Medicare Pre-Screen Analyst / Chattanooga Home Office

National Seating & Mobility, Inc. is a leader in the Durable Medical Equipment and Rehabilitation Technology Industry. We provide customized, adaptive seating systems to those in need across the country. We are a progressive, growth-oriented corporation with over 80 locations nationwide. We offer competitive compensation and a benefits package that includes medical, dental, paid time off and more.

Position Statement :
The Medicare Prescreen Analyst reviews branch provided work-order information when the client has Medicare as a payer. The Medicare Prescreen Analyst coordinates with the branch or RPC processor, Rehabilitation Technology Supplier (RTS), Technician, Regional Processing Director, and other Branch support personnel to ensure all required Medicare documentation is provided and complete in accordance with Medicare guidelines and within expected time frames. The Medicare analyst is responsible for providing information to the branch as it pertains to Medicare work-orders to ensure that all the needed documentation is obtained. The Medicare Prescreen Analyst approves the work-order so the branch can purchase the equipment.

Requirements :
High School Diploma or G.E.D.
Medicare Knowledge
Coding Experience
Good written and oral communication skills
Basic computer knowledge
Drug Test Clearance
Background Clearance

Duties :
1) Reviews the work order detail and images to make sure the items are medically necessary per the Medicare guidelines and NSM policy.

2) Utilizes prescreen system to indicate if Medicare criteria has been met.

3) Provides feedback to the branch detailing any additional information that may be needed.

4) Reviews the work orders for proper coding.

5) Applies billing modifiers in the work order prior to final approval.

6) Maintains the prescreen queue with a 24 hour turn around for re-reviews and 48 hour turn around for new orders.

7) Answer inquiries from the branches within a 24 hour timeframe.

8) Maintains a positive working relationship with internal and external customers.

9) Maintains a positive working relationship with peers.

10) Must maintain regular and predictable attendance

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Payer Relations – UPD Specialist / Chattanooga Home Office

National Seating & Mobility, Inc. is a leader in the Durable Medical Equipment and Rehabilitation Technology Industry. We provide customized, adaptive seating systems to those in need across the country. We are a progressive, growth-oriented corporation with over 80 locations nationwide. We offer competitive compensation and a benefits package that includes medical, dental, paid time off and more.

Position Statement :
Obtaining & maintaining all payer requirements for authorization, billing, collections, and additional contract information as needed to successfully complete each stage of a client’s order. Obtaining all payer updates and communicating applicable industry-specific information to appropriate staff. Accountable for working with users in all areas of the company on a continual basis to ensure that all web access requests are handled in a timely and accurate manner. Accountable for working with members in all areas of the company on a continual basis to ensure that all payer information requests are handled in a timely and accurate manner. Work under direct supervision of the Payer Services Manager.

Requirements :
A. Education and formal training: High School Diploma or equivalency certificate. Additional training in Microsoft Office and Adobe Acrobat is a plus. 2-yr degree in business or healthcare also a plus

B. Work experience: 1 to 2 years related medical office experience desired – preferably DME experience. Experience with fee schedules, contracts, and/or billing would be a plus.

C. Knowledge, skills and abilities required: Knowledge of medical billing and insurance terminology highly desirable. Must be able to perform in a very fast paced and high volume position. Good oral and written communication skills. Working knowledge of Microsoft suite of products (i.e. Word and Excel). Strong reading comprehension skills. Ability to work in a team environment. Sharp attention to detail. Strong data entry skills- keyboarding/accuracy/speed.

D. Good Standing: Applicants who are current NSM employees may not be on probation or under any form of formal observation or remedial training related to performance or behavior issues.

E. Employment Status: The position is available to employees on permanent employment status.

F. Physical Requirements: Clear voice on the telephone, hearing acuity that allows for understanding over the telephone, prolonged sitting, visual abilities and manual dexterity that allows the use of PC’s for extended periods of time.

Duties :
1. Actively engages in the research, setup, preparation, and testing of new payer information regarding contract details, reimbursement terms, claim form requirements, billing & collections requirements, timely filing requirements, and any other information required in the UPD.

