Careers at HME

Join our team!

We are privileged to serve the patients who entrust their home medical equipment needs to us.

HME Home Medical has been helping home medical equipment patients in Wisconsin since 1986.  We strive to provide superior service with our sleep and respiratory equipment, mobility options, mastectomy and lymphedema fittings, wound care, home modification planning and other related services. 

If you are interested in having a POSTIIVE impact on the lives of our patients and their families, consider a career at HME Home Medical!

We are partners with Hospital Sisters Health System, where we are driven by our core values of RESPECT, CARE, COMPETENCE, and JOY.

Current Openings

 

Charge Master Specialist (Billing/Coding Analyst)  - Green Bay

Full Time - 40 hours/week

Reviews and maintains the charge master to assure efficiency in the billing and collection cycle. Provides education and communication regarding relevant coding and regulatory information to directors and revenue cycle colleagues. Performs maintenance of pricing. Reviews and studies all information from third party payers relative to claims filing, coding and the adjudication process.

  • Stays current on third party payer regulations and requirements, e.g., Medicare, state Medical Assistance, commercial insurance, etc.
  • Establishes new charges in accordance with affiliate charging protocol and compliant billing activities under corporate, state and federal reimbursement and regulatory methodologies.
  • Coordinates the communication of relevant compliance and regulatory information to the appropriate area.
  • Coordinates and approves all coding changes (including annual) prior to Charge Master entry/deletion.
  • Performs detailed periodic reviews of the Charge Master which includes identifying HCPCS codes which have been deleted, added or replaced; identifying description changes and ensuring charge reflects the procedure performed using PDAC.
  • Conducts other auditing requests by Director or appropriate staff.
  • Serves as the technical resource to areas of service with regard to optimization of charge capture, reimbursement, and regulatory changes related to billing and coding.
  • Assists Supply Specialist in product research to gather all necessary information to add an item to the database which can include manufacturer names, bar codes, ID numbers, vendor information, HCPC codes, pricing, cost and applicable insurance information.
  • Provides support for the Patient Accounts staff to maintain compliance and eliminate/reduce the manual edits that are necessary to produce a clean claim.
  • Participates in process improvement efforts to optimize charge capture and reimbursement.
  • Participates in formal and informal reviews and special projects for the Revenue Cycle Team with various directors, Revenue Cycle Team members and consultants.
  • Assists with training, related to charging, billing, coding and regulations.
  • Willingly accepts other duties as assigned.

Education: Bachelor’s Degree in Accounting Required. (Experience may be considered in lieu of degree)

Experience: 3 years of experience in Billing. Pricing or Medical Coding Preferred

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Intake Specialist  - Green Bay

Full Time - 40 hours/week

Coordinates the referral paperwork and processes of the assigned area of service. Prepares referrals, obtains authorizations and pre-certifications for patients. Assists patients in procuring the most appropriate care based upon their managed care plans. Places orders or dispenses product based on the information provided by customers or referral sources.

Job Duties

  • Maintains documentation accordingly and provides authorization codes and numbers to insurance.
  • Responsible for obtaining necessary referrals for patients in need of ancillary or specialty services.
  • Works directly with patients regarding the requirements and limitations of their health plan.
  • Maintains key contacts at managed care companies, documenting all interactions, helping to facilitate managed care process.
  • Faxes copies of medical records to insurance companies, managed care companies and physicians' offices as required ensuring that the patient's referral will be a covered service or product.
  • Assists in meeting goals related to days in accounts receivable by working as part of a team responsible for several front-line billing aspects which may include but is not limited to entry/verification of patient demographics, collection of medical noted/documentation at the time of service.
  • Assists in meeting goals related to quality and customer satisfaction by providing outstanding service when offering assistance, guidance, and direction to visitors and patients, in person and over the phone.
  • Helps keep other colleagues informed of requirements of different plans.
  • Monitors patient flow through reception and works with team to minimize waits and delays.
  • Willingly accepts other duties as assigned.

Education: High School Diploma or equivalent - Required

Experience:  Physician office, receptionist, insurance /billing experience preferred. Ability to work in a face paced environment

Send resume here