AR Rep

Accounts receivable representatives provide financial, clerical, and administrative services to ensure efficient, timely, and accurate payment of accounts.

Job Duties and Responsibilities

  • Collect on refunding/crediting balances, workers compensation, corporate billing accounts, self-pay, travel health insurance claims, and insurance collections
  • Collect on drug screens and pre-employment physicals for corporate accounts
  • Accurately and thoroughly document the relevant collection activity performed
  • Perform appropriate billing functions, including manual re-bills as well as electronic submission to payers
  • Manage and maintain desk inventory, complete reports, and resolve high priority and aged inventory
  • Inform management of any issues such as payer, system, or escalated account.
  • Respond promptly to telephone messages and emails as needed

Education and Qualifications

  • High school diploma or GED equivalent
  • (6) months- 1+ years of healthcare insurance collections
  • 2+ years of medical AR/collections and billing experience
  • Experience with processing refunds and denials
  • Great data entry skills
  • Organized with great attention to detail

General math skills

Phlebotomist

A phlebotomist draws blood from patients. After the blood is drawn, a phlebotomist takes the blood samples to the laboratory to check for further health issues such as disease, bacteria, cholesterol, etc.

Job Duties and Responsibilities

  • Collect blood samples from patients
  • Verify test demands by comparing information with nursing station log, as well as informing unit personnel of any discrepancies
  • Read patient identification to verify patient
  • Use the best method for drawing blood depending on the patient
  • Collect therapeutic drug monitoring analysis
  • Practice infection control requirements at all times when working with patients and equipment
  • Track collected specimens and initial, date, and note times of collection
  • Monitor glucose levels, record results, and report them to the unit nurse manager
  • Contact the physician, pathologist, nursing station, or reference laboratory to resolve unusual test orders

Education and Qualifications

  • High school diploma or GED equivalent (Associates degree preferred)
  • Must possess a valid state phlebotomy certification
  • Strong attention to detail

Excellent patient service and relationship skills

DME Nurse Case Manager

A Durable Medical Equipment (DME) nurse case manager is responsible for coordinating with medical providers, injured workers, and carriers through the management of the DME process. The goal of the case manager is to facilitate DME needed for medical purposes by patients for self-care in a home setting.

Job Duties and Responsibilities

  • Requests for prior authorization of DME
  • Review provider requests by telephone or through fax to ensure medical necessity for services that require pre-authorization
  • Assist in ordering medical equipment needed for patient during recovery from surgery or for long-term use
  • Apply nationally recognized criteria to determine medical necessity of services requested
  • Refer provider requests appropriately to the medical director when medical obligation of services is not met based on criteria

Education and Qualifications

  • High school diploma or GED equivalent
  • Possess good communication skills
  • Attention to detail
  • Must have previous DME/Utilization Review/Prior Authorization experience
  • Management experience is preferred
  • Must be computer proficient: Microsoft Office, Word, and Excel, typing skills 30 WPM or above

Biller

A biller submits and follows up on claims with health insurance companies to receive payments for services performed by a healthcare provider. Biller’s may work in physician offices, hospitals, nursing homes, or other healthcare facilities.

Responsibilities

  • Process and follow up on claims that have been sent to health insurance companies
  • Assemble all data concerning a healthcare bill
  • Communicate with physicians and other healthcare professionals
  • Implement best practices for insurance and patient collections
  • Review patient bills for accuracy and completeness
  • Call insurance companies regarding discrepancies in payments
  • Set up payment plans for patients and work collection accounts

Skills

  • Knowledge of billing/collection practices
  • Must be able to read medical records
  • Effective communication and customer service skills
  • Must be well organized and detail-oriented
  • Answer calls in a pleasant and helpful manner
  • Must be able to operate a computer and basic office equipment
  • Understand various types of insurance carriers along with claim requirements

Education and Experience

  • High school diploma or GED
  • Experience with a medical office setting
  • Knowledge of business and accounting processes

The financial health of a practice depends significantly on the work done by the billing office. Billers must understand all areas involving medical insurance to maximize the revenue performance of a practice successfully.

Document Specialist

Document specialists are in charge of storing data and records for document retrieval and archives. Certain documents can aid in legal matters where company compliance is concerned involving internal and external policies and procedures.

Responsibilities

  • Store, catalog, and retrieve documents
  • Maintain the integrity of documents through a quality assurance process
  • Update document revisions
  • Check for accuracy and prevent mistakes before submitting documents
  • Manage document storage and retrieval systems
  • Make time sensitive outbound calls to members
  • Prepare and scan health assessments
  • Train employees on how to run an efficient operation

Skills

  • Must be well-organized and detailed-oriented
  • Should be able to handle a high volume of documents
  • Possess excellent written, verbal, and listening skills
  • Must be able to work in a fast-paced environment
  • Communicate efficiently and professionally over the phone and in person

Education and Experience

  • High school diploma or GED
  • (1) year or more of administrative experience
  • (6) months or more of experience scanning forms and paperwork

Licensed Insurance Agent

A licensed insurance agent helps generate new business by contacting potential customers, selling different types of insurance, and assisting clients in choosing plans that will fit their lifestyle needs. Various types of insurance may include life, property, casualty, and health.

