Remote Senior DME Billing Specialist for MO Medicaid

Scion Staffing, Inc.; Missouri; Hybrid; USD 32,000 - 36,000; Full time

Benefits offered by this job

Competitive pay

Remote work

Meaningful work

Growth opportunities

Collaborative environment

Job summary

Scion Staffing, Inc. is seeking a Senior DME Billing Specialist for a healthcare organization. This fully remote role supports Missouri/Arkansas candidates and may require occasional in-person attendance.

You will manage DME claims, resolve complex billing issues, and focus on MO HealthNet and Missouri Medicaid programs. Collaboration with multiple teams will ensure accurate reimbursements and optimized revenue cycle performance.

Qualifications

• Hands-on experience with Missouri Medicaid DME billing, MO HealthNet fee-for-service and managed care.
• Strong knowledge of DME billing, AR, claims resolution, appeals and revenue cycle processes.
• Familiarity with Missouri Medicaid programs (Home State Health, Show Me Healthy Kids, Healthy Blue, UnitedHealthcare Community Plan).
• Brightree proficiency is strongly preferred; experience with Blue Cross/Blue Shield, UnitedHealthcare, Aetna, Cigna is a plus.

Responsibilities

• Manage DME claims submission, corrections, rebilling, appeals and payer follow-up (MO HealthNet and Medicaid managed care).
• Review AR, investigate denials and underpayments, implement solutions to improve collections.
• Apply payer-specific billing requirements including HCPCS codes, modifiers, authorizations and timely filing guidelines.
• Verify patient eligibility, insurance enrollment, COB, and payer responsibility by reviewing EOBs and claim statuses.
• Collaborate with intake, authorization, documentation, and customer service teams to resolve barriers to reimbursement.
• Monitor payer policy changes and identify process improvement opportunities.

Skills

Medicaid DME billing

MO HealthNet knowledge

HCPCS coding

Denials & appeals

Revenue cycle

Payor follow-up

Remote collaboration

Tools

Brightree

Commercial insurance carriers

Job description

Scion Staffing, Inc. is seeking a Senior DME Billing Specialist for a healthcare organization. This fully remote role supports Missouri/Arkansas candidates and may require occasional in-person attendance.

You will manage DME claims, resolve complex billing issues, and focus on MO HealthNet and Missouri Medicaid programs. Collaboration with multiple teams will ensure accurate reimbursements and optimized revenue cycle performance.