2. Obtain payer updates from all major payers as published, notify proper personnel of any pertinent changes, and ensure any changes have been properly implemented in the UPD.

3. Work one on one with Fee Schedule Specialist, Contract Specialist & Payer Services Manager to ensure that fee schedules, web access, provider numbers, and payer library entries are made prior to entering the data in the UPD.

4. Work with Electronic Billing Specialist and/or Manager to ensure EDI information is properly set up in the UPD.

5. Communicate directly with payers via phone, email, or any other means necessary to clarify questions on requirements.

6. Create tutorial documents to be uploaded in to the UPD and update the documents as necessary when changes in process are identified.

7. Manage all individual user web access as well as company access, and work one on one with users in all areas of the company to resolve any issues with payer website access that may arise.

8. Maintain accuracy and integrity of data on Password Central.

9. Must maintain regular and predictable attendance.

10. Assumes other duties and responsibilities as assigned.

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Payer Relations – Fee Schedule Specialist / Chattanooga Home Office

National Seating & Mobility, Inc. is a leader in the Durable Medical Equipment and Rehabilitation Technology Industry. We provide customized, adaptive seating systems to those in need across the country. We are a progressive, growth-oriented corporation with over 80 locations nationwide. We offer competitive compensation and a benefits package that includes medical, dental, paid time off and more.

Position Statement :
Obtaining and maintaining all fee schedules and reimbursement information. Accountable for working with users in all areas of the company on a continual basis to ensure that all fee schedule requests are handled in a timely and accurate manner. Work under direct supervision of the Payer Services Manager.

Requirements :
A. Education and formal training: High School Diploma or equivalency certificate. Additional training in Microsoft Office and Adobe Acrobat is a plus. 2-yr degree in business or healthcare also a plus

B. Work experience: 1 to 2 years related medical office experience desired – preferably DME experience. Experience with fee schedules and payer reimbursement terms would be a plus.

C. Knowledge, skills and abilities required: Knowledge of medical billing and insurance reimbursement terminology highly desirable. Must be able to perform in a very fast paced and high volume position. Good oral and written communication skills. Working knowledge of Microsoft suite of products (i.e. Word and Excel). Ability to work in a team environment. Sharp attention to detail. Strong data entry skills- keyboarding/accuracy/speed.

D. Good Standing: Applicants who are current NSM employees may not be on probation or under any form of formal observation or remedial training related to performance or behavior issues.

E. Employment Status: The position is available to employees on permanent employment status.

F. Physical Requirements: Clear voice on the telephone, hearing acuity that allows for understanding over the telephone, prolonged sitting, visual abilities and manual dexterity that allows the use of PC’s for extended periods of time.

Duties:
1. Actively engages in the research, setup, preparation, and testing of adding new fee schedules and maintaining existing fee schedules using Microsoft Excel, Outlook, and other resources as necessary.

2. Notify proper personnel when aware of any new reimbursement changes and ensure any changes have been properly implemented.

3. Ensures that payers in the payer library are assigned to the appropriate fee schedule.

4. Research all necessary external and internal sources to provide clarification on reimbursement rates.

5. Interpret complex reimbursement methodologies from multiple sources to compile comprehensive fee schedules.

6. Must maintain regular and predictable attendance.

7. Assumes other duties and responsibilities as assigned.

Position may be measured using the following performance standards :
• Customer satisfaction (including branches, executive employees, Chattanooga employees, & clients)
• Number of fee schedule items completed
• Accuracy of work completed
• Meeting targets for turnaround time
• Ability to work well with other team members

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Billing Specialist / Chattanooga Home Office

National Seating & Mobility, Inc. is a leader in the Durable Medical Equipment and Rehabilitation Technology Industry. We provide customized, adaptive seating systems to those in need across the country. We are a progressive, growth-oriented corporation with over 80 locations nationwide. We offer competitive compensation and a benefits package that includes medical, dental, paid time off and more.

Position Statement :
• Works under direct supervision of billing supervisor.

• Performs audits of branch billing packets prior to billing to ensure all information is accurate and complete.

• Prepares and submits initial electronic and hard-copy claims to payers.

