Job Abstract

Responsible for managing assigned AR and collection of outstanding balances from patients and third parties for durable medical equipment claims. Responsibilities include, but are not limited to:


Review AR reports.

• Prioritize work based on age and balance of accounts to avoid timely filing denials.
• Review correspondence and EOBS and take appropriate action.
• Maintain a follow-up system to assure accounts are brought to conclusion in a timely manner.
• Submit appeals and corrected claims as necessary.
• Prepare and submit payor projects.
• Maintain open communication with patients to keep them informed of any issues with their claims.
• Request necessary information from patients and physicians to expedite claim processing.
• Negotiate prompt pay discounts.
• Request adjustments, transfers and reversals with the proper justification.
• Identify accounts that need to be sent to collections in a timely manner.
• Communicate payor trends to management.
• Working knowledge of DME medical policies.
• All other duties as deemed necessary.