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Billing Specialist / Authorization Specialist / Customer Service Representative Glendale & La Crescenta Posted on 9/11/2020

Western Drug Medical Supply is a growing Durable Medical Equipment provider with over 40 years of experience in our Industry. We offer a wide variety of medical equipment, supplies and services to patients located in California, primarily Los Angeles County area.

Job Summary

We are seeking thoughtful and organized people to join our expanding team.

Responsibilities

Responsibilities include but are not limited to the list below. A more specific list will be provided during training, depending on your position.

  • Communicate with all insurance companies, patients and providers
  • Provide excellent customer service when interacting with patients
  • Maintain, input, and update the billing system to ensure accurate and timely monthly billing
  • Verify and confirm proper coverage through eligibility and benefit verification
  • Research and resolve discrepancies, denials, appeals, and insurance mail-backs
  • Research and analyze patient account activity to maintain accuracy of patient account balances
  • Work closely with Health Plans and Medical Groups to obtain authorization for service
  • Attend staff meetings and additional training sessions as requested

Key Qualifications

  • Commitment to excellence and high standards
  • Ability to operate multiple software applications
  • Microsoft Office skills, primarily knowledge of Excel (sorting, formatting, using simple formulas)
  • Knowledge of basic medical terminology
  • Ability to work effectively with Peers and with Management
  • Ability to communicate clearly and effectively with patients and other staff
  • Ability to work independently
  • Ability to work with big amounts of data and make correct judgement

Good-To-Have’s:

  • 1-3 years of related experience
  • Knowledge of CPT and ICD10 codes
  • Understanding of Explanation of Benefits (EOBs), eligibilities and authorizations
  • Knowledge of insurance and claims submission
  • Ability to review patient bills and correct any missing or inaccurate information
  • Certification in either billing or coding
  • Strong Excel experience including ability to trend, insert pivot table, utilize V-Lookup and other reporting knowledge
  • Knowledge of how to use a billing software to prepare and transmit claims
  • Ability to investigate and appeal claims that were denied

Education

  • High school, GED, or equivalent diploma required
  • Bachelor’s Degree in a related field is a plus

Job Type: Full-time