Billing Clerk

Bechtel Medical Inc.; Phoenixville (Chester County); Hybrid; USD 28,000 - 34,000; Full time

Job summary

Bechtel Medical Inc. seeks a Billing Clerk to manage Medicare/Medicaid and commercial billing for DME in a hybrid role near Phoenixville, PA. Experience with NikoHealth and Availity is preferred.

The position requires 3+ years of DME billing, high attention to detail, and strong payer communication skills to keep claims moving smoothly.

Qualifications

• Medicare/Medicaid and healthcare billing experience required.
• 3+ years prior DME billing experience required.
• Strong claims processing, denials management, and reconciliation knowledge.
• High attention to detail and data entry accuracy.
• Must reside within commutable distance of 19460.
• High school diploma or equivalent.

Responsibilities

• Prepare, review, and submit claims to Medicare, Medicaid, and commercial payers.
• Monitor claims status, research denials, and resubmit when needed.
• Process payments, adjustments, and reconciliations in NikoHealth.
• Verify patient insurance eligibility and benefits prior to billing.
• Communicate with payers, patients, and internal teams to resolve issues.
• Maintain accurate billing records in HIPAA-compliant manner.
• Support month-end billing close and reporting.
• Stay current on Medicare/Medicaid and DME billing changes.

Skills

Medicare/Medicaid billing

DME billing

Denials management

Data entry accuracy

HIPAA compliance

Payer communication

Education

High school diploma or equivalent

Tools

NikoHealth

Availity

Job description

The Billing Clerk is responsible for processing and managing billing activity for Bechtel Medical DME, including claims submission, follow-up, and reconciliation for Medicare, Medicaid, and commercial payers. This is a hybrid role requiring prior durable medical equipment billing experience preferably with experience in wound care and lymphedema billing and hands‑on proficiency with NikoHealth. The ideal candidate brings a strong understanding of DME billing workflows and payer requirements, along with the accuracy and attention to detail needed keep claims moving efficiently.

KEY RESPONSIBILITIES

• Prepare, review, and submit claims to Medicare, Medicaid, and commercial payers in accordance with applicable billing guidelines.
• Monitor claims status, research denials and rejections, and resubmit or appeal as needed.
• Process payments, adjustments, and reconciliations in NikoHealth.
• Verify patient insurance eligibility and benefits prior to billing.
• Communicate with payers, patients, and internal teams to resolve billing discrepancies and outstanding balances.
• Maintain accurate and up‑to‑date billing records in compliance with HIPAA and company policy.
• Support month‑end billing close processes and reporting as needed.
• Stay current on Medicare/Medicaid and DME billing regulation changes affecting claims processing.

REQUIRED QUALIFICATIONS

• Prior experience with Medicare/Medicaid and healthcare billing required.
• 3+ years prior experience billing for durable medical equipment (DME) required.
• Strong understanding of insurance claims processes, denials management, and reconciliation.
• High attention to detail and accuracy in data entry and documentation.
• Must reside within a commutable distance of 19460 to support the hybrid work schedule.
• High school diploma or equivalent required.

PREFERRED QUALIFICATIONS

• Hands‑on experience with NikoHealth and Availity preferred.
• Experience using Availity or comparable payer portal/clearinghouse systems.
• Familiarity with commercial payer billing in addition to Medicare/Medicaid.

WORK ENVIRONMENT

• Hybrid work environment, but must reside within a commutable distance to Phoenixville, PA 19460.

COMPENSATION

• Hourly, non‑exempt.
• $20.00 - $25.00 per hour commensurate with experience.

EQUAL EMPLOYMENT OPPORTUNITY

Bechtel Medical DME is an Equal Opportunity Employer.