• Enters information into NSM’s proprietary billing and collection system as well as into ePremis, the electronic billing software.

• Ensures that NSM bills claims correctly the first time and that all applicable local, state, and federal requirements are met.

• Performs insurance/billing clerical duties, including review and verification of patient account information against insurance program specifications.

• Resolves routine patient billing inquiries and problems, follows-up on balances due from insurance companies, and types invoices to insurance companies.

• Enters data electronically to process charges, payments, denials and adjustments.

• Performs other billing functions as outlined in pertinent policy and procedure documents.

Requirements :
Education and formal training: High School Diploma or equivalency certificate.
• Work experience: 1 to 2 years related medical billing position experience desired – preferably with DME experience.

• Knowledge, skills and abilities required: Experience in working with billing software highly desirable. Knowledge of medical billing and insurance claim filing, communications skills. Good oral and written communication skills. Working knowledge of basic computer system software. Working knowledge of Microsoft Outlook, Word and Excel. Ability to work in a team environment. Attention to detail. Data entry skills—keyboarding / accuracy / speed.

• Physical Requirements: Clear voice on the telephone, hearing acuity that allows for understanding over the telephone, prolonged sitting, visual abilities and manual dexterity that allows the use of PC’s for extended periods of time

Duties :
1. Responsible for preparing and submitting timely and accurate initial claims (to include initial claims on rental orders) to payers following prescribed policies and procedures.

2. Enters certain demographic data into the billing and collections software following prescribed policies and procedures.

3. Generates claims for both electronic and hard-copy submission.

4. Generates Missing Information Requests (MIR) following prescribed policies and procedures.

5. Identifies variances between booked revenue and expected reimbursement to facilitate front-end rehab adjustments.

6. Identifies and reports violations of NSM Credit Policy

7. Participates in collecting and documenting payer specific claims processing rules, practices and guidelines to contribute to, and maintain, the currency and accuracy of payer requirements for NSM personnel.

8. Conducts reviews of scanned billing documents at the time of final funding approval to identify issues that will or could be a barrier to billing the claim when the delivery is completed.

9. Complies with and supports department and organizational policies and procedures.

10. Demonstrates a positive image of NSM as a caring and concerned organization at all times.

11. Assumes other duties and responsibilities as assigned.

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Reimbursement Specialist / Chattanooga Home Office

National Seating & Mobility, Inc. is a leader in the Durable Medical Equipment and Rehabilitation Technology Industry. We provide customized, adaptive seating systems to those in need across the country. We are a progressive, growth-oriented corporation with over 80 locations nationwide as well as a large administrative support center located in Chattanooga, TN. We offer competitive compensation and benefits that includes medical, dental, paid days off and more.

Qualifications to be considered for this position includes the following :
• 2-5 years medical collections background in a medical office, doctor office, hospital or similar setting.
• Prior DME experience a plus
• Knowledge of ICD 9 codes and medical terminology
• Computer savvy, working knowledge of Word, Excel, Outlook, and Internet Research
• Attention to detail, organized and multi-task ability
• Good written and verbal skills
• Ability to work alone or in a team environment
• High school diploma or equivalent certificate

Responsibilities of the position include :
• Timely and accurate follow-up on claims to payers following policies and procedures
• Generating missing information requests
• Identifies variances between booked revenue and expected reimbursement to facilitate accurate reimbursement of claims as defined by contracts
• Participate in collection and documentation payer specific claims processing rules
• Generates claims for both electronic or hard-copy submission
• Enters certain demographic data into the billing & collections software
• Assumes other duties and responsibilities as required

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Director of Processing / Chattanooga TN Home Office

National Seating & Mobility, Inc. is a leader in the Durable Medical Equipment and Rehabilitation Technology Industry. We provide customized, adaptive seating systems to those in need across the country. We are a progressive, growth-oriented corporation with over 80 locations nationwide. We offer competitive compensation and a benefits package that includes medical, dental, paid time off, and more.

