Senior DME Billing Specialist

Scion Staffing, Inc.; Missouri; Remote; 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 has been engaged to conduct a search for a Senior DME Billing Specialist for an established healthcare organization dedicated to providing essential medical equipment and supplies to patients and families.

This is a fully remote opportunity for candidates located in Missouri or Arkansas. Occasional in‑person attendance may be required.

Position Overview

The Senior DME Billing Specialist will play a critical role in managing durable medical equipment (DME) claims, resolving complex billing issues, and improving revenue cycle performance. This position will serve as a key resource for Missouri Medicaid billing, including MO HealthNet, managed care plans, and applicable waiver programs. The ideal candidate is a proactive, detail‑oriented professional who enjoys problem‑solving, collaborating with others, and contributing to the long‑term success of a growing team.

Perks

• Competitive Compensation: Earn $23–$26 per hour, depending on experience and qualifications.
• Remote Flexibility: Enjoy the convenience of working remotely while collaborating with a supportive healthcare team.
• Meaningful Work: Contribute to an organization that helps patients and families access essential medical equipment and supplies.
• Professional Growth: Expand your expertise in specialized medical billing, revenue cycle management, and payer processes.
• Collaborative Environment: Join a team that values initiative, knowledge sharing, professional development, and long‑term career growth.

Responsibilities

• Manage DME claims submission, corrections, rebilling, appeals, and payer follow‑up, with a primary focus on MO HealthNet and Missouri Medicaid managed care programs.
• Review outstanding accounts receivable, investigate denials and underpayments, and implement solutions to improve collections and reduce aging balances.
• Apply payer‑specific billing requirements, including HCPCS codes, modifiers, authorizations, medical necessity documentation, and timely filing guidelines.
• Verify patient eligibility, insurance enrollment, coordination of benefits, and appropriate payer responsibility while reviewing EOBs, remittance advice, and claim statuses.
• Collaborate with intake, authorization, documentation, and customer service teams to resolve payment barriers and ensure accurate, timely reimbursement.
• Serve as a knowledgeable resource for complex Missouri DME billing questions, monitor payer policy changes, maintain accurate billing records, and identify opportunities for process improvement.

Qualifications

• Required: Hands‑on experience with Missouri Medicaid DME billing, including MO HealthNet fee‑for‑service, managed care plans, and applicable waiver programs.
• Strong knowledge of DME billing, accounts receivable, claims resolution, appeals, HCPCS coding, payer requirements, and revenue cycle processes.
• Familiarity with Missouri Medicaid programs such as Home State Health, Show Me Healthy Kids, Healthy Blue, and UnitedHealthcare Community Plan is highly desirable.
• Brightree experience is strongly preferred , along with familiarity with commercial insurance carriers such as Blue Cross and Blue Shield, UnitedHealthcare, Aetna, and Cigna; experience billing enteral nutrition, feeding supplies, incontinence products, or urinary catheters is a plus.
• Excellent problem‑solving, organizational, and communication skills, with a proactive approach to managing priorities, collaborating with colleagues, and working independently in a remote environment.

Compensation and Benefits

• This position offers competitive compensation of $23–$26 per hour , depending on relevant experience and qualifications.
• Exceptional candidates with advanced Missouri Medicaid DME billing expertise, Brightree proficiency, and commercial insurance experience may be considered for additional compensation.
• The opportunity offers a remote work arrangement, meaningful contributions to patient care, and the potential for long‑term professional growth.
• Specific employer‑sponsored benefits will be discussed during the interview process.

Scion Staffing, Inc. is an equal opportunity employer and service provider and does not discriminate based on race, religion, gender, gender identity, national origin, citizenship status, sexual orientation, disability, political affiliation or belief, or any other protected class.

We are committed to the principles of Equal Opportunity Employment and are dedicated to making employment decisions based on merit and value, for ourselves, our client companies, and the candidates we represent.

For opportunities located in a region that have enacted fair chance, arrest or conviction‑based employment ordinances, Scion Staffing proactively follows the enacted guidance and considers for employment all qualified applications with arrest and conviction records.

We engage in socially conscious business practices and believe that diverse, equitable, inclusive, and non‑biased talent and recruitment processes are foundational to the success of Scion as well as every client organization with whom we partner.