Health Information Specialist - #1410997

VieMed Healthcare


Date: 3 weeks ago
City: Lafayette, LA
Contract type: Full time
Duties:

  • Review and understand Insurance policies and standard Explanation of Benefits.
  • Review and understand medical documentation effectively.
  • Review and resolve request for medical records, related to
    • Claims processing
    • Internal and external audits
    • Authorized external entities
  • Monitors & maintains audit logs.
  • Performs internal audits for quality assurance.
  • Responsible for managing medical records of patients for insurance, private individuals and/or Government entities for home medical equipment.
  • Establishes and maintains effective communication and good working relationships with patients/family, physicians’ offices, and other internal teams for the patient’s benefit.
  • Performs other clerical tasks as needed, such as
    • Answering patient/Insurance calls
    • Faxing and Emails
  • Communicates appropriately and clearly to Manager/Supervisor, and other superiors. Reports all concerns or issues directly to Revenue Cycle Manager and Supervisor
  • Other responsibilities and projects as assigned.

Requirements:

  • High School Diploma or equivalent
  • Knowledge of Explanation of Benefits from insurance companies
  • Working knowledge of government, regulatory billing and compliance regulations/policies for Medicare & Medicaid
  • Working knowledge of CPT and ICD-10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits.
  • Knowledge of policies and procedures to accurately answer questions from internal and external customers.
  • Utilizes initiative while maintaining set levels of productivity with consistent accuracy.


Experience:

  • Minimum of 2 Years in DME experience required
  • 3-5 Years in DME or medical billing experience preferred


Skills:

  • Superior organizational skills.
  • Proficient in Microsoft Office, including Outlook, Word, and Excel.
  • Attention to detail and accuracy.
  • Effective/professional communication skills (written and oral)

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