DME Benefits & Billing Specialist

W3Global; Virginia Beach (VA); On-site; USD 42,000 - 56,000; Full time

Job summary

W3Global is seeking a Benefits Specialist to manage the administration and processing of durable medical equipment orders. The role involves responding to benefit inquiries, handling referral documents, and communicating patient out-of-pocket costs.

You will collaborate with internal and external clients and must be highly personable. Office presence is required with standard hours, and a minimum of 36 hours per week.

Qualifications

• Minimum of 2 years of experience in DME/HME industry, with knowledge of intake documentation, billing, compliance, and medical terminology.
• Strong communication skills, both written and spoken, with patients and staff.
• Ability to identify and resolve problems promptly while analyzing information and data.
• Solid understanding of insurance guidelines and reimbursement practices.
• Familiarity with healthcare billing codes (CPT, ICD-10, HCPCS).

Responsibilities

• Process patient orders accurately and timely to improve satisfaction and reduce order cycle time.
• Respond to benefit inquiries and provide patients with out-of-pocket cost information.
• Educate patients about financial responsibilities related to DME.
• Review incoming medical documentation for ordering/billing accuracy.
• Schedule patients for upcoming appointments.
• Address questions on insurance policies and coverage determinations.
• Stay updated on healthcare regulations and compliance requirements.
• Communicate effectively with stakeholders inside and outside the organization.

Skills

Microsoft Office

Internal systems

Insurance portals

Attention to detail

Multitasking

Communication

Time management

Problem solving

Collaboration

Tools

Microsoft Office

Insurance portals

Internal computer systems

Job description

W3Global is seeking a Benefits Specialist to manage the administration and processing of durable medical equipment orders. The role involves responding to benefit inquiries, handling referral documents, and communicating patient out-of-pocket costs.

You will collaborate with internal and external clients and must be highly personable. Office presence is required with standard hours, and a minimum of 36 hours per week.