Medical Billing & Collections Specialist (Quality Assurance)

About Rotech

Join a Leader in Home Healthcare

At Rotech Healthcare Inc ., we're more than a medical equipment provider-we're a trusted partner in patient care. As a national leader in ventilators, oxygen therapy, sleep apnea treatment, wound care, diabetic solutions, and other home medical equipment, we empower patients to manage their health from the comfort of home.

With hundreds of locations across 45 states, our team delivers high-quality products, exceptional service, and compassionate support that helps patients live more comfortably, independently, and actively. Whether you're a clinician, technician, or healthcare administrator, your work at Rotech directly improves lives.

Explore more about our mission and services at Rotech.com.

Overview and Responsibilities

Summary

We are seeking a dedicated Medical Billing & Collections Quality Assurance Specialist for our Billing Center. In this position you will be responsible for auditing all intake paperwork entered in Rotech's proprietary Medical Billing System prior to selecting the account to bill.

Essential Duties and Responsibilities

• Audits incoming paperwork including new patient setups, existing patients and other documents
• Communicates any form errors to the store or makes necessary corrections in IMBS, based on the information written on the form
• Corrects any errors identified by the Claims Supervisor, enters IMBS audit control number located on "Maintenance Audit Report", verifies in the system that there is an AOB for each claim, files the "Maintenance Audit Report", and identifies any claims that will release during the nightly cycle, makes copies of necessary forms, and identifies Cash Sale Delivery tickets
• Ensures appropriate authorizations are included from Case Managers
• Ensures service provided to patients is covered in our contract
• Makes a copy of the original form and sends the original back to the store for corrections; maintains a copy of the form until the original is returned
• Must understand VA / Managed Care requirements when working in the VA / Managed Care Billing Center
• Prints the "Maintenance Audit Report" from the system and verifies that the information in the report is accurate; attaches the audit report to supporting documents; submits the packet to the Claims Supervisor for review prior to entering Audit Control
• Receives all Store Patient Packets from Mail Clerk
• Reviews and audits the forms for accuracy and completeness
• Sorts incoming patient paperwork from store locations
• Verifies all documents located on the Batch-Work Control Sheet were included in the patient packet
• Verifies insurance information to ensure accuracy
• Verifies the accuracy of the information in IMBS compared to information on the required forms
• Works with VA / Managed Care Intake Center to ensure authorization is from the carrier and VA and that the information is accurate
• Performs other duties as assigned

Qualifications

Employment is contingent on

Education and / or Experience

Skills, Knowledge and Abilities

Physical Demands

Machines, Equipment and Technical Abilities

Rotech Information

Benefits

Commission for Account Executives

Fixed and variable rate car reimbursement for Area Managers and Account Executives

Meru Health Mental health and Mercer SmartConnect Medicare programs

Livongo Diabetes and High Blood Pressure programs

Healthcare Bluebook and RX Savings solutions programs

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Equal Opportunity Employer of Minorities, Females, Protected Veterans and Individuals with Disabilities. Rotech Healthcare Inc. recruits, employs, trains, promotes, transfers, separates from employment and compensates employees without regard to membership in, association with, or perception of race, color, age, gender, gender identity, religion, creed, national origin, ancestry, citizenship, marital status, veteran status, sexual orientation, physical or mental disability, pregnancy or any other personal characteristic protected by applicable federal, state and local laws governing nondiscrimination in employment in each locality where Rotech has employees.