Position Statement:
The role of the Director of Processing exists to oversee NSM’s Processing function including the management of Regional Processing Directors, provide education to appropriate branches regarding NSM’s Processing practices, and ensure that the Processing function operates consistently and smoothly throughout the Company. Processing is the function which ensures all client information is correct in the work order, verifies client benefits and coverage, gathers appropriate documents for funding packages, notifies clients of financial responsibility, and follows up with payer sources in order to obtain timely authorization. The position is based in Chattanooga, TN and entails approximately 50% travel.

Requirements:
A qualified candidate for Director of Processing must have a minimum of a Bachelor’s Degree as well as be able to comprehend and apply all aspects of insurance. Preferred degrees are in healthcare administration, business administration, nursing or other clinical discipline.
A qualified candidate for Director of Processing must have a minimum of 5-10 years of management experience in a healthcare organization. In addition to demonstrated leadership, the successful candidate will possess familiarity with operational, financial, and quality assurance procedures as well as in-depth knowledge of payers and insurance is required. DME experience is preferred as well as experience managing telecommuters.

Duties:
• Oversee global insurance processing practices via management of Regional Processing Directors, analysis of resources, and analytics of error rates.
• Develop, initiate, maintain, revise and implement policies, guidelines and procedures for the general operation of the Processing department.
• Oversee Processing Department to include direct input on management of personnel, tracking and trending appropriate metrics, and functional audits of the department.
• Disseminate updates and other appropriate information to the field.
• Keep abreast of changes in insurance regulations as well as act as the company subject matter expert in the Processing function.
• Provides outreach education for providers and referral sources as it relates to NSM’s submission practices.
• Communicate with executives, management and employees through regular and timely reporting as requested or needed.

Additional Competencies:
The Director of Processing must be a strong leader with an emphasis on standardization of practices. The successful candidate will be self-directed with focus on process improvement. He/She must have outstanding analytical, investigative, and critical thinking skills. Excellent organizational skills are a must as well as strong verbal and written communication skills. The Director of Processing must be able to interact effectively with employees at all levels of the organization. Strong presentation and persuasion skills are required as well as the ability to exercise sound independent judgment. The Director of Processing must display personal integrity, ethics, and respect for peers, employees, and outside contacts.

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Processor / Hatboro PA

National Seating & Mobility, Inc. is a leader in the Durable Medical Equipment and Rehabilitation Technology Industry. We provide customized, adaptive seating systems to those in need across the country. We are a progressive, growth-oriented corporation in need of a full time Processor. We offer competitive compensation and a benefits package that includes medical, dental, paid time off and more.

As a Processor, you will coordinate with the Customer Service Representatives, contracted clients, Branch Managers, Director of Processing, and other office support personnel to ensure all operational procedures are completed in accordance with company policy and within expected time frames. You will also be responsible for gathering information pertinent to funding packages and ensuring that all documentation is in place in order to obtain proper authorizations for equipment.

Additional duties and responsibilities include but are not limited to:
• Ensure all client information is correct and is input into the work orders
• Verify client benefits
• Entering payer requirements
• Notifying client of financial responsibility ( if applicable )
• Meeting deadlines set forth by management
• Adapt to change in a continuously evolving environment
• Follow up with payer sources in order to obtain timely authorizations by working various reports
• Performs any related job duties assigned by the Director of Processing
• Carries out all position expectations in a professional manner and with minimal supervision.

Job Requirements:
• High School Diploma or G.E.D
• Type a minimum of 45wpm
• Detail oriented & Ability to multi-task
• Ability to adhere to the Attendance Policy
• Healthcare and/or administration background a plus
• Drug test and background check

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Regional Processor RPC / Chattanooga TN

National Seating & Mobility, Inc. is a leader in the Durable Medical Equipment and Rehabilitation Technology Industry. We provide customized, adaptive seating systems to those in need across the country. We are a progressive, growth-oriented corporation with over 80 locations nationwide. We offer competitive compensation and a benefits package that includes medical, dental, paid time off and more.

As a Processor, you will coordinate with the Customer Service Representatives, contracted clients, Branch Managers, Director of Processing, and other office support personnel to ensure all operational procedures are completed in accordance with company policy and within expected time frames. You will also be responsible for gathering information pertinent to funding packages and ensuring that all documentation is in place in order to obtain proper authorizations for equipment orders.

