DME Billing Specialist – Medicare & Payer Claims Expert

Gentell; Des Plaines (IL); On-site; USD 52,000 - 68,000; Full time

Job summary

Gentell is seeking a Billing Specialist- DME to process insurance claims to Medicare and other payors within filing deadlines. The role involves tracking claims to daily census, maximizing timely reimbursement, and interacting with nursing homes and rehab facilities.

Experience with Bright Tree software and payer portals is preferred. The ideal candidate will have 2-3 years of healthcare billing experience, knowledge of HCPCS/ICD-10 coding, and proficiency in Microsoft Office.

Qualifications

• 2-3 years of healthcare billing experience.
• Understanding of Medicare, Medicaid and commercial payer requirements.
• DME billing experience preferred with HCPCS and ICD-10 knowledge.
• Experience with Bright Tree software and payer portals.
• Proficiency in Microsoft Office (Word, Excel) and virtual communication.

Responsibilities

• Process monthly billing of electronic claims (primary and secondary) and/or invoices for patients and facility accurately and timely.
• Communicate updates required within the system to correct billing errors and rebilling claims.
• Research, resolve and resubmit any rejected claims or billing denials promptly.
• Navigate multiple online EMR systems and use Bright Tree software.
• Contact facility on the status of Medicaid pending residents.
• Develop knowledge of products to ensure proper HCPCS coding/billing.
• Complete insurance verification to validate patient eligibility and correct filing information.
• Maintain patient confidentiality per HIPAA and company policies.
• Meet daily, monthly, and quarterly billing metrics.
• Ability to multi-task in a fast-growing environment.
• Perform other related duties as assigned.

Skills

Communication skills

Microsoft Office

Bright Tree software

EMR systems

Payer portals

Education

High School Diploma or equivalent

Billing Certification

Tools

Bright Tree software

Job description

Gentell is seeking a Billing Specialist- DME to process insurance claims to Medicare and other payors within filing deadlines. The role involves tracking claims to daily census, maximizing timely reimbursement, and interacting with nursing homes and rehab facilities.

Experience with Bright Tree software and payer portals is preferred. The ideal candidate will have 2-3 years of healthcare billing experience, knowledge of HCPCS/ICD-10 coding, and proficiency in Microsoft Office.