Medical Biller & Denial Specialist

Job Summary

To support a growing company, the full-time Medical Biller & Denial Specialist will analyze and resolve insurance claim denials for DME supplies while working remotely from specified states, ensuring timely and effective appeals to recoup reimbursement.

Key responsibilities

• Review and correct denied claims, ensuring appropriate coding and billing before submitting appeals
• Investigate claims with no payer response and identify trends in denials to prevent future errors
• Collaborate with team members and management to address coding issues and educate on payer policy changes

Required qualifications

• Three or more years of DME billing/coding experience
• Experience in collections of insurance claims
• Background in Medicare and/or Medicaid
• Durable Medical Equipment (DME) experience
• High school diploma or GED diploma