Medical Biller

CASM Limitlessli LLC; Metro Manila; Remote; PHP 3,466,000 - 4,726,000; Full time

Job summary

Limitlessli, a remote-focused recruiting partner for healthcare facilities, seeks an experienced Medical Biller specializing in DME to support a US-based client. The role is fully remote with US Eastern Time working hours, offering impactful billing process improvements from home.

Requirements include 2+ years in DME billing with Medicare/Medicaid/Tricare and commercial insurances, EMR experience, and HIPAA-compliant practices.

Qualifications

• Minimum of 2 years of DME billing experience with Medicare, Medicaid, Tricare, and commercial insurances.
• Proficient in CMNs (Certificate of Medical Necessity), pre-billing, and insurance verification.
• Experience in medical billing via electronic medical record (EMR) systems - working knowledge of Easy Claims and Claims MD would be advantageous.
• Excellent written and verbal communication skills and strong attention to detail.

Responsibilities

• Receive and process requests from SNFs for medical equipment and supplies.
• Review medical records to verify payer qualifications and eligibility.
• Create and send invoices to facilities and insurers and process orders.
• Ensure accurate coding of equipment and accessories.
• Submit claims with necessary authorization paperwork and follow up on status.

Skills

DME billing

Medicare/Medicaid/Tricare

Insurance verification

EMR systems

CPT codes

ICD-10

HIPAA compliance

Tools

Easy Claims

Claims MD

Job description

At Limitlessli, we specialize in recruiting, hiring, and managing high-caliber remote staff for dynamic and growing healthcare facilities. Leveraging our extensive global network, we connect clients with highly qualified professionals, offering tailored services to meet our clients' unique business needs.

The Opportunity:

Are you an experienced and detail-oriented Medical Biller specializing in Durable Medical Equipment (DME)? We have an exciting opportunity for you to join our team and support our US healthcare client based on the East Coast. In this position, you’ll work closely with Skilled Nursing Facilities (SNFs) to ensure timely and accurate submission of claims, with all the necessary paperwork in place. Enjoy the flexibility of working from home while making a significant impact on the efficiency of our client’s billing processes. If you're ready to leverage your expertise in a supportive and dynamic environment, we’d love to connect with you!

This position is remote and offers you the flexibility of working from home.

Your responsibilities will include:

• Receive and generate requests from SNFs for medical equipment and supplies

• Review medical records to verify payer qualifications

• Create and send invoices to facilities and insurance companies and process orders

• Ensure all equipment and accessories are accurately coded

• Submit claims with necessary authorization paperwork

• Verify patient eligibility for insurance coverage

• Follow up on physician's orders to complete billing

• Identify and bill secondary or tertiary insurance

• Manage assigned accounts and track equipment

• Ensure HIPAA compliance in all billing processes

• Diagnose universal medical codes for accurate medical records

• Prepare and submit claims via the e-billing system

• Provide required medical documentation to insurance companies

• Pre-certify medical visits and follow up on status

To succeed in this role you will need:

• Minimum of 2 years of DME billing experience with Medicare, Medicaid, Tricare, and commercial insurances

• Proficient in CMNs (Certificate of Medical Necessity), pre-billing, and insurance verification

• Experienced in medical billing via electronic medical record (EMR) systems - working knowledge of Easy Claims and Claims MD would be advantageous

• Excellent written and verbal communication skills

• Exceptional eye for detail and fantastic key-boarding skills

• Knowledge of medical equipment and supplies (e.g., feeding tubes, feeding pumps, trachea) preferred

• Strong understanding of PPO insurance and Medicare

• Proficient in EOBS and CPT codes

• Knowledgeable in ICD-10 coding guidelines and medical terminology

Service Fee:

Industry standards applicable to the state depending on work experience and level of expertise.

Hours:

US Eastern Standard Time (EST) - Monday to Friday,9am to 5pm

Why Limitlessli?

We embrace the flexibility and convenience of a remote working environment, and you will collaborate with an international team while contributing to our growing business, all from the comfort of your home.

Essential requirements:

You will need to have some essential tools – a reliable computer and noise-canceling headset, a second monitor for enhanced productivity, and a stable internet connection. You’ll also be required to have a backup internet connection, ensuring that you’re well-equipped to complete your work seamlessly.