Medical Biller & Denial Specialist - Remote

Overview

The Medical AR Follow-up & Denial Specialist is responsible for analyzing and resolving insurance claim denials for DME Supplies, generating effective written appeals, and ensuring correct appeal processes are followed.

In Short

• Analyzing and resolving insurance claim denials.
• Generating appeals to carriers based on research.
• Reviewing denied claims to ensure appropriate coding.
• Investigating claims with no payer response.
• Identifying trends in denials to prevent errors.
• Collaborating with coders and billing managers.
• Staying updated with compliance and regulations.
• Supporting process and quality improvement initiatives.
• Achieving error-free work goals set by supervisors.
• Full-time position with potential evening/weekend work.

Requirements

• Three or more years of DME billing/coding experience.
• Experience in collections of insurance claims.
• Background in Medicare and/or Medicaid.
• Experience with Durable Medical Equipment (DME).
• Preferred experience with EDI transmission.
• High school diploma or GED.

Benefits

• Full benefits after 30 days.
• PTO after 90 days.
• Orientation for new hires starts on July 16th.