Remote DME Billing & Denial Specialist

J&B Medical; United States; On-site; USD 52,000 - 78,000; Full time

Benefits offered by this job

Full Benefits after 30 Days

PTO after 90 Days

Job summary

J&B Medical is seeking an experienced Medical Billing & Denial Specialist (DME) to analyze, appeal, and resolve insurance denials across commercial, Medicare, and Medicaid plans. The role leverages HDMS for denial workflows and requires strong regulatory knowledge to maximize reimbursement.

The ideal candidate has 3+ years in DME billing, proficient Excel skills, and familiarity with EDI transmissions. Remote work is available for many states, with hybrid options in certain regions.

Qualifications

• 3+ years of dedicated DME billing, coding, and insurance collections experience.
• Advanced HDMS knowledge or experience with similar DME software.
• Proven background managing Medicare, Medicaid, and commercial claims.

Responsibilities

• Analyze, appeal, and resolve insurance claim denials for DME.
• Navigate HDMS to manage denial workflows and aging AR.
• Draft well-researched appeals based on contracts and medical records.
• Resolve bottlenecks across payers (Medicare/Medicaid/commercial).
• Collaborate with coders and management to resolve disputes.
• Improve processes via root-cause analysis and policy tracking.
• Support QA and escalation for complex billing issues.

Skills

Advanced Excel

EDI transmissions

Education

High school diploma or GED

Tools

HDMS

Job description

J&B Medical is seeking an experienced Medical Billing & Denial Specialist (DME) to analyze, appeal, and resolve insurance denials across commercial, Medicare, and Medicaid plans. The role leverages HDMS for denial workflows and requires strong regulatory knowledge to maximize reimbursement.

The ideal candidate has 3+ years in DME billing, proficient Excel skills, and familiarity with EDI transmissions. Remote work is available for many states, with hybrid options in certain regions.