HME Reimbursement Specialist Part Time
Core
Ensures timely and accurate reimbursement for home medical equipment services by managing physician orders, authorizations, and billing documentation for government agencies and insurance companies.
Role type
Administrative HME Reimbursement Specialist
Builds
Reimbursement processes for home medical equipment
Domain
Healthcare / Home Medical Equipment
Required skills
Medical equipment billing, Certificate of Medical Necessity (CMN) management, Physician order processing, Insurance claim verification, Regulatory compliance, Patient account management, Data entry, Problem solving
Preferred skills
Clerical experience, Customer relations, Customer service
Technologies
Billing systems, Office software
Responsibilities
Obtain and maintain physician orders and authorizations; Verify accuracy of documentation for reimbursement; Research and resolve delinquent accounts; Process billing adjustments for non-covered services; Schedule and maintain CMNs for timely delivery; Provide internal resource on payment limitations.