DME Billing & AR Specialist - Claims & Denials

Quipt Home Medical, Corp.; United States; On-site; USD 32,000 - 46,000; Full time

Benefits offered by this job

Medical Insurance

Dental & Vision Insurance

Short Term Disability & Long Term Dis.

Life Insurance

Generous PTO plan

Paid Holidays

401K

401K match

Competitive Pay

Job summary

Quipt Home Medical, Corp. is seeking a Call Center Agent to join our growing team. The role focuses on DME billing and accounts receivable processes, including claims initiation, denials handling, and follow-up to ensure timely reimbursement.

Ideal candidates have familiarity with medical terminology, compliance with Medicare guidelines, and strong communication. We offer a comprehensive benefits package and a supportive work environment.

Qualifications

• High School Diploma or equivalent.
• Medical coding and/or billing certification preferred but not required.
• Prior experience preferred but not required. Patient Aids is willing to train candidates that exhibit the desired qualities.
• Ability to pass a Federal background check.
• Must be able to work independently and within a team environment.
• Must possess excellent interpersonal, coordinating and organizational skills.
• Have the ability to manage multiple tasks simultaneously.
• Read, write, speak and understand the English language and possess good communication skills.
• Must possess the ability to make independent decisions when circumstances warrant such action.
• Ability to work extended hours and weekends as needed.

Responsibilities

• Read and understand medical terminology.
• Review clinical documentation to ensure compliance with Medicare guidelines.
• Verify payor source and insurance eligibility.
• Validate ICD-9/10 codes as appropriate for product dispensed.
• Ability to apply correct modifier and HCPCS to claims.
• Submit accurate claims utilizing Brightree billing software.
• Reconcile billing errors on a daily basis.
• Complete CMS 1500 claim forms as required.
• Manage account receivables to maintain payments within 90 days.
• Adhere to monthly closing timeline requirements.
• Maintain excellent communication with company management and co-workers.
• Attendance at all meetings, conference calls, etc. at the discretion of your manager.
• Must be computer literate and possess the ability to acquire working knowledge of all pertinent software related to DME.
• Maintain compliance with all federal, state and local government regulations and agencies.
• Other duties as assigned by manager.

Job description

Quipt Home Medical, Corp. is seeking a Call Center Agent to join our growing team. The role focuses on DME billing and accounts receivable processes, including claims initiation, denials handling, and follow-up to ensure timely reimbursement.

Ideal candidates have familiarity with medical terminology, compliance with Medicare guidelines, and strong communication. We offer a comprehensive benefits package and a supportive work environment.