Job Description

Kerae Medical is looking for a DME Medical Billing Specialist to join our team. You will be responsible for billing and collecting for durable medical equipment (DME) services. Ensuring accurate coding, claim submission, and follow-up to maximize reimbursement for providers and suppliers. Also, you will be processing claims, verifying insurance coverage, managing pre-authorizations, and resolving denials.

Responsibilities:

• Submitting and tracking claims for DME services, ensuring proper coding using HCPCS and ICD-10 codes.
• Adhering to payer guidelines, regulations, and billing procedures.
• Requesting and tracking pre-authorizations for DME services.
• Reviewing and resolving claim denials, working with insurance companies.
• Communicating with patients about their insurance coverage and any outstanding balances.
• Posting charges, payments, and explanations of benefits (EOBs) to patient accounts.
• Maintaining detailed records of billing activities.
• General store duties, assisting customers if the sales associate is occupied or on a break.

Required Skills & Qualifications:

• Familiar with CMS regulations, payer guidelines, and coding standards.
• Understanding of HCPCS, ICD-10, and CPT codes.
• Ability to review claims, identify errors, and resolve denials.
• Ability to communicate effectively with patients, insurance companies, and providers.
• Ability to manage multiple tasks and meet deadlines.
• Experience with claims processing software and EHR systems.
• Customer Service.

Benefits:

• Health insurance.
• Dental insurance.
• Vision insurance.
• Paid time off.

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