DME Intake & Referral Specialist: Fast, Accurate Billing

Remote Jobs; United States; Remote; USD 36,000 - 48,000; Full time

Job summary

ACU-Serve seeks an Enteral Nutrition Intake Specialist to ensure excellence in intake, qualification, and ordering for DME/HME products and services. You will communicate with clients, patients, providers, and referral sources, providing first-line support for intake and processing of various orders.

The role requires knowledge of Medicare/Medicaid and payer guidelines, data entry, prior authorizations, and maintaining HIPAA confidentiality. Experience with Brightree is a plus.

Qualifications

• At least 1 year of DME intake experience including insurance verification.
• Knowledge of Medicare/Medicaid and commercial payer requirements.
• High school diploma or GED required.
• Experience with Brightree DME Billing platform is a plus.
• Strong MS Word and MS Excel skills.
• Attention to detail in a fast-paced environment.

Responsibilities

• Maintain understanding of billing, documentation, and reimbursement guidelines (Medicare, Medicaid, third-party, and contracted payers).
• Receive and process inquiries via phone, fax, email, vendor portals, and task systems.
• Contact patients to confirm referrals, verify demographics, and ensure eligibility.
• Enter patient data, create sales orders, obtain prior authorizations, and file documentation accurately.
• Process referrals promptly to enhance patient satisfaction and client revenue.
• Gather documentation per payer requirements and compliance programs.
• Communicate with patients when documentation does not meet payer guidelines and offer alternatives.
• Advise providers on equipment and supply prescriptions to meet order requirements.
• Maintain progress notes on intake processes and confidentiality per HIPAA.

Skills

Attention to detail

Effective communication

Problem solving

Initiative

Interpersonal skills

Active listening

Planning & organizing

Teamwork

Education

High school diploma or GED

Tools

Brightree DME Billing

MS Office (Word/Excel)

Job description

ACU-Serve seeks an Enteral Nutrition Intake Specialist to ensure excellence in intake, qualification, and ordering for DME/HME products and services. You will communicate with clients, patients, providers, and referral sources, providing first-line support for intake and processing of various orders.

The role requires knowledge of Medicare/Medicaid and payer guidelines, data entry, prior authorizations, and maintaining HIPAA confidentiality. Experience with Brightree is a plus.