ACU-Serve Careers

Be a Part of our Team

It is an exciting time at ACU-Serve where we are growing and expanding our services. We would love to have you be a part of it. If you feel you would be a good fit for our team please apply below. ACU-Serve is one of the top 100 fastest growing companies in Northeastern OH and over 20 years, ACU-Serve has earned a reputation as the most trusted HME/DME and Home Infusion billing and collection service in the industry. The company’s offerings allow clients to streamline billing processes and comply with the ever-changing federal and insurance industry regulations, to collect more, faster. With our “Office in a box” strategy we have found a way to successfully hire and manage employees from anywhere regardless of location and train them to be a part of our fast-growing team.

Click on a Job Title below to see the details and then click the apply link to email your Resume and Cover Letter to careers@acuservecorp.com. Please attach your Resume and Cover Letter as a Microsoft Word Document or a PDF.

Complex Rehab Billing & Claims Resolution Specialist

POSITION SUMMARY

The Complex Rehab Billing & Claims Resolution Specialist position resolves issues with unpaid insurance claims for an assigned client load. It researches incoming denials from insurance companies, initiates the collection process through telephone contacts, letters, contracts, websites, etc. and research payor and government websites and/or medical resources to identify payor claim requirements required to resolve open accounts receivable and works to minimize write-offs by exhausting all resolution options. It also leverages technology and identifies and reports process inefficiencies and makes recommendations for continuous improvement and opportunities that will enhance revenue flow.

DUTIES & RESPONSIBILITIES

Maintains timely and accurate collections of accounts receivable balances.
Knowledge of Complex Rehabilitative Equipment including but not limited to coding, modifiers, narrative information, parts, repairs, and loaner equipment.
Ability to analyze and/or gain knowledge to interpret Commercial, Medicaid, Medicare, and Medicare Advantage Plan Local Coverage Determinations and Policy Guidelines.
Understand the methodology of expected calculation of payments for Complex Rehabilitative Equipment as per Medicare Guidelines or contracted payer rates.
Ability to effectively communicate with payers via written appeals and/or telephone reprocessing regarding inconstancies with short paid/erroneously denied claims.
Interfaces with appropriate personnel and managers or provider representatives to exchange information on collection accounts.
Performs other related duties as assigned by management

QUALIFICATIONS & EXPERIENCE

Three to Five years related experience or equivalent.
Basic competence in duties and tasks.
Excellent written and verbal communication skills.
Proficient in Excel 2-3 years’ experience or more.
Acute attention to detail. Critical thinking.
Good judgement with the ability to make timely and sound decisions.
Ability to work with all levels of management.
Strong organizational, problem-solving, and analytical skills; able to manage priorities and workflow.
Versatility, flexibility, and a willingness to work within constantly changing priorities with enthusiasm.

COMPETENCIES

Problem Solving – Identifies and resolves problems in a timely manner; Can work independently; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.
Oral Communication – Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Participates in meetings.
Teamwork – Balances team and individual responsibilities; Exhibits objectivity and openness to others’ views; Gives and welcomes feedback; Contributes to building a positive team spirit/
Quantity – Meets productivity standards; Completes work in timely manner; Strives to increase productivity; Works quickly and accurately.
Attendance – Is consistently working on time and productive.
Dependability – Follows instructions, responds to management direction, completes tasks on time or notifies appropriate person of alternative plan.

FULL-TIME/PART-TIME — Full-Time

THIS POSITION IS CURRENTLY ACCEPTING APPLICATIONS.

LOCATION — ACU-Serve Corporate Offices – Akron, OH; Remote (WFH) position

Medical Billing & Claims Resolution Specialist

DESCRIPTION

The Medical Billing & Claims Resolution Specialist position resolves issues with unpaid insurance claims for an assigned client load. It researches incoming denials from insurance companies, initiates the collection process through telephone contacts, letters, contracts, websites, etc. and research payor and government websites and/or medical resources to identify payor claim requirements required to resolve open accounts receivable and works to minimize write-offs by exhausting all resolution options. It also leverages technology and identifies and reports process inefficiencies and make recommendations for continuous improvement and opportunities that will enhance revenue flow.

