HME / DME Billing Analyst

Billing Analyst

Summary Position Summary : The Billing Analyst is responsible for a variety of tasks and activities including processing orders, checking insurance eligibility, and obtaining insurance authorizations, accounts receivables, invoices, and billing for durable medical equipment and supplies. She / he supports ChelseaCare HME (CCHME) colleagues and provides logistical assistance to the HME Manager.

Essential Functions and Responsibilities :

• Maintains good rapport and cooperative relationships. Approaches conflict in a constructive manner. Helps to identify problems, offer solutions, and participates in their resolution.
• Maintains the confidentiality of information acquired pertaining to patient, physicians, employees, and visitors to Chelsea Hospital / Trinity Health. Discusses patient and hospital information only among appropriate personnel in appropriately private places.
• Maintains knowledge to perform the duties of the job. Assumes responsibility for performance of job duties in the safest possible manner, to assure personal safety and that of coworkers, and to report all preventable hazards and unsafe practices immediately to management.
• Demonstrates self-directed learning.
• Behaves in accordance with the Mission, Vision and Values of Chelsea Hospital / Trinity Health.
• Provides quality patient care by considering the age specific, development and cultural needs through competent clinical practice. Demonstrates unit / area competencies.
• Identifies and assists in resolution of problems related to safety, sanitation and maintenance of the environment.
• Practices effective communication in all interactions (patient, visitor, co-worker, etc.)
• Promotes a positive work environment by demonstrating teamwork.
• Billing Analysts can have several different work responsibilities :
• Processes accounts receivable for equipment and services rendered.
• Processes insurance related issues such as verifying the completeness and accuracy of orders prior to claims submission
• Processes monthly patient statements and initiates collections
• Reviews updates on insurance and governmental guidelines and regulations
• Processes physician orders and checks insurance coverage and eligibility, provides financial quotes to patients and obtains insurance authorizations.
• May triage incoming faxes and divert to appropriate person or file documents in patients' records.
• Monitor and work to resolve issues in software workqueue's (incorrect order received / no order on file / CMN expired or not on file to be able to dispense equipment or supplies)
• Provides customer service for all billing issues
• Contributes to cost containment initiatives
• Performs other duties as assigned

Required Education, Experience and Certification / Licensure :

1) Minimum high school education,

2) Excellent verbal / written communication skills

Required Skills and Abilities :

Computer experience. Excellent customer satisfaction skills. Prefer medical billing certification

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.