DME Billing Specialist

Job Summary

Resolving unpaid insurance claims for an assigned client load, the remote DME Billing Specialist will research denials, initiate collection processes, and leverage technology to enhance revenue flow.

Key responsibilities:

• Review open accounts receivable to evaluate collection needs for outstanding cash
• Identify and resolve reasons for claim denials and rejections efficiently
• Collaborate with payer representatives to address outstanding issues and improve resolution processes

Required qualifications:

• Experience with DME claims, particularly in Complex Rehab
• Proven track record of working with insurance carriers to resolve denied or partially paid claims
• Familiarity with Atlas Software is preferred
• Ability to effectively analyze and work with Explanation of Benefits and Remittance Advice
• Understanding of HCPCS, modifier combinations, and diagnoses coding in the industry