POSITION REQUIREMENTS

Reviewing open AR for your designated client load to evaluate what is needed to collect the outstanding cash.
Work independently to identify and resolve reasons for denials, rejections and claims with no response in the most efficient manner possible.
Work via website, phone, fax, and any manner necessary to resolve the outstanding AR in the most efficient way possible.
Understand, locate, and review payer websites and manuals for guidance and resolution.
Evaluate high touch claims and Tier 2 claims and provide feedback to the team working the first touch on errors made or where feedback can be given to eliminate touches on the claim.
Ability to review and identify patterns of price table issues and escalate to resolve them according to contract or payer guidelines.
Ability to review and identify patterns with payers and non-payment or delayed payment. Be able to summarize and escalate in the correct manner.
Exercise good time management skills to balance the workload between multiple clients and payers and complete goals timely.
Work with payer representatives or provider representatives to identify and resolve outstanding issues. Evaluating volume to find the most efficient way to resolve the outstanding issues or start a project with the payer representatives.
Remain productive throughout the workday and communicate if more work is needed.
Communicate effectively when additional training is needed.

QUALIFICATIONS & EXPERIENCE

Demonstrate the ability to communicate, present and escalate issues to leadership at all levels of an organization, including executive level
Experience delivering client-focused solutions to customer needs
Strict adherence to company philosophy/mission statement/vision and goals
Excellent interpersonal skills and communication with all levels of management and employees
Critical thinker who can analyze situations and make decisions that support company goals and help to solve problems
Strong verbal skills with a mix between soft and hard skills
Strong motivational and listening skills
Strong written communication skills
Strong time management skills
Able to multitask, prioritize, and manage time efficiently
Able to analyze problems and strategize for better solutions
Able to effectively work denials received from Insurance Payers and review an Explanation of Benefit or Remittance Advice.
Able to utilize software efficiently by submitting claims, working payer rejections, and understanding the industry’s HCPCS and modifier combinations and diagnoses coding.

PHYSICAL EFFORT:

Work time will be spent sitting approximately 95% of the time, standing and walking approximately 5% of work time. PC Keyboarding will constitute approximately 80% of work time.

JOB STATUS — Non-Exempt

POSITION — Medical Billing & Claims Resolution Specialist

LOCATION — LOCATION — ACU-Serve Corporate Offices – Akron, OH; Remote (WFH) position

THIS POSITION IS CURRENTLY ACCEPTING APPLICATION

Infusion Intake Specialist

DESCRIPTION

ACU-Serve is one of the top 100 fastest growing companies in Northeastern OH and over 20 years, ACU-Serve has earned a reputation as the most trusted HME/DME and Home Infusion billing and collection service in the industry. The company’s offerings allow clients to streamline billing processes and comply with the ever-changing federal and insurance industry regulations, to collect more, faster. With our “Office in a box” strategy we have found a way to successfully hire and manage employees from anywhere regardless of location and train them to be a part of our fast-growing team.

The Infusion Intake Specialist must be knowledgeable of all Infusion provided by Home Medical and uphold its standard for excellence. Responsible for processing orders for various infusion products. Experience in durable medical field preferred but experience in infusion is a must. Responsible for competently and efficiently performing all tasks relative to the order intake process in a friendly, professional manner.

POSITION REQUIREMENTS

Minimum of 1 year of customer service experience.
Minimum of 2 years Intake experience with Pharmacy/Infusion preferred.
Ability to work multiple state insurance plans preferred.
CPR+ software experience preferred.
HS diploma/GED.
Strong computer skills including strong keyboarding skills.
Experience with MS Word and Excel required.
Proven ability to use formal business language to communicate effectively in written form including spelling and punctuation.
Excellent verbal communication skills and ability to communicate with tact and diplomacy and maintain a professional approach when confronted with difficult situations (e.g., the ability to not personalize negative customer comments and maintain a cordial manner).
Strong attention to detail.
Strong negotiation and problem-solving skills.
Ability to multi-task.
Results-oriented self-starter with a can-do attitude, a sense of urgency and ability to complete tasks in a timely manner.
Proven ability to review current processes and procedures and suggest process improvements or solutions.
Able to work with others with diverse personalities.
A good candidate will have Pharmacy Tech or Home Infusion Intake background.

