Medical Billing Specialist – DME / Insurance Claims

Job Overview
We are seeking a detail-oriented and proactive Medical Billing Specialist with expertise in Durable Medical Equipment (DME) and insurance claims processing. In this vital role, you will manage the end-to-end billing cycle, ensuring accurate submission of claims, prompt follow-up on unpaid accounts, and compliance with insurance regulations. Your energy and precision will help streamline revenue cycles, improve cash flow, and enhance patient satisfaction. If you thrive in a fast-paced environment and are passionate about healthcare administration, this is your opportunity to make a meaningful impact!

Duties

• Prepare and submit accurate insurance claims for DME products using appropriate coding standards such as CPT (Current Procedural Terminology), ICD-9, ICD-10, DRG (Diagnosis-Related Group), and ICD coding.
• Review medical records and documentation to verify the accuracy of billing information and ensure compliance with insurance policies.
• Follow up on unpaid or denied claims promptly, communicating effectively with insurance companies to resolve discrepancies.
• Manage medical collections by contacting patients and insurers to secure payments while maintaining professional rapport.
• Maintain detailed records within Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems to track claim status, payments, and patient information.
• Stay updated on changes in medical billing regulations, coding standards, and insurance policies to ensure ongoing compliance.
• Collaborate with healthcare providers to clarify documentation requirements and improve billing accuracy.

Skills

• Extensive knowledge of medical billing processes specific to DME products and insurance claims procedures.
• Proficiency in CPT coding, ICD-9/ICD-10 coding, DRG classification, and ICD coding systems.
• Strong understanding of medical terminology, medical records management, and healthcare documentation standards.
• Experience working with EMR/EHR systems for efficient claim processing and record keeping.
• Excellent communication skills for effective interactions with insurance companies, patients, and healthcare providers.
• Ability to analyze complex medical bills and resolve discrepancies quickly.
• Familiarity with medical collection practices and strategies for maximizing reimbursement. Join us in delivering exceptional healthcare administration services! Your dedication will support our mission to provide seamless billing experiences while ensuring compliance with industry standards. If you’re energized by detail-oriented work in a dynamic environment, we want to hear from you!

Pay: $17.75 - $30.52 per hour

Benefits:

• Flexible schedule
• Health insurance

Application Question(s):

• What experience do you have working with insurance claims (Medicare, Medicaid/Medi-Cal, or commercial payers)? Please describe your role.
• What experience do you have working with HCPCS codes or billing for medical equipment or supplies?

Experience:

• Medical billing: 2 years (Preferred)

Work Location: Hybrid remote in San Diego, CA 92108