Onsite Medical Billing Specialist – DME & Rejections

Spectraforce Technologies, Inc.; Florida; On-site; USD 42,000 - 54,000; Full time

Job summary

Spectral force Technologies, Inc. is seeking a Medical Billing Specialist for a 100% onsite role in Lake Mary, FL. The position runs Monday through Friday, 8:00 am to 4:30 pm EST, with no remote or part-time options.

The role emphasizes HIPAA compliance, insurance verification, and timely submission of claims. Prior experience with DME is preferred, and the candidate will handle invoicing, follow-ups, and data entry to ensure accurate billing and reimbursement.

Qualifications

• Looking for someone with experience in working front end rejections.
• Someone that has previous DME experience.

Responsibilities

• Assures that all phases of processing client information are in compliance with HIPAA, PHI regulatory and related policies and practices.
• Reports any Compliance issues to the Director of Operations.
• Coordinates the insurance verification process and makes sure that the client understands their co-pay responsibility.
• Responsible to follow-up as necessary to facilitate the collection of co-pays.
• When applicable may gather credit card or other payment processing information from client and enters into system to process payment for account.
• Manages the entry of client information into computer system in a timely manner and contact of referral source, customer, and/or client to obtain missing information needed to set up client for service.
• Ensures that the data is accurate and complete.
• Confirms all sales orders in the system and ensures that all required information is on file before submitting claim for payment.
• Follows up on all missing sales orders and reconciles billing questions on a regular basis until payment status is complete.
• Responsible for the timely submission of claims to payers; Corrects and resubmits front-end and back-end rejected claims.
• Ensures that all cash is posted to the correct account in a timely manner.
• Responsible for the timely follow-up and collection of payments due to the organization via invoices and follow-ups.
• Uses available resources to maintain current regulatory guidelines and reimbursement information for billing and reimbursement.
• Performs other duties/projects as assigned by management including customer service support.

Skills

front end rejections

DME experience

Job description

Spectral force Technologies, Inc. is seeking a Medical Billing Specialist for a 100% onsite role in Lake Mary, FL. The position runs Monday through Friday, 8:00 am to 4:30 pm EST, with no remote or part-time options.

The role emphasizes HIPAA compliance, insurance verification, and timely submission of claims. Prior experience with DME is preferred, and the candidate will handle invoicing, follow-ups, and data entry to ensure accurate billing and reimbursement.