DME Technician jobs in New Mexico

DME biller must be detail oriented with strong accounting skills. Must also be competent in Microsoft Office applications and have good computer skills. We are a family-oriented company that strives to make a difference in our patient's lives. Exceptional work environment and team atmosphere. Handles follow up billing of balances due from all payers. Performs various billing functions for all accounts to include Hospice contract billing. Will assist in answering incoming calls, greeting customers, providing information, transferring calls or taking messages as necessary. Maintains daily deposit summary  for visibility of all deposits,  posting of  ERNs & EFTs. Responsible for facilitating monthly report processing between Brightree & Nor-Lea Hospital District Finance Department ensuring reconciliation, to include but not limited to Current AR, Aging by GL, Aging by Activity, Procedure Variance, Active Rentals, Retail Sales, PU and Exchanges. Processes all Medicare Audits, Reconsiderations/Redeterminations communications with Brightree to ensure resolution in a timely manner. Ensure all Patient Pay, Hospice, Facility Collections and cash posting is maintained daily.

Essential Functions

Performs Revenue Qualification on all orders to ensure compliance regulations are met per reimbursement guidelines.

Performs initial review and follow-up on outstanding Certificates of Medical Necessity (CMN’s), prescriptions and processes renewal CMNs/prescriptions through the use of Brightree billing reports as well as Strategic AR to meet reimbursement standards.

Contacts patients and Insurance plans to gain involvement in problematic situations.

Enters CMNs/prescription information into computer once received from physician.

Maintains Stop/Hold accounts to ensure invoicing is released for billing

Documents all account activity on Brightree system. Performs quality audits to ensure that all necessary documentation is included in each patient file.

Provides effective feedback on errors to PSRs once identified and ensures appropriate training is addressed.

Assist in obtaining authorization for reimbursement for some accounts.

Performs adjustments on accounts reviewing each with management.

Maintains Hospice Software Requisitions Daily &Performs monthly patient invoicing, post monies to accounts upon receipt.

Facility Invoicing including paper and electronic claim submissions as necessary.

Setup and Maintains business rules and price table adjustments for all commercial payors as needed.

Attends CMS training webinars regularly.

Provides monthly in-service with PSRs to review Brightree processes, Coding, Medical Terminology, and  RQ processes related to  durable medical equipment, and Oxygen.

Weekly review of AR reports with PSR team to ensure accounts are maintained for reimbursement.

Complies with and adheres to all regulatory compliance areas, policies and procedures and Best Practices.

Values

i - Innovation

"Forward thinking" "Exploring new possibilities" "Ambitious Goals" Looks out for new and innovative approaches that will improve efficiency. Embraces and champions new ideas and encourages others to do likewise. Recognizes and rewards people and teams who are creative and innovative. This is in sharp contrast to those who tend to embrace the status quo, struggle with new approaches and discourage others when they are creative and innovative in the pursuit of increased efficiency or effectiveness.

C - Compassion

"Friendly countenance" "Servant attitude" "Demonstrating genuine concern" Shows genuine sensitivity to the needs, feelings and capabilities of other people. Deals with others in a pleasant manner. Treats others with respect and consideration. This is in contrast to those who are unpleasant and tend to alienate co-workers, or who seem insensitive to the needs of others and tend to demonstrate a lack of respect for others.

A - Accountability

"Showing integrity" "Leading by example" "Ownership and accepting responsibility" Acts in ways that demonstrate personal integrity and serves as a positive example of why others should trust the motives of the organization. Views himself or herself as a reflection of the organization by following through on commitments and accepting ownership of any mistakes he or she might make. Leaves others with the clear impression that integrity is a core value at this organization. This is in contrast to individuals who make commitments that go unmet, fail to acknowledge their role in disappointing events, or whose actions (or inaction) leave others with doubts about the level of trust that should be placed in the organization.

R - Respect

"Considerate of cultural diversity" "Building trust" "All people are to be valued" Demonstrates a genuine interest in the thoughts, opinions, values and needs of co-workers and customers. Avoids speaking, writing or doing other things that could be seen as disrespectful of people in their absence (or "behind their backs"). Recognizes and shows respect for the strengths and contributions of others. This is in clear contrast to behaviors that leave people feeling that their thoughts, opinions, values and needs are of little interest.

E - Empowerment

"Allowing others to reach their full potential: "Freedom to do what is right for our patients" "Attain and share knowledge to enrich others" Empowered in an intentional manner that allows the person to find their way, yet receiving help when needed. Using good judgment related to the level of authority given and the amount of leeway extended. This contrasts with leaders and individuals who focus more on the risks involved from the empowerment, instead of reaching the full potential of the organization.

Organization Expectations

Communication

The process of sending and receiving messages with words, verbally, written or in sign language.

Customer Focus

Identifying and responding to current and future patient and other customers’ needs; providing excellent service to internal and external patients and other customers.

Initiative

Identifying and dealing with issues proactively and persistently; seizing opportunities that arise.

Self-Development

Lifelong, voluntary, and self-motivated learning.

Teamwork

Effectively work and complete assignments in group settings. Works independently and cooperatively with others to achieve common goals.