Intake Account Representative

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Intake Account Representative

@ VieMed

Essential Duties and Responsibilities:

• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this
• Retrieves incoming referral(s) from portals.
• Reviews medical records from referral(s) to determine if medical necessity has been met.
• Communicates to sales team &/or referral source(s), if the referral is acceptable or what is missing to complete referral(s)
• Interacts professionally with physicians, patients, patient’s family, and co-workers.
• Schedules set ups, as called into VieMed, by physicians or physician’s office staff, per policy and procedure.
• Documents in the computer system the status of the referral
• Assist to complete all open referrals
• Check network status
• Sends weekly updates to sales team on missing referrals
• Reports all concerns or issues directly to Intake Manager or Intake Supervisor
• Other responsibilities and projects as assigned

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Qualifications:

Qualifications:

• High School Diploma or equivalent
• One (1) to two (2) years working for a Durable Medical Equipment company or relevant medical office experience preferred.
• Basic understanding of medical insurance benefits
• Skill in establishing and maintaining effective working relationships with other employees, patients, organizations, and the public.
• Effectively communicate with physicians, patients, insurers, colleagues, and staff
• Able to read and understand medical documentation effectively.
• Knowledge and understanding of same and similar DME equipment.
• Knowledge and understanding of In-network vs Out of Network, PPO, HMO
• Thorough understanding and maintaining of medical insurance company’s regulations and requirements including but not limited to Medicare and Medicaid.
• Working knowledge of CPT, HCPCS & ICD10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, and insurance benefits.
• Learns and maintains knowledge of current patient database & billing system.
• Up to date with health information technologies and applications
• Answers telephone in a polite and professional manner. Communicates information to appropriate personnel and management in a timely manner.
• Establishes and maintains effective communication and good working relationships with co-workers, patients, organizations, and the public.
• Proficient in Microsoft Office, including Outlook, Word, and Excel
• Utilizes initiative, strives to maintain steady level of productivity and is self-motivated.
• Work week is Monday through Friday and candidates will work an agreed-upon shift (current shifts include 7am-4pm, 8am-5pm, 9am-6pm of 10am-7pm)
• Possible weekend work or overtime, to include working an on-call rotation schedule.

Access to Protected Health Information (PHI):

• This position will require the employee to handle Protected Health Information (PHI) for duties related to document and report preparation.
• Policies and procedures will be strictly adhered to make sure PHI is protected as required by the HIPAA Privacy Rule.

 

Working Conditions

• This position will work in an office environment.

 

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How to Apply:

Apply online at https://www.viemed.com/corporate-careers/. 

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