Reimbursement Advocate Team Lead (95896)

Inogen, Inc Richardson , TX 75080

Posted 5 days ago

ABOUT INOGEN Inogen was founded in 2001 to improve quality of life and increase freedom and independence for oxygen therapy users. Inogen is innovation in oxygen therapy. The Inogen mission is to improve freedom and independence for oxygen therapy patients through innovative products and services. Inogen is a manufacturer and Accredited Homecare Provider.

Inogen is focused on quality care, continuous improvement, and outstanding customer satisfaction. We are a stable, USA based company dedicated to providing an exciting and rewarding career to our employees. We completed a successful Initial Public Offering on the NASDAQ in 2014 and have demonstrated substantial growth over the last five years. Our work environment is casual yet high performing, and we are looking for seriously talented, motivated, and fast-paced professionals to join our team.

JOB DESCRIPTION

Reimbursement Advocate will work with Medicare, Medicaid, Commercial Insurance companies and customers to ensure medical claims are submitted timely, processed, and paid accurately. This includes working payor rejections and denials, obtaining qualifying documentation and authorizations, providing high level customer support, RUL's, updating patient file within all billing systems as required, and following all applicable compliance and regulatory processes, payor guidelines, and Inogen policies and procedures.

Key Competencies:

  • Collect payments for outstanding open accounts receivable balances.

  • Works with Medicare, Medicaid, Commercial Insurance, and Private Pay to ensure medical claims are being processed timely and paid accurately.

  • Must meet/exceed daily/weekly production & quality KPI standards.

  • Ensures all billing systems are updated timely with patient demographics, payer information, and notated appropriately.

  • Analyzes payer claim rejections & denials to help determine root cause and prevention of future rejections & denials from reoccurring.

  • Gathers, prepares, and submits required information and/or documentation to appeal claim denials.

  • Uses appropriate write off reason code(s) for writing off balances that are deemed uncollectable.

  • Responsible for assisting our patients, doctors, customers, and coworkers with billing inquiries at the highest-level support possible. This includes logging into phone queue and updating statuses appropriately.

  • Ensures the billing of all claims via electronic or paper to Medicare, Medicaid, and Commercial Insurance payers are being submitted accurately and timely in accordance with Inogen's policy.

  • Ensures RUL (Reasonable Usable Lifetime) patients exiting the monthly cap period are in a billable status.

  • Responsible for working NME's (New Medicare Eligibility), Payor Changes, Pending Pick-ups, and Stop patients timely. Verifies and evaluates insurance benefits to determine the policy's compatibility with Inogen's services.

  • Ensures the timely procurement of all required documentation and obtain authorizations in order to prevent future denials.

  • Ensures that appropriate medical records are maintained according to HIPPA guidelines.

  • Ensures Inogen's compliance with all state and federal regulations.

  • Maintain regular and punctual attendance.

  • Comply with all company policies and procedures.

  • Assist with any other duties as assigned.

  • Assists junior team members with general work-related issues and/or questions about departmental processes.

  • Assist with monitoring team production & quality is meeting/exceeding KPI.

  • Able to Identify process improvement opportunities and recommend potential solutions to improve departmental workflow.

  • Responsible for reporting & analysis of daily/weekly/monthly reporting of department.

  • Supports the B2B (Business to Business) rental program, to include billing, tracking units deployed & returned, and collecting past due payments.

  • Review/Approve junior team members write-off batches, to ensure appropriate write off reason code(s) are being used per Inogen's policy.

  • Assists junior team members with complex work-related issues and/or questions about departmental processes.

  • Assists with handling upset customers, resolving customer & executive complaints, and BBB requests timely.

  • Ensure daily/weekly work tasks are being distributed to team members timely.

  • Responsible for ensuring team daily production & quality is meeting/exceeding KPI. To include identifying team members not meeting production and quality standards and providing them with improvement recommendations.

  • Responsible for phone queue management. Ensuring team members are logging in & out of the phone queue, monitoring call flow, volume, AHT, ASA, Abandoned Calls, and monitors calls for quality & compliance.

  • RUL (Reasonable Usable Lifetime) - Lead distribution, mailing RUL letters, phone queue management, reviewing all documentation & patient paperwork, reducing Intake rejections rates & disputes.

  • Responsible for complex reporting & analysis of daily/weekly/monthly reporting of department metrics/KPI's.

  • Identifies process improvement opportunities, recommends potential solutions, and ability to implement management action plans to improve workflow.

  • Assist with the training of new hires and existing team members. To include updates to departmental work instructions and process changes as they occur.

  • Assist in implementing new payor contracts and any updates to existing contracts as needed.

  • Leading team meetings on behalf of their supervisor, providing direction to team members, and keeping department management updated on issues or concerns as they occur.

Do you possess these abilities?

  • A comprehensive understanding of Medicare, Medicaid, and/or Commercial Insurance program rules as it pertains to DME billing.

  • Ability to take direction and communicate effectively with customers and employees at all level of organization.

  • Ability to thrive in a fast-paced and dynamically changing organization.

  • Must have strong work ethic.

  • Excellent oral and written communication skills required.

  • Attention to detail is required.

  • Effective conflict resolution.

  • Ability to maintain confidentiality and exercise extreme discretion.

  • Solutions-oriented problem solver.

  • Excellent planning, communication and organizational skills.

Requirements:

  • Able to execute at a task + project level independently.

  • Minimal supervision required.

  • Able to mentor/train junior staff members/new hires.

  • Able to handle complex billing questions

  • High School diploma or equivalent, required.

  • Associate degree in Finance, Accounting or related field of study or medical billing certificate, preferred.

  • 3+ years of Medicare, Medicaid and/or Commercial Insurance experience, required.

  • 3+ years experience in oxygen or HME billing, preferred.

  • Advanced knowledge/proficiency in Microsoft Office, Oracle, Brightree, Salesforce and New Voice Media, required.

  • A combination of training, education and experience that is equivalent to the qualifications listed above and that provides the required knowledge, skills, and abilities.

WHY INOGEN Inogen is a dynamic company that is not only focused on quality care of patients, but is also committed to being a top employer. Each of Inogen' s offices have a casual culture that supports employees being responsible and developing professionals.

We offer competitive salaries and a robust benefit package:

  • Employee Stock Purchase Plan 401 (K) plan available for all employees Health, dental, vision insurance Flexible spending accounts and wellness discount program Life Insurance Long Term Disability Robust paid time off and 8 paid holidays Employee Assistance Program

See the Inogen Team in action:

https://www.youtube.com/watch?v=dKoTMeJf5J4

Inogen Where we go to work hard to positively impact people's lives

Inogen is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics. The EEO is the Law poster and its supplement are available here: http://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm; http://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf. The pay transparency policy is available here: http://www.dol.gov/ofccp/pdf/EO13665_PrescribedNondiscriminationPostingLanguage_JRFQA508c.pdf.

Inogen is committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation because of a disability for any part of the employment process, please send an e-mail to recruiting@inogen.net or call (972) 616-5668 and let us know the nature of your request and your contact information.


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Reimbursement Advocate Team Lead (95896)

Inogen, Inc