Responsibilities

  • Complete enrollment and plan change applications
  • Aid clients with questions regarding premiums, effective dates, and policies
  • Interview prospective clients to determine specific needs
  • Track leads, client status, and follow-ups
  • Perform administrative tasks

Skills

  • Must be able to multi-task
  • Possess excellent written, verbal, and listening skills
  • Communicate efficiently and professionally over the phone and in person
  • Must be efficient and organized
  • Calculate insurance premiums or awards

Education and Experience

  • High school diploma or GED
  • Must be computer literate
  • 215, 218, or 240 Agent Department of insurance license required
  • (6) months or more of previous sales or call center experience
  • Previous experience in the insurance industry

DME Case Auditor

As a Durable Medical Equipment auditor it will be your job to determine whether an item deemed ‘medical equipment’ will be covered by Medicare. It will be your job to examine and conclude if various items are necessary for the upkeep of a patient on Medicare.

In order for equipment to be covered by Medicare, you will have to decide if:

  1. The medical device in question has been prescribed as medically essential by a physician
  2. It must be used for a medical purpose and not useful for someone who doesn’t have an injury or illness
  3. The product can tolerate repetitive use, as Medicare expects the quality of equipment to last over 5 years
  4. If the equipment in question is supplied by an approved Medicare supplier
  5. If the DME is appropriate, and safe, to use at home.

Requirements:

  • HS Diploma
  • Bachelor’s Degree in related field
  • Certification from the American Academy of Professional Coders (AAPC) or
  • the American Health Information Management Association (AHIMA)

It is always encouraged when auditing for the government that you make suggestions for improvement if you see a way in which the system is flawed. It is important as a DME Auditor to familiarize yourself with medications, procedures, medical services, and diagnoses.

Direct Marketing/Sales Rep

In a direct marketing role, your job will be to promote products, services, and brands to potential and existing customers. Using promotional marketing campaigns and strategies will help you increase sales by raising the profile of your business.

To help attract consumers, you may use methods such as:

  • HTML email
  • Traditional mailers
  • Free gifts
  • POS
  • Competitions
  • Money off vouchers

To reach your target audiences, you will need to continuously find new ways through things like in-store displays, special events, direct mailings, and advertising. Common tasks include discussing products and services when meeting with clients, discovering marketing ideas, and making sure campaigns run smoothly while keeping projects on budget.

Qualifications

If you’re interested in pursuing a career in direct marketing, you should have:

  • Excellent spoken and written communications skills
  • Problem-solving skills
  • Organizational skills and attention to detail
  • The ability to meet deadlines while working under pressure
  • The ability to work well with a team
  • The confidence needed to “sell” your ideas
  • Cost awareness and an overall sense of good business

Education and Experience

Experience can help give you an advantage especially if you have previously worked in a promotional sales, marketing, or customer services role. Direct marketing is an extremely competitive field to join, so some employers may require you to have a degree.

Apply Today

If you have the qualities to be a direct marketing/sales rep, partner with the experts at HealthCare Support (HSS). We will work hard to get you placed in the perfect job by partnering you with the best in the healthcare business. Our goal is to find you the ideal career match. Contact HSS today to get started.

Patient Account Specialist

As a patient account specialist, you are responsible for the daily process and submission of durable medical equipment claims. You will work directly with physicians, medical professionals, and patients in a clinical setting.

Duties

  • Process durable medical equipment (DME) orders
  • Compare claims against signed invoice charge tickets
  • Verify insurance coverage/pre authorization
  • Process physicians orders
  • Resolve account related issues
  • Take payments for patients over the phone

Qualifications

  • Excellent written and verbal communication skills
  • Attention to detail
  • Ability to organize multiple projects and assignments at once
  • Establish and maintain effective working relationships with patients, physicians, and staff
  • Knowledge of anatomy, physiology, medical terminology, insurance claims and benefits

Education and Experience

  • High school diploma or GED required
  • (1) year of medical insurance billing experience
  • Must have professional phone skills; call center experience is a plus

If you are someone who learns quickly, works well in a fast paced environment, and has excellent customer service skills, working as a patient account specialist could be the perfect position for you. For more information on this job or ones like it, contact the professionals today at HealthCare Support by calling 888-219-6285.

Customer Service Representative

As a durable medical equipment (DME) customer service representative, you will enter new referrals and update all existing patient information which includes demographics, insurance, and benefit information. You will be responsible for selecting proper equipment, completing work orders, and creating delivery tickets to secure required information and provide quality service.

Job Duties

  • In charge of receiving and processing telephone and fax requests from patients and referral sources to provide DME
  • Responsible for entering orders accurately and efficiently
  • Answer high volume calls using a multi-line phone system
  • Verify insurance and update patient files
  • Provide instructions on how to use the equipment

Qualifications

  • Excellent spoken and written communication skills
  • Willing to work as team
  • High level of attention to detail
  • Must have knowledge and understanding of insurance eligibility
  • Excellent customer service skills
  • Proficient computer skills

Education and Experience

  • High school diploma or GED required
  • (1) year or more of DME CSR experience
  • Insurance verification experience
  • Knowledge and experience regarding Medicare regulations involving the coordination and ordering of DME or HME is preferred but not required

If you have experience working in a fast paced, competitive environment and communicate clearly in a professional manner, apply today to become a customer service representative. For more information call HealthCare Support at 888-219-6285.