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DME Billing Specialist

Location: Fairfax, VA 

Status:  Full-Time 

 

Virginia Heart is Northern Virginia's premier cardiovascular practice, bringing an unparalleled standard of excellence to our patients.  Virginia Heart's Sleep Center is an outpatient cardiology setting conveniently located in Falls Church and Lansdowne, VA.  It is focused around patient education, to ensure we provide patients with the ability to obtain the best results from their treatment and achieve a good nights sleep. We offer the most advanced sleep technologies, treatment and research opportunities available, such as Inspire and eXcite OSA.   

We offer great benefits! 

  • Comprehensive benefits package with low premiums (Medical, dental and vision) 
  • Life insurance of 50K covered by Virginia Heart, with option to purchase additional
  • 401K pension plan based on profit and a percentage of salary 
  • Paid Short Term Disability with optional long-term insurance available for purchase 
  • Employee assistance program for mental and physical well-being
  • Up to 28 days paid time off, with accrual of 1 additional vacation day per year through year 10
  • Annual merit-based increases
  • Employee Appreciation Events, includes therapy dogs, raffles, other fun rewards
  • Career Advancement Opportunities
  • Employee Referral Bonus
  • Semi-annual employee surveys
  • Employee Discount Programs
  • Flexible spending accounts, pretax dollars for health and dependent care 
  • Employee Committee Opportunities (e.g., Diversity/ Inclusion, Employee Advisory Committee)
  • All Major Holidays Off

POSITION SUMMARY:

The DME Billing Specialist works under the general supervision of the Sleep Program Manager or designee.  The DME billing specialist has experience and proficiency in all aspects of DME billing and collections.  In addition, this position requires experience and expertise in revenue recovery, appeals, denial, audits and reconsideration requests.  Experience and proficiency with DME specific software such as BRIGHTREE is preferred.  The DME billing specialist will be required to keep track of all patient DME equipment re-supply depending on insurance requirements.  The DME billing specialist will work with the Sleep team to provide a consistent workflow between departments in a manner consistent with Virginia Heart’s mission of providing excellence in cardiovascular care.

 RESPONSIBILITIES:

  • Responsible for managing and tracing all aspects of DME billing.
    • Monitor and review aged A.R.
    • Perform all aspects of patient billing for DME and re-supplies
    • Processing and responding to unpaid billings, denials, etc.

       

    • Review and process write of request
    • Check network benefits and eligibility.
  • Monitor productivity reports.
  • Track all Durable Medical Equipment (DME) setups.
  • Coordinate with Sleep provider any changes to patient prescriptions.
  • Coordinate with Sleep depatment to gather documentation needed for insurance authorization.
  • Create templates through DME software for all insurances.
  • Create schedules for all automatic re-supply patients.
  • Implement efficient workflow for DME billing filing.
  • Indirect reporting to Patient Accounts Manager for AR management via DME software.

REQUIREMENTS:

  • Bachelor's degree, prefer in Healthcare Administration or related field preferred.
  • Strong experience in sleep medicine and Durable Medicine Equipment (DME).
  • Minimum of five (5) years of experience in DME Billing
  • Advanced knowledge and experience in CPT, ICD-10, HCPCS and all other medical billing codes
  • Experience with multiple insurance guidelines
  • Prior experience with the use of DME software.  BRIGHTREE experience preferred.
  •  Demonstrate computer skills appropriate for the position.

(Click link to view other available openings and locations for our company: https://virginiaheart.hiringplatform.com/list/careers)