Insurance Billing Specialist

DME Experience:

• 3+ years of direct experience in DME billing and insurance reimbursement, managing the full claim lifecycle from eligibility verification through appeals and collections
• Confidently review EOBs, identify payment discrepancies, denials, and adjustments, and take appropriate follow-up actions with minimal oversight
• Worked extensively in Brightree and NikoHealth or comparable billing platforms, and are comfortable navigating EMRs like Epic, Kareo, or AdvancedMD to document and track claim progress

Compliance Knowledge:

• Working understanding of CPT, HCPCS, ICD-10, and relevant DME billing regulations such as HIPAA, CMS, and ERISA, and apply them accurately in daily work
• Spot issues others miss, ensuring claims are submitted cleanly, documentation is complete, and no step in the process is overlooked—even at high volume
• Explain complex billing issues clearly and professionally, whether you're resolving a patient inquiry, collaborating with internal teams, or working with payers to resolve a denial

Role Fit:

• Thrives in providing mastery, precision, and process excellence
• Take pride in doing important behind-the-scenes work that has a direct impact on patient access and company success
• Open to using AI tools that improve workflow efficiency and accuracy and willing to adapt as the team adopts new technologies that enhance billing operations