Location: Walnut Creek.
Job Type: Part-time.
Work Hours: Wednesday, Thursday, and Friday 9:30 AM - 6:00 PM.
Kerae Medical is looking for a Billing Specialist 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 Payer and follow up with payment from private vendors.
Responsibilities:
- Submitting and tracking claims for DME services, ensuring proper coding using HCPCS and ICD-10 codes.
- Bill, and submit claims to the Non-Insurance Facility.
- Adhering to payer guidelines, regulations, and billing procedures.
- Requesting and tracking pre-authorizations for DME services.
- Reviewing and resolving claim denials, working with insurance companies, Individuals and Facilities.
- Communicating with patients about their insurance coverage and any outstanding balances.
- Posting charges, payments, and explanations of benefits (EOBs) to patient accounts and Private Facility Accounts.
- Maintaining detailed records of billing activities.
Required Skills & Qualifications:
- 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.