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HME Reimbursement Specialist – Part Time
Banner Health. Obtain and maintain physician orders, authorizations, Certificates of Medical Necessity (CMN) and supporting documents for reimbursement .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing physician orders, authorizations, and Certificates of Medical Necessity (CMN) while ensuring compliance with regulatory and accreditation requirements. Proficient in customer service, problem-solving, and maintaining accurate patient accounts and documentation.
Highest-signal resume keywords
Patient Accounts ManagementRegulatory ComplianceCustomer ServiceDocumentation AccuracyOrganizational Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical Necessity DocumentationBilling System ProficiencyOrder VerificationAccount ReconciliationData Entry
Soft Skills
Interpersonal SkillsProblem SolvingEffective CommunicationOrganizational Skills
Tools & Technologies
Office SoftwareBilling Software
Industry Keywords
Medical EquipmentInfusion MedicationsThird Party AgenciesAccreditation Requirements
About the role
Key responsibilities & impact- Obtain and maintain physician orders, authorizations, Certificates of Medical Necessity (CMN) and supporting documents for reimbursement
- Attend in-service education and training on policies, procedures and work-related materials
- Serve as an internal resource for qualifying criteria, payment limitations and required documentation
- Assist patient financial services with accurate patient account charges
- Verify documentation, examine and track orders for proper billing
- Verify balances and receipts for payments and complete End of Day reports
- Schedule and maintain CMNs and physician orders and enter completed orders into the billing system
- Research and resolve overdue or delinquent accounts by mail and phone
- Research customer accounts, document findings and process adjustments for non-covered or denied services
- Make final independent decisions regarding documentation accuracy for home medical equipment
Requirements
What you’ll need- High school diploma/GED or equivalent working knowledge
- 2-3 years of experience in patient accounts, pharmacy or equipment intake
- Thorough understanding of regulatory and accreditation requirements of medical equipment and infusion medications for government and third party agencies
- Effective interpersonal skills and ability to provide effective customer service
- Demonstrated organizational and problem solving skills
- Ability to keep detailed records regarding equipment and medical records
- Ability to communicate effectively
- Ability to prioritize and organize daily work
- Demonstrated ability to use and develop proficiency with computers and office software