Remote DME Billing & Claims Specialist

ACU-Serve Corp.; Idaho; Remote; USD 42,000 - 64,000; Full time

Job summary

ACU-Serve Corp. is seeking a DME Billing and Claims Specialist to manage unpaid insurance claims for a client load. The role involves researching denials, initiating collection efforts, and reviewing payor requirements to reduce write-offs while improving revenue flow.

You will work remotely from the US, handle complex AR, and collaborate with payer and provider representatives to resolve issues efficiently, leveraging Atlas Software and HCPCS knowledge to ensure accurate claim processing.

Qualifications

• Experience with DME/Durable Medical Equipment claims.
• Experience addressing denied or partially paid claims.
• Familiarity with HCPCS codes and modifiers.
• Ability to review EOBs and remittance advice.

Responsibilities

• Review open AR to determine needed actions for collections.
• Independently resolve denials and non-responses efficiently.
• Research payer websites and manuals for guidance.
• Evaluate high-touch and Tier 2 claims, provide feedback to reduce touches.
• Identify patterns in price tables to coordinate resolutions.
• Identify payer delays and summarize issues for escalation.
• Collaborate with payer representatives to resolve issues and plan projects.

Skills

DME claims

Denials resolution

Payer communication

Attention to detail

Tools

Atlas Software

Job description

ACU-Serve Corp. is seeking a DME Billing and Claims Specialist to manage unpaid insurance claims for a client load. The role involves researching denials, initiating collection efforts, and reviewing payor requirements to reduce write-offs while improving revenue flow.

You will work remotely from the US, handle complex AR, and collaborate with payer and provider representatives to resolve issues efficiently, leveraging Atlas Software and HCPCS knowledge to ensure accurate claim processing.