FULL-TIME/PART-TIME — Full-Time

POSITION — Infusion Intake Specialist

TAGS – TAGS — DME, HME, Infusion, Medical Billing, Brightree, CPR+, Bonafide, TeamDME, Fastrack

LOCATION — ACU-Serve Corporate Offices – Akron, OH; Remote (WFH) position

DME Intake Specialist

DESCRIPTION

For over 20 years, ACU-Serve has earned a reputation as the most trusted HME/DME and Home Infusion billing and collection service in the industry. The company’s offerings allow clients to streamline billing processes and comply with the ever-changing federal and insurance industry regulations, to collect more, faster.

POSITION REQUIREMENTS

Minimum of 1 year of experience; understanding Durable Medical Equipment intake processes including insurance verification & requirements, and Prior Authorization Requests.
Knowledge of requirements for Medicare, Medicaid, and Commercial payers as for what qualifies a patient for coverage of prescribed equipment.
HS diploma/GED.
Knowledge of documentation requirements for multiple HCPC
Knowledge of Brightree DME Billing platform preferred
Strong computer skills including MS Word, Excel, and strong keyboarding skills.
Proven ability to use formal business language to communicate effectively in written form including spelling and punctuation.
Strong attention to detail.
Task oriented while performing in a fast-paced environment.
Results-oriented self-starter with a can-do attitude, a sense of urgency and ability to complete tasks in a timely manner.
Proven ability to review current processes and procedures and suggest process improvements or solutions.
Able to work with others with diverse personalities.
Good problem-solving skills including managing crisis situations calmly and professionally
Ability to maintain confidential patient, financial and company information, following HIPAA guidelines.

FULL-TIME/PART-TIME — Full-Time

TAGS — DME, HME, Infusion, Medical Billing, Brightree, CPR+, Bonafide, TeamDME, Fastrack

POSITION — Medical Billing Collections & Resolution Specialist

LOCATION — ACU-Serve Corporate Offices – Akron, OH; Remote (WFH) position

THIS POSITION IS CURRENTLY ACCEPTING APPLICATIONS.

Infusion Billing & Claims Resolution Specialist

DESCRIPTION

This position resolves issues with unpaid insurance claims for an assigned HME/Enteral/Infusion client load. It researches incoming denials from insurance companies, initiates the collection process through telephone contacts, letters, contracts, websites, etc. and researches payor and government websites and/or medical resources to identify payor claim requirements required to resolve open accounts receivable and works to minimize write-offs by exhausting all resolution options. It also leverages technology and identifies and reports process inefficiencies and make recommendations for continuous improvement and opportunities that will enhance revenue flow.

POSITION REQUIREMENTS:

Minimum of 1 year of customer service experience.
Minimum of 1 year working with Infusion/IV billing required.
- Infusion therapies may be administered via intravenous, subcutaneous, intrathecal, intraosseous, epidural, or enteral routes that may include tube feedings through NG (Nasogastric), PEG (Percutaneous endoscopic gastrostomy), G-tube (Gastrostomy) or J-Tube (Jejunostomy).
- Medical equipment such as infusion pumps and IV supplies, dressing change kits, IV start kits, Enteral formula, and routes of administrations such as pump, gravity, or syringe.
Minimum of 2 years Billing experience with Pharmacy/Infusion preferred.
Minimum of 2 years billing Medicaid, Medicare and/or Commercial insurance required.
Ability to work multiple state insurance plans preferred.
HS diploma/GED.
Strong computer skills including strong keyboarding skills.
Experience with MS Word and Excel required.
Proven ability to use formal business language to communicate effectively in written form including spelling and punctuation.
Excellent verbal communication skills and ability to communicate with tact and diplomacy and maintain a professional approach when confronted with difficult situations (e.g., the ability to not personalize negative customer comments and maintain a cordial manner).
Strong attention to detail.
Strong negotiation and problem-solving skills.
Ability to multi-task.
Results-oriented self-starter with a can-do attitude, a sense of urgency and ability to complete tasks in a timely manner.
Proven ability to review current processes and procedures and suggest process improvements or solutions.
Able to work with others with diverse personalities.
A good candidate will have Pharmacy Tech background.

