High school or vocational school graduate or equivalent education and experience.
Previous experience in Home Medical Equipment (HME) or Durable Medical Equipment (DME) is strongly preferred.
At least 2 years of experience in medical insurance verification is strongly preferred.
Requirements:
Ensure accuracy and completeness of paperwork for billing equipment and supplies while maintaining compliance with insurance and regulatory requirements.
Process and review patient accounts, confirm delivery tickets, and manage held bills and payer audits for timely claims processing.
Collaborate with internal teams to educate staff on documentation requirements and address issues affecting claims.
Communicate with physicians regarding outstanding documentation.
Job description
Area of Interest: Patient Care
FTE/Hours per pay period: 1.0
Department: Centralized HME Ops
Shift: 7:00 AM - 5:00 PM/Days
Job ID: 160232
UnityPoint Health Information
Centeralized HME Operations - Urbandale, IA (Remote, but must sit near a UnityPoint at Home region)
Documentation + Review Specialist
Full Time - 1.0 FTE
7:00 AM - 5:00 PM (Flexible Hours)
Overview
Why UnityPoint Health?
Commitment to our Team – For the third consecutive year, we're proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare for our commitment to our team members.
Culture – At UnityPoint Health, you Come for a fulfilling career and experience a culture guided by uncompromising values and unwavering belief in doing what's right for the people we serve.
Benefits – Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in.
Diversity, Equity and Inclusion Commitment – We’re committed to ensuring you have a voice that is heard regardless of role, race, gender, religion, or sexual orientation.
Development – We believe equipping you with support and development opportunities is an essential part of delivering a remarkable employment experience.
Community Involvement – Be an essential part of our core purpose—to improve the health of the people and communities we serve.
Visit https://dayinthelife.unitypoint.org/ to hear more from our team members about why UnityPoint Health is a great place to work.
Responsibilities
Documentation Review & Compliance – Ensure accuracy and completeness of paperwork for billing equipment and supplies, identifying and resolving any qualification issues while maintaining compliance with insurance and regulatory requirements.
Billing & Account Management – Process and review patient accounts, confirm delivery tickets, and manage held bills and payer audits to facilitate timely and accurate claims processing.
Team Support & Communication – Collaborate with internal teams to educate staff on documentation requirements, address issues affecting claims, and communicate with physicians regarding outstanding documentation.
Qualifications
High school or vociational school graduate or an equivalent combination of education + experience.
Previous HME/DME experience strongly preferred
2+ years of medical insurance verifcation strongly preferred
