Medicare Part B Dme Biller - Assisted Living Experience Required

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Summary:The Medicare Part B DME Biller with experience in Assisted Living is responsible for accurately and efficiently processing billing and claims for Durable Medical Equipment (DME) provided to Medicare Part B beneficiaries residing in assisted living facilities. This role requires a strong understanding of Medicare guidelines, specific considerations for billing in an assisted living environment, ensuring proper documentation, submitting claims, following up on payments, and resolving billing discrepancies.

Responsibilities:

• Prepare and submit accurate DME claims to Medicare Part B for residents of assisted living facilities.
• Verify patient eligibility and insurance coverage, with specific attention to assisted living resident status.
• Ensure all necessary documentation is in place for billing, including any specific requirements for assisted living.
• Understand and apply Medicare Part B billing regulations and guidelines, as they pertain to DME in assisted living settings.
• Follow up on submitted claims and resolve any denials or issues, particularly those common in assisted living.
• Communicate effectively with assisted living facility staff, residents, and their families regarding billing inquiries.
• Maintain accurate billing records and documentation specific to assisted living residents.
• Stay updated on changes in Medicare Part B policies and procedures related to DME billing in assisted living.
• Identify and resolve billing errors and discrepancies, taking into account the unique aspects of assisted living billing.
• Generate billing reports as needed, potentially segmented by assisted living facility.

Qualifications:

• High school diploma or equivalent; Associate's degree in a related field preferred.
• Proven experience (minimum of X years) in DME billing, specifically with Medicare Part B, AND demonstrated experience working with assisted living facilities.
• Strong understanding of Medicare Part B regulations and guidelines for DME, with specific knowledge of their application in assisted living.
• Experience with medical billing software and electronic health records (EHR) systems.
• Excellent attention to detail and accuracy.
• Strong organizational and time-management1 skills.
• Effective communication and interpersonal skills, with the ability to interact professionally with2 assisted living staff and residents.
• Knowledge of medical terminology and coding (e.g., HCPCS codes).

Job Type: Full-time

Pay: $22.00 - $26.00 per hour

Work Location: In person