FULL-TIME/PART-TIME — Full-Time

TAGS — DME, HME, Infusion, Medical Billing, Brightree, CPR+, Bonafide, TeamDME, Fastrack

POSITION — Medical Billing Collections & Resolution Specialist

LOCATION — ACU-Serve Corporate Offices – Akron, OH; Remote (WFH) position

Quality Assurance/Audit Analyst

POSITION SUMMARY

The QA/Audit Analyst is responsible to perform quality reviews for both pre-pay and post-pay audits as well as Quality Assurance reviews of orders prior to delivery and/or confirmation according to established guidelines that assist management in monitoring the quality, consistency, and effectiveness of business processes, procedures and related SOP’s. Address ongoing questions, issues and escalations from both ACU-Serve employees as well as our clients and provide clear answers and easy access to training and other resources and educational material that can answer these issues. Help to develop and organize a database of information and resources to ensure ease of navigation and interpretation and maximum clarity for both ACU-Serve employees and our clients.

DUTIES & RESPONSIBILITIES

Perform quality reviews for both Pre-Pay and Post-Pay audits as well as the client’s orders prior to and/or confirmation, according to established guidelines, that assist management in monitoring the quality, consistency and effectiveness of business processes, procedures and related tools. Specifically:
- - Follow defined audit processes in conducting quality reviews;
  - Keep current on new coding and billing guidelines, federal and state initiatives;
  - Ensure the consistent use of current codes, correct information, documentation and departmental procedures by monitoring their use and identifying any deficiencies;
  - Prepare summaries for management of quality review results, including basic analysis of identified deficiencies;
  - Reduce quality related errors by making recommendations to increase the efficiency of operations.
Review medical records to determine compliance with payer medical necessity guidelines.
Draft appeals and prepare audit response letters to prepayment and post payment audits.
Assist with policy, procedure development and implementation as it relates to the claim review processes.
Review coding variances including supporting documentation, review of old and new procedure codes, consult and collaborate Director of Compliance as necessary.
Prepare supporting documentation as necessary.
Based on audits and claims reviews, prepare supporting documentation requests for configuration changes to ensure that configuration mirrors provider contract.
Keep current on new coding and billing guidelines, federal and state initiatives. Educate other departments on new/changes to regulations as necessary.
Coordinate recoupment efforts with Director of Compliance due to billing errors and over payments.
Respond to provider inquiries regarding recoupments in writing and/or verbally when necessary.
Perform departmental quality audits.
Produce and deliver monthly a summary report of changes to the Director of Compliance; include relevant source documents.

QUALIFICATIONS & EXPERIENCE

Must have knowledge of payor requirements for billing, auditing, and/or contracting with a strong background of Medicare LCD requirements; and
Excellent written and verbal communication skills; and
Must have knowledge of word, excel, and power point; and
Demonstrated ability to develop strong business partnerships and relationships with payors; and
Work closely with other internal customers.
Strong knowledge of anatomy, physiology, and medical terminology preferred
Knowledge of Complex Rehab requirements a plus.

PHYSICAL EFFORT:
Work time will be spent sitting approximately 90% of the time, standing and walking approximately 10% of work time. PC Keyboarding will constitute approximately 80% of work time. May require some travel.

FULL-TIME/PART-TIME — Full-Time

POSITION — Quality Assurance/Audit Analyst

THIS POSITION IS CURRENTLY ACCEPTING APPLICATIONS.

LOCATION — ACU-Serve Corporate Offices – Akron, OH; Remote (WFH) position