and residents. Knowledge of medical terminology and coding (e.g., HCPCS codes).
Job Description
Job Description
Description : Summary :
The Medicare Part B DME Biller with experience in Assisted Living is responsible for accurately and efficiently processing billing and claims for Durable Medical Equipment (DME) provided to Medicare Part B beneficiaries residing in assisted living facilities. This role requires a strong understanding of Medicare guidelines, specific considerations for billing in an assisted living environment, ensuring proper documentation, submitting claims, following up on payments, and resolving billing discrepancies.
Responsibilities :
- Prepare and submit accurate DME claims to Medicare Part B for residents of assisted living facilities.
- Verify patient eligibility and insurance coverage, with specific attention to assisted living resident status.
- Ensure all necessary documentation is in place for billing, including any specific requirements for assisted living.
- Understand and apply Medicare Part B billing regulations and guidelines, as they pertain to DME in assisted living settings.
- Follow up on submitted claims and resolve any denials or issues, particularly those common in assisted living.
- Communicate effectively with assisted living facility staff, residents, and their families regarding billing inquiries.
- Maintain accurate billing records and documentation specific to assisted living residents.
- Stay updated on changes in Medicare Part B policies and procedures related to DME billing in assisted living.
- Identify and resolve billing errors and discrepancies, taking into account the unique aspects of assisted living billing.
- Generate billing reports as needed, potentially segmented by assisted living facility.
Requirements : Qualifications :
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Medicare Biller • Nanuet, NY, US