Medical Biller Collections
14 days ago
San Antonio
Job Description Position Summary We are seeking an experienced and meticulous Medical Equipment Biller to join our revenue cycle management team. The ideal candidate will have a proven track of success handling all aspects of medical billing and collections, specifically within the Durable Medical Equipment (DME) sector. This role is crucial to maintaining our financial health and ensuring accurate and timely reimbursement for equipment provided to our patients. Key Responsibilities * Manage the full cycle medical billing process, including charge entry, claim submission, payment posting, and follow-up for DME and medical equipment claims. * Verify patient eligibility, benefits, and insurance authorizations prior to equipment delivery. * Prepare and submit claims electronically (EDI) and/or hard copy to commercial payers, Medicare, Medicaid, and third-party insurers. * Expertly manage accounts receivable (A/R), resolving complex denials, rejections, and underpayments through effective appeals and payer correspondence. * Interpret Explanation of Benefits (EOBs) and accurately post payments, adjustments, and denials to patient accounts. * Communicate with patients regarding outstanding balances, insurance inquiries, and payment plans while maintaining confidentiality (HIPAA). * Maintain strict compliance with all payer guidelines, HIPAA regulations, and DME documentation requirements. Required Qualifications * Experience in medical billing, with significant experience specifically in Durable Medical Equipment (DME) billing. * Proven proficiency with ICD-10 coding, CPT codes, and HCPCS Level II codes, particularly those related to equipment and supplies. * Strong working knowledge of Medicare and Medicaid (CMS) billing rules, particularly for DME. * Expertise in A/R management and appeals processes. * Proficiency with medical billing software and Electronic Health Record (EHR) systems. * Excellent communication, organizational, and problem-solving skills. Company DescriptionDurable Medical EquipmentDurable Medical Equipment