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Sr. DME Billing Integrity Analyst: Vendor Relations - Synapse Health

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Job Title
Sr. DME Billing Integrity Analyst: Vendor Relations
Job Location
Hybrid - Skokie, IL or Remote
Job Description

Synapse Health | Who We Are

With the collective efforts of our epic team members, we’re trailblazing a new path in the DME industry. Synapse Health was founded in 2016 with a goal to fix the fractured DME ecosystem and completely transform the industry. Built on decades of industry and leadership experience, we’ve launched tech-based solutions that eliminate age-old DME headaches, resulting in a seamless experience for all. We are proud to offer work that matters, on a mission that matters. 

Intrigued? Learn more at SynapseHealth.com and on Synapse Health’s LinkedIn.

What We Need

The Sr. DME Billing Integrity Analyst: Vendor Relations is responsible for conducting day-to-day business operations in the accounts payable department, with specific focus on DME vendor payment integrity. It includes generating vendor statements, reconciling vendor statements and answering vendor inquiries related to their statements.  

What You Will Do

  • Assist in the monthly statement audit review for new vendors and markets, with special focus on new rentals and first-time mail-order product deliveries and shipments.
  • Conduct monthly pre-billing reviews and data quality analysis to ensure that statements delivered to our vendors are accurate. 
  • Receive, track and process vendor adjustments to ensure month end statements are correct and paid timely.
  • Compares patient billed charges to vendor statement line items and performs contractual and payor reviews to identify, analyze and mitigate billing risks. 
  • Manage and complete special billing projects to ensure deadlines are met, audits are completed successfully and for non-supported systems, which requires manual updates and oversight. 
  • Creates and develops reports to address management needs; analyzes information to identify trends or issues and recommends process improvements as appropriate. Implement changes as approved.
  • Acts as a central point of contact on vendor billing related matters for various internal departments including but not limited to Accounting, Network, Fulfilment Operations, Vendor Services and Operations.
  • Partnering with vendor ops team (vendor recruitment and implementation team) to update/maintain system of record for vendor statement information (pricing, terms, etc.).
  • Manage complex billing and/or vendor finance projects that require broad conceptual judgment, initiative and the ability to deal with complex billing issues connected to payor rule changes, DME dispensing units, quantities and other related medical necessity related items.
  • Participates in on-going, cross-functional team meetings, training activities and continuing education to maintain relevant understanding and knowledge of business operations, related procedures and processes.
  • Assist with escalated billing issues to help resolve vendor dissatisfaction.
  • Maintaining vendor onboarding documents and updating vendor database related to billing and payment information.
  • Perform additional job duties as assigned.

What You Have

At Synapse Health we’ve intentionally built a culture of kindness, collaboration and creativity, and we consider those qualities to be table stakes for any new team member. In addition, this role requires: 

  • Bachelor’s degree in business, Accounting, Finance, or related field.
  • At least 5 years' in accounts payable role including 2 years' experience in the healthcare industry with Durable Medical Equipment (DME)  operations/billing experience.  Preference will be given to candidates with experience/knowledge of HCPCS from a supplier’s perspective. 
  • Demonstrate organizational skills.
  • Demonstrate effective verbal and written communication skills.
  • Demonstrate analytical skills when problem-solving.
  • Demonstrate high attention to detail and a high degree of accuracy.
  • Support process improvement. 
  • Proficient in MS Office applications and ability to learn department and job-specific software systems.
  • Preferably within the commutable distance to Skokie, IL (60076)

What Sets You Apart

  • Effective communicator across variety of audiences.
  • Builds strong vendor relationships and delivers vendor-centric solutions.
  • Natural collaborator who builds productive partnerships.
  • Familiarity with Sage Intacct.
  • Knows the most efficient ways to get things done with a focus on continuous improvement.

What Sets Us Apart

It’s no secret that most of us work to provide for ourselves and those we love, but just because we have to work, doesn’t mean we can’t enjoy it. In fact, at Synapse Health, we insist on it! We want our team members to thrive personally and professionally, which is why our benefits include: 

  • Professional growth opportunities with compelling career paths
  • Healthy work-life balance culture with paid time off (PTO)
  • Medical, dental and vision insurance for full-time team members
  • 401K savings plan with employer contribution match

Synapse Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

 

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Synapse Health Headquarters Location

Evanston, IL

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Synapse Health Company Size

Between 20 - 100 employees

Synapse Health Founded Year

2021

Synapse Health Total Amount Raised

$40,000,000

Synapse Health Funding Rounds

View funding details
  • Series Unknown

    $25,000,000 USD

  • Series Unknown

    $15,000,000 USD