DME Billing Specialist - Onsite in Carlsbad

DaMar Staffing; Carlsbad (CA); On-site; USD 42,000 - 64,000; Full time

Job summary

Eastridge Workforce Solutions is seeking a Medical Billing Specialist to support a Revenue Cycle Management team in Carlsbad, CA. This role handles preparing and reviewing claims for DME/DMEPOS, orthotics, and prosthetics, including eligibility verification, authorizations, and claim submission.

The ideal candidate has recent medical billing experience, strong attention to detail, and the ability to work efficiently in a fast-paced healthcare environment.

Qualifications

• Previous medical billing or healthcare revenue cycle experience required.
• Experience with DME/DMEPOS, orthotics, prosthetics, or similar medical billing preferred.
• Experience with insurance eligibility, benefits verification, and authorizations.
• Familiarity with insurance carrier portals and claim submission processes.
• Knowledge of ICD-10, medical terminology, basic anatomy, and orthopedic diagnoses preferred.
• Understanding of medical claims, denials, and payer requirements.
• Strong computer and data-entry skills.
• Excellent attention to detail, organization, and follow-through.
• Ability to manage multiple priorities in a high-volume environment.
• Must be able to work fully onsite in Carlsbad, CA.

Responsibilities

• Prepare and review DME/DMEPOS claims for accuracy and completeness.
• Verify patient eligibility, insurance benefits, and payer information.
• Obtain authorizations and pre-authorizations as required.
• Review documentation and obtain missing information prior to claim submission.
• Utilize insurance carrier portals to research eligibility and claim information.
• Partner with Health Information Management (HIM) to support clean claim submissions.
• Submit and resubmit claims to insurance carriers as necessary.
• Identify basic denial reasons and escalates complex billing or payer issues.
• Respond to questions from patients, insurance companies, and internal teams.
• Follow established billing procedures and payer guidelines.
• Meet established claim-processing, accuracy, and productivity expectations.

Skills

Medical billing

Attention to detail

Organization

Multi-tasking

Communication

Job description

Eastridge Workforce Solutions is seeking a Medical Billing Specialist to support a Revenue Cycle Management team in Carlsbad, CA. This role handles preparing and reviewing claims for DME/DMEPOS, orthotics, and prosthetics, including eligibility verification, authorizations, and claim submission.

The ideal candidate has recent medical billing experience, strong attention to detail, and the ability to work efficiently in a fast-paced healthcare environment.