IV/Equipment Reimbursement Specialist
Qualifications
Education
Minimum Level of
Education Required:
Additional requirements:
§ Type of degree: N/A
§ Area of study or major: N/A
§ Preferred educational qualifications: N/A
§ Position specific testing requirement: N/A
Licensure/Certification/Registration
§
N/A
Experience
Minimum Level of
Experience Required:
Prior job title or occupational
experience: Previous account
billing and/or collection experience required.
Prior specific functional
responsibilities: N/A
Preferred
experience: Experience with
medical terminology as well as 5-10 years’ experience in Medicare, Medicaid
and third party billing procedures or equivalent is desired.
Other
experience requirements: N/A
Knowledge/Skills
§
Must
have good organization skills and work well with others.
§
Computer
skills preferred.
§
Must
be able to work independently.
Physical Requirements & Working
Conditions
Physical
Requirements:
|
Pulling |
2 - Occasionally (11% - 40%) |
Standing |
2 - Occasionally (11% - 40%) |
Other
sounds |
1 - Rarely (0% - 10%) |
|
Twisting |
2 -
Occasionally (11% - 40%) |
Reaching |
2 -
Occasionally (11% - 40%) |
Visual Acuity Near |
3 -
Frequently (41% - 75%) |
|
Walking |
2 - Occasionally (11% - 40%) |
Manual
Dexterity |
2 - Occasionally (11% - 40%) |
Visual
Acuity Far |
2 - Occasionally (11% - 40%) |
|
Sitting |
4 - Consistently
(76% - 100%) |
Use both hands |
3 -
Frequently (41% - 75%) |
Vision Color |
2 -
Occasionally (11% - 40%) |
|
Pushing |
1 - Rarely (0% - 10%) |
Talking |
3 - Frequently (41% - 75%) |
Concentrating |
4 - Consistently (76% - 100%) |
|
Climbing |
1 - Rarely
(0% - 10%) |
Lifting <10 pounds |
2 -
Occasionally (11% - 40%) |
Interpersonal Skills |
3 -
Frequently (41% - 75%) |
|
Stooping |
2 - Occasionally (11% - 40%) |
Lifting
>10 pounds |
1 - Rarely (0% - 10%) |
Reading |
3 - Frequently (41% - 75%) |
|
Kneeling |
2 -
Occasionally (11% - 40%) |
Normal hearing both ears |
3 -
Frequently (41% - 75%) |
Thinking |
4 -
Consistently (76% - 100%) |
Working Conditions:
Working Conditions:
1. General office environment.
2. Climate controlled environment.
3. May work some evenings and weekend
hours to complete projects or meet the needs of the department.
4. May be required to work overtime
as defined by the needs of the department.
Organizational Standards
§
Coordinates
billing process for assigned accounts.
§
Reviews
and collects assigned accounts for payments.
§
Responsible
for understanding reimbursement guidelines and associated benefits to ensure
maximum allowance is realized and collected.
§
Maintains
customer service with internal and external customers.
§
Monitor
and track documentation needed for reimbursement to assure completion within
payer guidelines.
Essential Duties & Functions
Essential
Duties & Functions:
The
IV/Equipment Reimbursement Specialist works from the accounts receivable (A/R)
aging report on oldest outstanding claims, makes calls to appropriate payer to
determine status of payment, works with insurance company regarding settlement
and adjustment payments, resubmits claims as necessary for payment or
resubmits additional information for review and payment, and is responsible
for keeping documentation on follow-up made.
He/she must collect and review documentation needed for billing these
accounts to the appropriate payer. They
must confirm data is accurate for reimbursement. He/she must also track prior authorizations
needed for reimbursement.