Remote DME Billing & Claims Specialist — Denials & AR Expert

ACU-Serve; United States; Remote; USD 55,000 - 75,000; Full time

Job summary

ACU-Serve is seeking a DME Billing and Claims Specialist to resolve unpaid insurance claims for a designated client load. The role researches denials, initiates collection actions, and reviews payor guidelines to minimize write-offs.

Candidates should have DME/CRT experience, familiarity with HCPCS/modifier coding, and Atlas Software, with ability to navigate payer portals and Remittance Advice to ensure timely cash flow.

Qualifications

• Experience with DME/ Durable Medical Equipment claims and Complex Rehab (CRT).
• Experience working with insurance carriers to resolve denied or partially paid DME claims.
• Atlas Software experience preferred.
• Able to review EOB/RA and utilize software for submitting claims and tracking denials.
• Familiarity with HCPCS modifiers and diagnoses coding.

Responsibilities

• Review open AR for designated client load to determine steps to collect outstanding cash.
• Independently identify and resolve reasons for denials and non-responses efficiently.
• Review payer websites and manuals for guidance and resolution.
• Evaluate high-touch claims and provide feedback to reduce repeat touches.
• Identify patterns in price tables and payer guidelines and escalate as needed.
• Summarize payer patterns and coordinate with payer/provider representatives to resolve issues.

Skills

DME Claims

Denials resolution

HCPCS coding

Complex Rehab

Tools

Atlas Software

Job description

ACU-Serve is seeking a DME Billing and Claims Specialist to resolve unpaid insurance claims for a designated client load. The role researches denials, initiates collection actions, and reviews payor guidelines to minimize write-offs.

Candidates should have DME/CRT experience, familiarity with HCPCS/modifier coding, and Atlas Software, with ability to navigate payer portals and Remittance Advice to ensure timely cash flow.