Remote DME Billing & Denial Specialist

Jandbmedical; Northern (KY); Hybrid; USD 55,000 - 75,000; Full time

Benefits offered by this job

Benefits after 30 days

PTO after 90 days

Bonus opportunities

Job summary

Jandbmedical is seeking an Experienced Medical Billing & Denial Specialist (DME) to analyze, appeal, and resolve insurance denials across Medicare, Medicaid, and commercial claims. This remote role leverages the Universal Software Solutions HDMS platform and requires strong regulatory knowledge.

Responsibilities include denial management, crafting well-researched appeals, validating CPT/DRG coding, and collaborating with coders and management to improve AR metrics while maintaining compliance.

Qualifications

• 3+ years of dedicated DME billing and insurance collections experience.
• Proficient in HDMS or similar DME enterprise billing software.
• Experience managing Medicare, Medicaid, and commercial claims.
• Strong Excel skills and EDI experience.
• BYOD setup required.

Responsibilities

• Analyze, appeal, and resolve insurance claim denials for DME.
• Navigate HDMS to monitor denial workflows and processing.
• Draft logical appeals based on contracts and medical records.
• Identify payer denial trends and report findings to management.
• Collaborate with coders and management to resolve disputes and improve AR metrics.

Skills

HDMS navigation

Payer denial management

Excel (advanced)

EDI transmissions

Insurance claims knowledge

Education

High school diploma or GED

Tools

HDMS

CMS provider portals

Job description

Jandbmedical is seeking an Experienced Medical Billing & Denial Specialist (DME) to analyze, appeal, and resolve insurance denials across Medicare, Medicaid, and commercial claims. This remote role leverages the Universal Software Solutions HDMS platform and requires strong regulatory knowledge.

Responsibilities include denial management, crafting well-researched appeals, validating CPT/DRG coding, and collaborating with coders and management to improve AR metrics while maintaining compliance.