Seeking a detail-oriented and motivated HME/DME Biller to join a dynamic team. This role is responsible for processing billing and claims for Home Medical Equipment (HME) and Durable Medical Equipment (DME) services, ensuring timely reimbursement, compliance with industry standards, and coordination with insurance providers. The position supports patient care by managing billing processes accurately and efficiently.
Requirements & Qualifications
Qualifications
- Proven experience in medical billing, preferably within HME/DME or related healthcare settings
- Strong knowledge of medical coding, including CPT, ICD-9, ICD-10, DRG classifications, and medical terminology
- Familiarity with EMR/EHR systems used for billing and record management
- Excellent understanding of insurance processes, claims submission procedures, and medical collections
- Ability to interpret medical records accurately and apply appropriate coding standards
- Prior experience working with medical office staff or healthcare providers is highly desirable
- Strong organizational skills and attention to detail
- Experience using Brightree HME/DME Billing software is preferred
Duties
- Prepare and submit accurate claims for HME/DME services using appropriate coding
- Review medical records, documentation, and patient information for completeness and accuracy
- Verify insurance coverage, benefits, and eligibility
- Follow up on unpaid or denied claims and communicate with insurance companies
- Maintain detailed billing records in EMR/EHR systems for audit purposes
- Stay current on regulations, coding updates, and payer policies
- Collaborate with medical office staff to resolve billing discrepancies
Benefits & Perks
Benefits
- 401(k)
- 401(k) matching
- Flexible spending account
- Health insurance
- Paid time off
Location
New York, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago
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