Insurance Billing Specialist
Core
End-to-end insurance billing for durable medical equipment (DME) claims, ensuring families receive essential equipment without delays or surprise bills.
Role type
Senior Insurance Billing Specialist (DME)
Builds
Clean, compliant billing cycles for DME claims
Domain
Healthcare billing / Durable Medical Equipment
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
DME billing expertise, EOB analysis, medical coding (CPT, HCPCS, ICD-10), HIPAA/CMS/ERISA/ACA compliance, Brightree/NikoHealth proficiency, eligibility verification, denial management, appeals processing, aged-account resolution
Preferred skills
Epic/Kareo/AdvancedMD familiarity, AI tool adoption
Responsibilities
Verify eligibility and run benefit investigations; submit, track, and follow up on claims; resolve aged accounts; review and resolve EOBs (rebill, appeal, escalate, or close); draft and submit appeals; explain billing details to patients; partner with internal teams to improve workflows and compliance; utilize AI tools for billing efficiency
Seniority
Mid-Senior, hands-on IC