DME Facility/Hospital Billing and Collections Specialist - Northern Pharmacy & Medical Equip Corp.

Job Type: Full-Time

Schedule: Monday through Friday, 9 AM - 5 PM (In-office)

We are seeking a dedicated and detail-oriented DME Facility/Hospital Billing and Collections Specialist to join our team. In this role, you will provide crucial administrative support in the billing and collections function of the medical revenue cycle process. You will be responsible for ensuring accurate invoicing, collecting outstanding accounts receivable, and maintaining compliance with all applicable regulations.

We offer:

Sign-On Bonus

Comprehensive Benefits

Paid Time Off

Career Development

Requirements

• Provide administrative support for billing and collections within the medical revenue cycle.
• Review Sales Orders for Hospitals, confirm orders, request purchase orders (POs), prepare and send invoices, and manage outstanding accounts receivable.
• Print and review monthly Facility and Long-Term Care (LTC) invoice billing with aging reports and ensure timely submission.
• Run monthly Accounts Receivable (AR) reports and follow up on past-due billing.
• Maintain databases by entering, updating, and retrieving data and generating reports.
• Resolve outstanding accounts receivable issues from past-due accounts.
• Respond to inquiries from facilities and customers regarding billing.
• Contact facilities, hospitals, or responsible parties to obtain necessary or corrected information.
• Verify the accuracy of all uploaded patient information.
• Follow up with payers, patients, and other relevant parties to collect open billing promptly.
• Identify and report any payer issues related to billing and collections to management.
• Review, analyze, and reconcile initial Accounts Receivable and Order Entry exceptions and discrepancies to ensure accurate invoicing.
• Review incoming mail daily, sort it, and distribute it to the correct team members, including scanning financial and insurance documents.
• Perform cash posting by reviewing and creating daily cash deposits and posting payments.
• Process outgoing daily mail.
• Ensure compliance with applicable governmental laws, rules, and regulations in the United States through initial and annual training.

Qualifications:

• High school diploma or equivalent required.
• Minimum of 1-2 years of related experience in billing and collections, specifically within the durable medical equipment (DME) field. Knowledge of Brightree is a plus.
• Familiarity with payer reimbursement guidelines and government, regulatory, and company billing and compliance regulations/policies.
• Basic proficiency in MS Office Applications, with strong analytical skills and the ability to create detailed reports.
• Strong communication, organizational, and problem-solving skills.
• Ability to work independently, multitask, and handle various priorities in a fast-paced environment.
• Customer-focused with a sense of urgency and a mindset oriented toward Health Insurance Portability and Accountability Act (HIPAA) compliance and Protected Health Information (PHI).
• Effective verbal and written communication skills.

Physical Requirements:

• Required to regularly lift and/or move up to 10 pounds and occasionally lift and/or move up to 40 pounds.
• Ability to sit for extended periods, climb or balance, and stoop, kneel, crouch, or crawl as necessary to perform essential job functions.

Work Environment and Values:

• Customer Focus: We listen to our customers' needs and respond with urgency.
• Teamwork: We value every team member, treat each other with respect, and work together to achieve common goals.

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time, with or without notice.