Customer Service Representative/Point of Care Team Coordinator (Norwood)

National Sleep Therapy is looking for a Customer Service Representative/Point of Care Team Coordinator to assist us at our Norwood, MA location.

The Customer Service Representative will serve as the point person for the patient experience for the administration of the external sleep lab or doctor's office accounts and our external partners who execute transactional functions. The Customer Service Representative will maintain full accountability for providing a high level of customer and operations support ensuring accuracy, timeliness and integrity of all client/patient data.

Responsibilities include, but are not limited to:

· Coordinating dispensing of disposable CPAP supplies and determining patient eligibility.
· Serving as the point person for assigned accounts (doctor's offices / sleep labs) and managing workflow between those accounts and the company.
· Managing the patient experience by providing a high level of customer and operational support.
· Entering all client / patient data into appropriate software ensuing accuracy and timely execution of data entered.
· Interacting and maintaining effective and open communication with all personnel, vendors/manufacturers and patients.
· Following all protocol as outlined by the Team Leader and providing feedback and suggestions for better processes.

Skills and experience required:

· 2 + years customer service support experience including spending a large percentage of time entering and maintaining a client database system.
· Durable Medical Equipment Experience preferred.
· Knowledge of medical data base systems helpful.
· Medical office terminology and/or knowledge of medical insurance and billing a plus.
· Knowledge of Brightree Billing Software a plus.
· Strong analytical and research skills.
· Excellent verbal and written communication skills.
· Superior multi-tasking and time management skills in a fast-paced environment.
· Reliable transportation.

Interested candidates should email careers@nstherapy.com with their resume and references.

Verification of Benefits Specialist (Scarborough, ME)

National Sleep Therapy is looking for a Verification of Benefits Specialist to assist us at our Scarborough, ME location. 

Responsibilities include, but are not limited to:

• Verifying patient insurance eligibility for all equipment and services.
• Confirming authorizations for all insurances and managing patient account collections.
• Obtaining all initial pre-certifications and pre-authorizations as well as necessary information to do so.
• Ensuring all required documentation and compliance has met the specific insurance guidelines for each patient and health plan prior to claims submission.
• Following system protocol for managing all patient transactions from physician prescription to the creation of a proper and accurate Sales Order.
• Creating clear and detailed notes stating the patient's insurance policy terms within the company database system.

Skills and experience required:

• 2 + years experience working in medical billing setting.
• Working knowledge of medical equipment, medical terminology and medical reimbursement or HME insurance and billing.
• Experience in both commercial (insurance) and government (Medicare and Medicaid).
• Working knowledge of CMS rules and regulations related to billing and compliance.
• Experience utilizing electronic billing system.
• Understanding of insurance terms, contract language including HMO, PPO and percentage of charges and fee schedules.
• Thorough knowledge of auditing claims.
• Strong knowledge of appeal guidelines specific to individual insurances.
• Understanding of pricing and replacement of supplies and devices.
• Ability to learn and master new software programs quickly and with accuracy.
• Knowledge of Brightree and/or Remit Data a plus.
• Knowledge of Medicare DME supplier standards a plus.
• Strong analytical and research skills.
• Excellent verbal and written communication skills.
• Superior multi-tasking and time management skills in a fast-paced environment.
• Reliable transportation.

Compensation: Compensation based on experienceA local company, that provides sleep therapy solutions, is looking for a Verification of Benefits Specialist to assist us at our Scarborough, ME location.

Interested candidates should email info@nstherapy.com with their resume (with VOB in subject) and references.

Medical Billing & Audit Specialist (Concord)

National Sleep Therapy is looking for a Medical Billing and Audit Specialist to assist us at our Concord, NH location. 

Responsibilities include, but are not limited to:

• Identifying contractual discrepancies and rectification.
• Reviewing and properly submitting denied claims for redeterminations and resolutions.
• Assuring correct and accurate medical reimbursement is calculated.
• Submitting written formal appeals based on account analysis and contract review.

Skills and experience required:

• 2 + years experience working in medical billing setting.
• Experience in both commercial (insurance) and government (Medicare and Medicaid).
• Working knowledge of CMS rules and regulations related to billing and compliance.
• Experience utilizing electronic billing system.
• Understanding of insurance terms, contract language including HMO, PPO and percentage of charges and fee schedules.
• Thorough knowledge of auditing claims and applying knowledge.
• Strong knowledge of appeal guidelines specific to individual insurances.
• Understanding of pricing and replacement of supplies and devices.
• Knowledge of Brightree and/or Remit Data a plus.
• Strong analytical and research skills.
• Excellent verbal and written communication skills.
• Superior multi-tasking and time management skills in a fast-paced environment.
• Reliable transportation.

Compensation: Based on experience level

Interested candidates should email careers@nstherapy.com with their resume (with MC in subject) and references.

Job Opportunity: Medical Cash Posting Associate

National Sleep Therapy, is looking for a Medical Cash Posting Associate to assist us at our Concord, NH location. 

Responsibilities include, but are not limited to:

• Posting patient and 3rd party payments, insurance write-offs, charge adjustments, discounts, deductibles, co-payments and non-covered charges. 
• Balancing all payments posted daily with the bank deposits. 
• Processing daily deposits.
• Copying deposit batches for scanning. 
• Printing daily system generated reports. 
• Determining overpayments from patients and 3rd party payers. 
• Recognizing and reporting consistent trends in revenue recognition from payments received by 3rd party payers. 
• Recognizing and reporting short payments from insurance carriers based on contracted rates and previous payment history. 
• Maintaining a high level of productivity through speed and accuracy. 
• Posting ERN's from system. 
• Pulling EFT's and EOB's from other websites for posting application. 
• Working and applying Payment on Account report. 
• Processing recoups and refund review.

Skills and experience required: 

• 2+ years relevant experience in medical payment posting and accounting in the medical industry. 
• Superior multi-tasking and time management skills in a fast-paced environment. 
• Knowledge of Brightree a plus 
• Reliable transportation.

Interested candidates should email careers@nstherapy.com with their resume (with MC in subject) and references.