DME Medical Billing Specialist: Rejections & Reimbursements

Rose International; Florida; On-site; USD 42,000 - 60,000; Full time

Job summary

Rose International is seeking a detail-oriented Medical Billing Specialist in Lake Mary, FL, with hands-on DME billing experience. You will manage the full billing lifecycle from verification to submission, addressing rejections and ensuring timely reimbursement.

The role emphasizes accuracy, HIPAA compliance, and professional communication with patients and payers, working onsite Monday–Friday to support internal teams and patients.

Qualifications

• Hands-on medical billing and claims processing experience.
• Resolve front-end claim rejections and resubmit corrected claims.
• Experience with Durable Medical Equipment (DME) billing.
• Understanding of insurance verification, claim documentation, reimbursement, and payment follow-up.
• Strong attention to detail, organization, and data accuracy.
• Ability to communicate professionally with patients, payers, referral sources, and colleagues.
• Understanding of HIPAA and PHI requirements.
• Ability to work onsite in Lake Mary, FL, on the specified Monday-Friday schedule.

Responsibilities

• Process billing information in compliance with HIPAA, PHI requirements, and internal policies; elevate compliance concerns to the appropriate leader.
• Verify insurance coverage, communicate patient copay responsibilities, and follow up on outstanding patient payments.
• Enter and maintain accurate patient, customer, and referral information in the billing system.
• Contact referral sources, customers, and patients to obtain missing information needed to establish or complete service records.
• Review sales orders and confirm that required documentation, including signed prescriptions, proof of delivery, and acknowledgment forms, is on file before submitting claims.
• Submit accurate and timely electronic and paper claims to applicable payers.
• Identify, investigate, correct, and resubmit front-end and back-end rejected claims.
• Track missing documentation and outstanding sales orders, resolving billing questions through final payment status.
• Post payments to the correct accounts and reconcile billing discrepancies.
• Follow up on unpaid claims and outstanding balances, generate invoices as needed, and support timely collections.
• Maintain current knowledge of applicable payer requirements, billing guidelines, and reimbursement documentation.
• Respond to customer billing inquiries, document resolutions, and provide additional operational support as assigned.

Skills

Medical billing

DME billing

Claims processing

Insurance verification

HIPAA/PHI

Attention to detail

Professional communication

On-site – Lake Mary, FL

Education

High School Diploma or Equivalent

Job description

Rose International is seeking a detail-oriented Medical Billing Specialist in Lake Mary, FL, with hands-on DME billing experience. You will manage the full billing lifecycle from verification to submission, addressing rejections and ensuring timely reimbursement.

The role emphasizes accuracy, HIPAA compliance, and professional communication with patients and payers, working onsite Monday–Friday to support internal teams and patients.