Billing Support Specialist (Full-Time) at UI Community Homecare – Iowa City, Iowa

Join our team!

We have an immediate opening for a Full-time Billing Support Specialist at our Iowa City office.

This position is a day shift position with NO weekends.

UI Health Ventures is an independent management corporation that provides a variety of healthcare services for University of Iowa Health Care. We work closely with neighborhoods and communities throughout eastern Iowa to provide high quality health care services.

We offer a generous benefit package including; medical, dental, vision, prescription drug plan, generous PTO(Personal Time off) plan, paid holidays, life insurance, LTD, 401k plan, additional voluntary benefits, and employee discounts.

You can learn more about our company and other current job openings by visiting our direct website at: www.uicommunityhomecare.org.

Position Responsibilities

Reviews orders and supporting documentation required to bill durable medical equipment based on payor requirements and tracks the return of documents. Educates staff and prescribers on DME processes.

Position Responsibilities

To be performed satisfactorily with or without reasonable accommodation. The following duties are normal for this position. While this list is intended to be an accurate reflection of the job, it is not to be construed as exclusive or all-inclusive. Other duties may be required and assigned by the employer.

Orders:

• Reviews orders, proof of delivery and required supporting documentation required to bill services. Assures dates of service are correct and do not conflict with inpatient admission dates
• Follows financial policy guidelines
• Confirms sales orders after thorough review of documentation
• Verifies insurance and obtains prior authorization and renewals as needed
• Logs CMN/physician orders and renewals into the billing software

Document Tracking:

• Ensure that all necessary documentation is obtained as it relates to payor requirements, standard operating procedures and compliance program
• Resolve any audits and denials from payors
• Initiates payor changes in a timely manner
• Adds clinical and billing alerts to the billing software system
• Documents information and any communication with patients, payors, and referral sources in the billing software system
• Maintains knowledge of any compliance with payor and regulatory standards

Customer Service Contacts

• Establishes and maintains effective channels of communication and professional relationships with patients, physicians, co-workers, contractors, and outside facilities
• Interact with other staff and patients to identify and resolve reimbursement issues and questions
• Contacts physician’s office regarding information needed for patients to comply with insurance requirements for medical necessity.

Staff Education

• Provides education to staff as needed on order processes and issues.
• Holds staff accountable for accuracy of work.
• Attends and participates in meetings
• Conveys changes in payor policies or guidelines to other affected departments

Performs all pre-billing and billing efforts for durable medical equipment services.

• Submits claims in a timely manner
• Meets goal of Days Sales Outstanding (DSO) of less than 40 days

Monitors accounts receivable.

• Prepares and reviews monthly reports
• Completes and documents follow up on all A/R older than 60 days
• Meets goal of A/R 120 days or older is less than 20%.
• Manage refunds due to overpayment or duplication
• Posts insurance and patient payments

Interacts with other Home Care Staff and clients to identify and resolve reimbursement issues and questions.

• Adds clinical or billing alerts to patient’s EMR
• Utilizes strong customer services skills when working with patients on billing questions or issues
• Documents information discussed

Performs Collections

• Monitors AR dashboard on a regular basis and provides feedback on patients moving to collections
• Updates addresses and information provided by AR Dashboard
• Counsels patients in regard to payment plans

Establishes and maintains relationships with third party payors, including remaining current on the industry and major payer activities and directives.

• Develops network of contacts/resources for major insurance companies
• Attends and participates in monthly reimbursement meetings
• Performs other duties as assigned

Education Requirements

• High School Diploma required

Experience Requirements

• Strong computer skills and knowledge required
• Proficient in using technology and software applications
• Demonstrate the ability to communicate clearly in the English language both orally and in writing
• Excellent writing and analytical skills
• Capability to work independently and to manage several projects simultaneously
• Must be detail oriented, conscientious and able to follow through
• Ability to adapt to a changing environment and handle multiple priorities

Desired Qualifications

• 3-5 years’ experience billing/reimbursement experience with Durable Medical Equipment
• Brightree experience a plus
• Knowledge of DME intake processes desired

Physical Demands

• Ability to sit for extended periods of time at a desk.
• May require lifting, reaching, stooping, walking, and climbing stairs.
• Lifting up to 20 lbs.

UIHV is an equal opportunity employer. All qualified applicants are encouraged to apply and will receive consideration for employment free from discrimination on the basis of race, creed, color, religion, national origin, age, sex, pregnancy(including childbirth and related conditions), disability, genetic information, status as a U.S. veteran, service in the U.S. military, sexual orientation, gender identity, or associated preferences.

Persons who need assistance or accommodations with the application or interview process may contact UIHV at 319-688-6967.

Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check and credential/education verification.