Medical Billing & Coding

Advance Solutions USA Medical Supply LLC is a rapidly growing leader in the provision of medical equipment and durable medical equipment in the Southern California region. We are looking for driven individuals to come grow with us.

Position: Customer Service Representative

Position Reports To

DME manager

Position Summary

As a Customer Service Representative, you are a direct point of contact for any patient, care giver, referral source, or commercial account that contacts our team either in person, over the telephone or via the internet, to provide equipment and/or services. All CSRs are able to interact with customers to provide information in response to inquiries about products or services and to handle and resolve any complaints. A CSR is to receive, qualify, and process, according to procedure, all customer orders in a timely, efficient, accurate, and courteous manner. A CSR is often involved in investigating and responding to customer inquiries regarding shipments, products, deliveries and complaints.

Essential Responsibilities:

Have a comprehensive understanding of the following:

All products we carry
Companywide Policies, Procedures, Standards, Specifications, Guidelines and Training Programs
Basic Brightree Functions
Proper Intake Procedures
Documentation Requirements of the Equipment
Patient’s Financial Responsibilities (Deductible, Co-Insurance, Co-Pay, ABN/Upgrade)
Difference Between Verbal, Written and WOPD orders
Complaint Resolution Procedures
DME Equipment

Answers the telephone using the company’s professional greeting and taking complete, accurate and detailed messages. Transfers callers to appropriate person or voice mail number.
Greets all visitors coming on their arrival. Ensure that they are properly directed to the appropriate personnel who might assist them.

Distributes mail daily and monitors the fax machine for incoming transmissions. Distributes correspondence to appropriate personnel or mailbox depending on the priority of the correspondence.

Qualify orders by identifying the customer’s diagnosis and insurance coverage and ensure verification of the necessary insurance reimbursement information to process the third party billing when appropriate. Informs customers of financial responsibility.

Inputs customers’ orders or changes into the computer system timely. Processes work order and necessary paperwork as well as prescriptions for physicians.

Arranges for convenient customer delivery/pickup time with patient and/or caregivers. Conveys orders to Clinical Specialists and/or delivery personnel.

Handles customer complaints courteously using appropriate techniques.
Audits, confirms and files all deliveries, pick-up or exchange paperwork daily.
Tracks active rentals, automatic reorders, and concentrator maintenance, processing in a timely as per policy and procedure.
Obtains verbal and written orders from physicians, discharge planners and other healthcare professionals as needed.
Ensure that all assigned procedures, including but not limited to, billing, posting, insurance, denials, inquiries, orders, and paperwork are processed in an accurate and timely manner.
All patient files and information are maintained and current at all times.
Demonstrates excellent oral and written communication skills with referrals, handling complaints and qualifying orders.
Timely filing of all necessary paperwork into patient charts.
Instruct the customer or caregiver in the proper and safe use of all equipment delivered in the store
Strict adherence to all company policies and procedures.
Performs schedules hours, staggered shifts in accordance to the needs of the company.
Perform all above duties in other company locations when required.
May perform other duties not specifically listed in this position description as assigned by supervisor.
Continually strive to develop your knowledge and skills in all areas of your job.
Requirements

Position Qualifications
Medical Billing and Coding Experience
High School Diploma or equivalent
Previous experience in a Clerical or Customer Service environment
Knowledge of Microsoft Office (Word, Excel) etc.
Proficient general office skills (typing, computer, fax, filing, multiple phone line)
Neat personal appearance with pleasing manner and interpersonal skills · Strong communication skills with capacity to make independent decisions · Medicare/Medicaid and insurance billing, bookkeeping or medical office experience preferred

Job Type: Full-time

Schedule:

Monday to Friday 8-5
Saturday 10-4 pm

Education:

High school or equivalent (Preferred)
Experience:
Medical Billing & Coding (2 years experience required)
Customer Service: 1 year (Preferred)