DME Medical Billing Specialist

Kerae Medical; Walnut Creek (CA); On-site; USD 60,000 - 75,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Paid time off

Job summary

Kerae Medical is seeking a DME Medical Billing Specialist to join our team. You will be responsible for billing and collecting for durable medical equipment services, ensuring accurate coding, claim submission, and follow-up to maximize reimbursement for providers and suppliers.

You will process claims, verify insurance coverage, manage pre-authorizations, resolve denials, communicate with patients about coverage and balances, post charges and payments, and maintain detailed records.

Qualifications

• Familiar with CMS regulations, payer guidelines, and coding standards.
• Proficient in HCPCS, ICD-10 and CPT coding.
• Able to review claims, identify errors, and resolve denials promptly.
• Excellent communication with patients, insurers, and providers.
• Strong multitasking and deadline management.
• Experience with claims processing software and EHR systems.
• Customer service oriented.

Responsibilities

• Submit and track claims for DME services with proper HCPCS/ICD-10 coding.
• Adhere to payer guidelines, regulations, and billing procedures.
• Request and track pre-authorizations for DME services.
• Review and resolve claim denials with insurance companies.
• Communicate with patients about insurance coverage and balances.
• Post charges, payments, and explanations of benefits (EOBs) to patient accounts.
• Maintain detailed records of billing activities.
• Assist customers when sales staff are unavailable.

Skills

CMS regulations

HCPCS ICD-10 CPT

Review claims & resolve denials

Communication with patients/insurers

multitasking & deadlines

Claims processing software & EHR

Customer service

Job description

Kerae Medical is looking for a DME Medical Billing Specialist to join our team. You will be responsible for billing and collecting for durable medical equipment (DME) services. Ensuring accurate coding, claim submission, and follow-up to maximize reimbursement for providers and suppliers. Also, you will be processing claims, verifying insurance coverage, managing pre-authorizations, and resolving denials.

Responsibilities:

• Submitting and tracking claims for DME services, ensuring proper coding using HCPCS and ICD-10 codes.
• Adhering to payer guidelines, regulations, and billing procedures.
• Requesting and tracking pre-authorizations for DME services.
• Reviewing and resolving claim denials, working with insurance companies.
• Communicating with patients about their insurance coverage and any outstanding balances.
• Posting charges, payments, and explanations of benefits (EOBs) to patient accounts.
• Maintaining detailed records of billing activities.
• General store duties, assisting customers if the sales associate is occupied or on a break.

Required Skills & Qualifications:

• Familiar with CMS regulations, payer guidelines, and coding standards.
• Understanding of HCPCS, ICD-10, and CPT codes.
• Ability to review claims, identify errors, and resolve denials.
• Ability to communicate effectively with patients, insurance companies, and providers.
• Ability to manage multiple tasks and meet deadlines.
• Experience with claims processing software and EHR systems.
• Customer Service.

Benefits:

• Health insurance.
• Dental insurance.
• Vision insurance.
• Paid time off.