SunMED Medical is looking for an individual with an Accounts Receivable background, related to DME, as well as experience with external insurance audits. The ideal candidate would join our team as a full-time remote team member of our Accounts Receivable department.

QUALIFICATIONS

• Experience with all the above responsibilities.
• Prior external audit experience; Medicare ideal.
• Insurance verification experience, and payor knowledge for Medicare and Commercial insurances.
• Working knowledge of durable medical equipment as it applies to the above.
• Brightree experience is a plus.
• Excellent time management skills with strong attention to detail
• Computer proficiency which includes thorough knowledge of Outlook and more than a basic familiarity with Excel, along with the ability to type.

FURTHER CONSIDERATION ON COMPENSATION POSSIBLE BASED ON EXPERIENCE.

Job Type: Full-time
Pay: $19.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee discount
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Referral program
• Tuition reimbursement
• Vision insurance

Application Question(s):

• Have you completed AR functions for durable medical equipment?

Experience:

• Brightree software: 1 year (Preferred)
• External Insurance Audit: 1 year (Preferred)

Work Location: Remot

• Completing outreach to insurance companies regarding outstanding balances due.
• Review denials to determine the reason for the denial, and subsequently send in appeals/redeterminations.
• Rebilling insurance companies, or other third parties, to secure payment for patients.
• Process insurance payments on patient accounts within the billing software, Brightree.
• Run Aging report for follow up denials/or claims not worked.
• Create and mail insurance claims and patient statements, as needed.
• Verify all entries made by front end and makes corrections, as needed.
• Make recommendations to management for write-offs.
• Reach out to ordering physicians for required documentation on patient accounts.
• Other duties as assigned.