Healthcare Claims & Billing Specialist

Aeroflow Health – Healthcare Claims & Billing Specialist

Aeroflow Health is taking the home health products and equipment industry by storm. We have created a better way of doing business that prioritizes our customers, our community, and our coworkers. Aeroflow believes in career building. That is why we promote from within and reward individuals who have invested their time and talent in us. Whether you are looking for a place from which to launch your career – or a stable, ethical company in which to advance you will not find an organization better equipped to help you meet your professional goals than Aeroflow Health.

The Opportunity

Within Aeroflow, the Revenue Cycle Support team is comprised of 10 Team Members and growing.

• Corporate oversight of Revenue Cycle Functions – Eligibility, Authorizations, Claims Transmissions, Rejections, Denials, Underpayments, Recoups, Equipment Returns, Payment Posting and Reconciliation, Patient Billing.
• Support Business Unit Billing Teams and Sales Teams to Maximize Receipts and Collection Percentage.
• Cross Functional Team with Comprehensive Understanding of Revenue Cycle Functions.

Your Primary Responsibilities

We are currently seeking a Recoupment / Returns Specialist. This role is typically responsible for:

• Reviewing, documenting, and indexing recoup requests from insurance companies into various computer applications.
• Researching equipment and supplies returned to warehouse to determine if a recoup / refund to insurance or patient is necessary. Correct billing lines and account as needed.
• Requests and coordinates with finance department to process refund checks for payers and patients.
• When possible, refund patients electronically through payment processing system.
• Communicates payer trends regarding recoups to Business Units and Stakeholders.
• Manage relationships with payer contacts and third-party contractors regarding recoup requests and reconciliation.
• Employee has an individual responsibility for knowledge of and compliance with laws, regulations, and policies.
• Compliance is a condition of employment and is considered an element of job performance
• Maintain HIPAA/patient confidentiality
• Other duties and projects as assigned.

Skills for Success

• Basic knowledge of revenue cycle functions, medical insurance terminology and the ability to interpret an explanation of benefits (EOB).
• Self-starter with exceptional attention to detail and proven track record in achieving productivity goals.
• Demonstrates ability to learn computer applications as they relate to job duties and proficiency in the practice management system. This includes managing multiple proprietary applications simultaneously to complete tasks.
• Ability to communicate in a professional manner, multitask and maintain a positive teamwork attitude.
• Analytical: this role requires the ability to identify trends, core issues, and report them to supervisor and stakeholders.

Required Qualifications

• High School diploma or GED required. Bachelors Degree preferred.
• 2 -5 years of experience in Healthcare Revenue Cycle.

You might also have

• Experience with DME billing, specifically products provided by Aeroflow Business Units. Maternal Care, Urology, Sleep and Diabetes.
• Advanced Microsoft Excel and Access skills. Ability to write basic queries, understand database structure.

What Aeroflow Offers

Competitive Pay, Health Plans with FSA or HSA options, Dental, and Vision Insurance, Optional Life Insurance, 401K with Company Match, 12 weeks of parental leave for birthing parent/ 4 weeks leave for non-birthing parent(s), Additional Parental benefits to include fertility stipends, free diapers, breast pump, Paid Holidays, PTO Accrual from day one, Employee Assistance Programs and SO MUCH MORE!!

Here at Aeroflow, we are proud of our commitment to all of our employees. Aeroflow Health has been recognized both locally and nationally for the following achievements:

• Family Forward Certified
• Great Place to Work Certified
• 5000 Best Place to Work award winner
• HME Excellence Award
• Sky High Growth Award

If you’ve been looking for an opportunity that will allow you to make an impact, and an organization with unlimited growth potential, we want to hear from you!

Aeroflow Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.