Prior Authorization & Billing Specialist - DME

Reliable Respiratory; Merrimack (NH); On-site; USD 42,000 - 54,000; Full time

Job summary

Reliable Respiratory is a dedicated DME provider serving patients with respiratory and related medical equipment. The Authorization Specialist reviews active rentals and future claims, ensures proper documentation, prior authorizations, and eligibility to support timely claim payments.

The role requires attention to detail, collaboration with clinical teams, and strong customer service while navigating payer guidelines and billing requirements.

Qualifications

• Associates degree or 2+ years of relevant (authorization, claims, billing) experience.

Responsibilities

• Provide exceptional service every time.
• Meet or exceed annual performance indicators as outlined by leadership.
• Complete assigned tasks and worklists promptly.
• Ensure insurance eligibility and prior authorizations are obtained.
• Bill rentals accurately and on schedule.
• Maintain accurate patient charts and updated insurance policies.
• Communicate with providers and patients to obtain necessary documentation.

Skills

Problem solving

Customer Service

Communication

Organization Skills

Microsoft Office

Education

Associate's degree or 2 years in related field

Tools

Microsoft Office Suite

Job description

Reliable Respiratory is a dedicated DME provider serving patients with respiratory and related medical equipment. The Authorization Specialist reviews active rentals and future claims, ensures proper documentation, prior authorizations, and eligibility to support timely claim payments.

The role requires attention to detail, collaboration with clinical teams, and strong customer service while navigating payer guidelines and billing requirements.