DME Biller
Minnetonka, MN
Category: Healthcare
Reference ID: 10063897
Shortcut: http://addisongroup.gosnaphop.com/o48weu
Job Title: Medical Biller
Industry: Healthcare Revenue Cycle
Location: Minneapolis, MN
Compensation: $26 – $35 / hour
Benefits: This position is eligible for medical, dental, vision, and 401(k).
Work Schedule: Monday–Friday, 8:00 AM–4500 PM
Employment Type: Full-time, Contract-to-Hire
Job Description:
The Medical Biller is responsible for managing the billing cycle specific to Durable Medical Equipment (DME) claims — accurately submitting claims, monitoring their progress, resolving denials, and ensuring appropriate reimbursement from public and private payers. This role ensures compliance with Medicare, Medicaid, and commercial insurance regulations related to DME services and equipment.
Key Responsibilities:
- Claims Submission: Prepare and submit accurate DME claims to Medicare, Medicaid, and commercial insurance payers using billing software (e.g., Brightree).
- Insurance Verification & Authorization: Confirm patient insurance coverage, review eligibility, and verify necessary documentation and authorizations prior to claim submission.
- Denials & Rejections: Research rejected or denied claims, correct errors, and resubmit claims with required supporting documentation to secure payment.
- A/R Follow-Up: Monitor outstanding accounts receivable, perform regular follow-ups with payers, and reconcile unpaid or partially paid claims.
- Payment Posting: Accurately post insurance payments, contractual adjustments, patient payments, and explanations of benefits (EOBs).
- Payer Communication: Communicate with insurance carriers and payers to resolve billing issues, clarify policy requirements, and follow up on unpaid claims.
- Compliance: Ensure all billing practices adhere to Medicare DMEPOS (Durable Medical Equipment, Prosthetics, Orthotics, and Supplies) guidelines, HIPAA rules, and payer-specific regulations.
- Documentation: Maintain detailed, organized records of billing activities and interactions, and support audit requests as necessary.
- Reporting & Improvement: Identify trends in denials, payer policies, and compliance issues; report findings and recommend process improvements.
Qualifications:
- Medical Billing experience required
- Supervisory experience preferred
- DME Medical Billing experience preferred
Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.
IND 004-007
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