Additional duties and responsibilities include but are not limited to :
• Ensure all client information is correct and is input into the work orders
• Verify client benefits
• Entering payer requirements
• Notifying client of financial responsibility ( if applicable )
• Meeting deadlines set forth by management
• Adapt to change in a continuously evolving environment
• Follow up with payer sources in order to obtain timely authorizations by working various reports
• Performs any related job duties assigned by the Director of Processing
• Carries out all position expectations in a professional manner and with minimal supervision.

Job Requirements:
• High School Diploma or G.E.D
• Type a minimum of 45wpm
• Detail oriented
• Ability to multi-task
• Ability to adhere to the Attendance Policy
• Healthcare and/or administration background a plus
• Drug test and background check

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Customer Service Representative / Roanoke VA

National Seating & Mobility, Inc. is a leader in the Durable Medical Equipment and Rehabilitation Technology Industry. We provide customized, adaptive seating systems to those in need across the country. We are a progressive, growth-oriented corporation with over 80 locations nationwide. We offer competitive compensation and a benefits package that includes medical, dental, paid time off and more.

Qualifications:
This position is full time and requires someone who is dedicated and punctual. The ability to multi-task and creatively problem solve are essential. The ideal candidate is a quick learner who can retain knowledge and training. The candidate should also demonstrate initiative and strong organizational skills. This position involves timely follow-up with paperwork, scheduling and client phone calls. The nature of our industry calls for employees who can balance compassion and kindness with purpose and professionalism.

Responsibilities/Tasks:
• Answering incoming calls from clients regarding repairs, scheduling, order status, and new equipment requests. Many of these calls will require action beyond taking a message. This position requires the ability to decipher information and schedules for accurate follow through to the next step.
• Placing calls regarding scheduling of repairs, scheduling of appointments, and obtaining missing information.
• Reviewing reports for order status and taking action when necessary.
• Receiving products and ensuring the accuracy of those goods. Following up with manufactures on a daily basis regarding products received.
• Assisting with cleaning equipment and keeping the warehouse organized.
• Maintaining the office supplies and stock in an organized manner.

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Wheelchair Technician / Jackson MS

National Seating & Mobility, Inc. is a leader in the Durable Medical Equipment and Rehabilitation Technology Industry. We provide customized, adaptive seating systems to those in need across the country. We are a progressive, growth-oriented corporation in need of a full time Technician. We offer competitive compensation and a benefits package that includes medical, dental, paid time off and more.

Qualifications :
This position is full time and requires someone who is dedicated and punctual. Technicians coordinate with the Branch Manager and administrative staff to ensure timely order, receipt, assembly and delivery of seating and mobility positioning systems. The nature of our industry calls for employees who can balance compassion and kindness with purpose and professionalism. The ideal candidate is a quick learner who can retain knowledge and training. The candidate should also demonstrate initiative and the ability to work with their hands, work with customers, and handle administrative tasks.

Responsibilities/Tasks :
• Assembles seating and mobility equipment in a timely manner. Makes necessary equipment modifications to prepare goods for delivery to the patient. Responds to service calls and makes repairs as needed in the office and in the field.
• Delivers equipment as directed by the Branch Manager. Assists the Rehab Technology Specialist with fitting adjustment and equipment modification to ensure the best possible product for the patient.
• Responsible for all shipping and receiving duties related to daily operations. Ensures timely receipt through tracking of purchase orders and maintains communication with vendors on orders received with damaged or missing goods.
• Attends seating clinics with the Rehab Technology Specialist as necessary to assist with evaluations, modifications and deliveries.
• Provides inventory control for all special orders and stock items in the office. Maintains shop area in a neat and organized manner to insure proper care of equipment. Assists with quarterly physical count of inventory goods.
• Assists in the timely completion of work orders, which may involve but is not limited to, research of components, calculation and extension of equipment price and preparation of quotes for patients, referral sources and insurance companies.
• Maintains Automobile Log on company vehicles. Insures Branch Manager is informed of needed repairs and maintenance. Obtains estimates for said repairs and schedules needed work.

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