DME Medical Biller Job at Kerae Medical, Walnut Creek, CA

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  • Kerae Medical
  • Walnut Creek, CA

Job Description

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


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.

Job Tags

Full time,

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