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Medical Billing & Collections Specialist (CMN)

Medical Billing & Collections Specialist (CMN)

Rotech HealthcareLafayette, IN, US
4 days ago
Job type
  • Full-time
Job description

Join a Leader in Home Healthcare

At Rotech Healthcare Inc., were more than a medical equipment providerwere 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.

Medical Billing & Collections Certificate of Medical Necessities (CMN) Specialist

We are seeking a dedicated Medical Billing & Collections Certificate of Medical Necessities (CMN) Specialist for our Billing Center. In this position, you will be responsible for the auditing and keying of all Certificate of Medical Necessities; for Managed Care, position is responsible for submittal of CMNs / SOPs to the prescribing entity via fax or mail.

Essential Duties and Responsibilities

  • Accepts and keys or returns all CMNs / SOPs within 48 hours from the date stamped
  • Audits patient within IMBS; selects patient within IMBS Cert file; enters all sections of the CMN / SOPs and reviews for accuracy and completeness; reviews any CPAP statements, RAD letters, or additional supporting documents identified in IMBS, which were already received by the QA; accepts or rejects CMN / SOP; and documents within IMBS any relevant information
  • Audits the CMN / SOP for accuracy and completeness
  • Communicates all variances from original BL-200 to the store location
  • Performs an audit of all activity that was entered during the day
  • Reviews all incoming CMNs / SOPs for completion and accuracy
  • Verifies that each CMN has been date stamped by the Mail Clerk and stamps those that have not
  • Verifies the control sheet BL-200 includes all CMNs / SOPs received by the store
  • Performs other duties as assigned

Employment is contingent on

  • Background investigation (company-wide)
  • Drug screen (when applicable for the position)
  • Valid drivers license in state of residence with a clean driving record (when applicable for the position)
  • Education and / or Experience

  • High school diploma or GED equivalent
  • One to three years of related prior work experience in a team-oriented environment
  • Experience in medical field and administrative record management
  • Strong customer service background
  • Skills, Knowledge and Abilities

  • Effectively communicate in English; both oral and written, with physicians, location employees and patients to ensure questions and concerns are processed in a timely manner
  • Interpret a variety of instructions in a variety of communication mediums
  • Knowledge of Durable Medical Equipment (DME) or Home Medical Equipment (HME)
  • Knowledge of insurance policies and requirements
  • Knowledge of medical billing practices and of billing reimbursement
  • Maintain confidentiality and practice discretion and caution when handling sensitive information
  • Multi-task along with attention to detail
  • Must be able to accurately perform simple mathematical calculations using addition, subtraction, multiplication and division
  • Self-motivation, organized, time-management and deductive problem solving skills
  • Work independently and as part of a team
  • Physical Demands

  • Requires sitting, walking, standing, talking or listening
  • Requires close vision to small print on computer and or paperwork
  • Machines, Equipment and Technical Abilities

  • Email transmission and communication
  • High data entry speed on a 10-key computer and calculator is desired
  • Internet navigation and research
  • Microsoft applications including but not limited to Word, Excel, etc.
  • Office equipment; fax machine, copier, printer, phone and computer
  • Benefits

  • Generous paid time off and paid holidays
  • Overtime pay for non-exempt hourly positions based on business needs
  • Commission for Account Executives
  • Fixed and variable rate car reimbursement for Area Managers and Account Executives
  • Employee discount program
  • Employee recognition program
  • Bonus and incentive opportunities
  • Mileage reimbursement (when applicable for the position)
  • Telephone reimbursement (when applicable for the position)
  • EAP
  • 401k, HSA and FSA / Dependent Care FSA
  • Medical, Prescription, Dental and Vision
  • Life Insurance, Disability, Accidental death, Identity protection and Legal services
  • Meru Health Mental health and Mercer SmartConnect Medicare programs
  • Livongo Diabetes and High Blood Pressure programs
  • Healthcare Bluebook and RX Savings solutions programs
  • HEPB and TB vaccinations
  • Make the Right Move and Submit your Resume Today! The hiring manager reviews resumes and contacts applicants that have related experience to the applied position. To view the status of a position that you submitted your profile to, sign into your account.

    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.

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