Durable Medical Equipment (DME) Billing Supervisor

SUMMARY

Under the general supervision from the Operations Manager, the Durable Medical Equipment (DME) Billing Supervisor will primarily focus on the day-to-day process management of the billing department. They will use their knowledge and expertise to ensure the efficiency of billing processes and create and implement changes or improvements when necessary to ensure profitability and control assets.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Regular and punctual attendance at work is an essential job function of each position and is necessary to your individual effectiveness and that of your work group.  Regular and punctual attendance is required of all employees. 

1. Understands and has experience with worker’s compensation billing, negotiation, and requirements.  
2. Oversees billing processes to ensure needs are met to work efficiently and effectively.
3. Ensures that billing processes are up-to-date and latest technology is being utilized.
4. Resolves complaints or issues in a professional manner.
5. Supervises and assists patients regarding statements and collections.
6. Supervises and contacts providers regarding secondary claims and billing.
7. Controls, oversees, and supervises charge entries and demographics, Post OP, bone growth stimulators, and bracing authorizations and approvals.
8. Supervises and oversees A/R and payment postings.
9. Provides daily billing reporting utilizing a BI platform or other reporting system.
10. Supervises and/or reconciles billing month end deposit log and closing.
11. Covers and/or delegates out responsibilities when administrative staff members are out of office.
12. Periodically assists with A/R.
13. Maintains high level of integrity and confidentiality; is completely versed and follows guidelines in patient privacy (HIPAA).
14. Oversees that superior customer service is provided to the satisfaction of patients and health care professionals to ensure positive outcomes and impact on future sales.
15. Performs other related duties as required and assigned.

EDUCATION and/or EXPERIENCE

• High School Diploma or GED required
• Minimum 5 years healthcare industry DME management experience or equivalent combination of experience and education.
• Minimum 3 years experience with insurance and Durable Medical Equipment (DME) prior authorization processes, insurance claim denials, and posting payments.
• Forward looking thinker, who actively seeks opportunities and proposes solutions.
• Demonstrated proactive approaches to problem-solving with strong decision-making capability.
• Expert skill level in computer software (Microsoft Office suite - Word, Excel, Outlook) and telephone technologies.
• Brightree experience preferred.
• Must be self-motivated, enthusiastic, personable and customer service oriented.
• Proficient oral and written communication, listening and conflict resolution skills.
• Ability to work individually and as part of a team is required.
• Strong organizational skills and able to handle multiple functions seamlessly with excellent attention to detail.
• Must not be excluded and maintain non-exclusion from working with government programs per OIG list.

PHYSICAL DEMANDS/ WORK ENVIRONMENT:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Regularly required to sit, talk, see and hear, use hands to handle or feel objects, tools or controls; reach with hands and arms. Frequently required to sit; use hands; reach with hands and arms and stoop, kneel, or crawl. Office deskwork requiring sitting, typing, talking, using phone, computer, printer/fax. 
• Must be able to lift objects up to 25lbs.
• In office, warehouse environments.

BENEFITS:

• Medical, Dental and Vision
• Life Insurance, Voluntary Life and Disability Insurance
• Flexible Spending Account
• 401(k) with company matching 
• Paid Time Off
• Paid Holidays
• AAA Membership
• Telemedicine Clinic and Onsite Medical Clinic Access