Patient Account Specialist

URS Medical, in collaboration with Pediatric Home Service, is a friendly and professional leader in home health industry with a singular passion for and commitment to taking care of the child.
As a leader in home health care, we help kids achieve their best lives at home and in their communities while providing our employees a fun and rewarding place to work.
Position: Patient Account Specialist Location: Waco, Texas Schedule: Full Time Hours: Monday-Friday, 8a-5p (In Office) THE POSITION: The Patient Account Specialist has the primary responsibility of handling customer contact received in person, over the telephone, by fax, or via the web.
These customer contacts may be with the patient, a caregiver, or a referral source (physician, therapist, home health agency, etc.
).
They are to receive, qualify, and process – according to URS procedures – all customer orders in a timely, efficient, accurate, and courteous manner.
They often are involved in investigating and responding to customer inquiries regarding shipments, products, deliveries and complaints.
This employee also assists in the entire supply billing and collection cycle as directed by management.
Adhere to all state and federally mandated documentation standards.
Enter all documentation into Supply data base accurately on a daily basis as required.
Resolve customer concerns and complaints by identifying problems and coordinating appropriate corrective action, maintaining accurate and complete documentation of complaints and resolutions.
Understand and practice the rules regarding patient confidentiality, HIPAA, and compliance and safety.
Adhere to all state and federally mandated standards regarding confidentiality and patient rights.
Enter and maintain patient account profile information and accurate referral source data.
Perform verification of insurance.
Accurately and efficiently create the required funding and delivery documents.
Verify Medicare, Medicaid, and Insurance coverage as required, with both primary and secondary payers.
Ensure competence in all aspects of provider’s payment policies.
Access information on medical justification and revenue qualification to maximize reimbursement rates.
Communicate payer guidelines clearly to all staff impacted.
Fully understand the software system and enter all information in the different fields as required.
Utilize computer’s various reports to help identify and resolve issues.
REQUIREMENTS Knowledge of Medicare, Medicaid and private medical billing.
2 years of education or experience is preferred but not required.
Previous experience in DME or home health preferred.
THE COMPANY URS Medical in collaboration with Pediatric Home Service is a pediatric home health agency that has provided high quality DME and nursing services to children that are medically fragile.
Our services allow our clients to remain and thrive in their homes, schools, and communities.
THE BENEFITS Holiday Pay Paid Time Off Health and Dental insurance Short & Long-Term Disability and Life Insurance 401K with match & educational benefits Interested candidates should apply online at, please include cover letter & resume along with salary requirements in your application.
#DME123 Pediatric Home Service is an equal opportunity employer; we are committed to affirmative action and equal employment opportunities for all regardless of protected veteran status, race, color, creed, religion, national origin, sex, sexual orientation or identity, disability, age, marital status, familial status, membership or activity in a local human rights commission, or status with regard to public assistance.