127 dme medical billing specialist jobs found

Job Description Job Description About the Role: XRHealth is seeking an experienced and detail-oriented DME Medical Billing Specialist to join our team on-site at our Needham, MA office . In this role, you will manage all aspects of billing and reimbursement for our Durable Medical Equipment (DME) operations. You will be responsible for ensuring accurate and timely claim submissions, payment posting, and resolution of denials, while maintaining compliance with all payer and regulatory requirements. Hands-on experience with the NikoHealth system is highly preferred. ** This role is 100% in-office at our Needham, MA location. Applicants must currently reside within commuting distance. Relocation is not offered. Key Responsibilities: Prepare, review, and submit clean claims to insurance companies through NikoHealth and other billing systems. Verify patient insurance coverage and eligibility for DME services. Process payments, adjustments, and denials accurately...

About the Role XRHealth is seeking an experienced and detail-oriented DME Medical Billing Specialist to join our team on-site at our Needham, MA office . In this role, you will manage all aspects of billing and reimbursement for our Durable Medical Equipment (DME) operations. You will be responsible for ensuring accurate and timely claim submissions, payment posting, and resolution of denials, while maintaining compliance with all payer and regulatory requirements. Hands-on experience with the NikoHealth system is highly preferred. Key Responsibilities Prepare, review, and submit clean claims to insurance companies through NikoHealth and other billing systems. Verify patient insurance coverage and eligibility for DME services. Process payments, adjustments, and denials accurately and efficiently. Investigate and resolve claim rejections or underpayments in a timely manner. Maintain accurate billing records and ensure compliance with HIPAA and payer regulations....

Job Description Job Description Salary: DOE Medical Billing Specialist- DME(Contract-to-Hire) Plano, TX (Hybrid) We are seeking a detail-oriented and proactive Billing Analyst to join our team on a contract-to-hire basis. This role supports key billing and revenue cycle functions, with a strong focus on analyzing payment trends, identifying payer issues, and driving denial resolution. Ideal candidates bring a quality assurance mindset, strong analytical skills, and hands-on DME billing experienceespecially with oxygen-related products. Key Responsibilities Hybrid schedule: On-site 3 days per week in Plano, TX Analyze billing, claims, and payment data to identify trends, irregularities, and denial patterns Investigate root causes of denied/underpaid claims, including policy discrepancies and documentation gaps Recommend and implement corrective actions to prevent future denials and improve collections Collaborate with billing, coding, and reimbursement teams...

Job Description Job Description Description: HIRING REMOTE EXPERIENCED BILLERS IN THE FOLLOWING STATES: FL, GA, IN, KY, LA, MS, NC, SC, TN, TX, VA, & WV Ready for a change? Are you an Experienced Medical Biller LOOKING FOR GROWNING COMPANY WITH ROOM FOR ADVANCEMENT? APPY NOW! - Full Benefits after 30 Days!! PTO after 90 Days! and MORE!!!! NEW HIRE ORIENTATIONS START Oct 8th and Oct 22nd! The Medical AR Follow-up & Denial Specialist is primarily responsible for analyzing and resolving all insurance claim denials for DME Supplies. The individual in this position will generate effective written appeals to carriers using well-researched logic in order to recoup reimbursement on incorrectly denied claims. Appeal carrier denials through coding review, contract review, medical record review, and carrier interaction. Utilize a multitude of resources to ensure correct appeal processes are followed and completed in a timely manner. Demonstrate a high...

Join Northern Pharmacy, a trusted name in healthcare for over 80 years, as a Medical Equipment Customer Service and Billing Supervisor . In this role, you'll lead a dedicated team of customer service representatives and product specialists to provide essential medical equipment services to our valued community. With your expertise in DME billing, insurance, and customer service, you'll ensure that our customers receive excellent, compassionate support and accessible healthcare solutions. We're looking for an energetic and outgoing individual who can maintain a positive attitude and provide compassionate care to every client, even during high-volume periods. Patience, calmness, and organizational skills are key attributes we seek in potential candidates. We're excited to offer sign-on bonuses to successful candidates who join our team! About Us Northern Pharmacy has been serving our community for eight decades, committed to delivering personalized, high-quality healthcare...

Job Description Job Description Seeking a highly accurate and detail-oriented Certified Medical Coder (CPC) with experience coding DME, specifically within the Workers’ Compensation sector to work in-office at our Tampa headquarters. This role involves strong knowledge of state-specific Workers’ Compensation guidelines, experience working with payer-specific rules, and prior experience coding services tied to injury-related care. The coder will be responsible for assigning accurate HCPCS codes to ensure compliant billing and optimal reimbursement. Pay range starts at $50,000+ dependent on experience. Any offer made will be based on the candidate's experience and skill level. DUTIES AND RESPONSIBILITIES: Making sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations. Complying with medical coding guidelines and policies to apply appropriate state-specific Worker’s Compensation rules (including...

Join to apply for the BUSINESS OFFICE MEDICAL BILLER role at Slocum-Dickson Medical Group 1 year ago Be among the first 25 applicants Join to apply for the BUSINESS OFFICE MEDICAL BILLER role at Slocum-Dickson Medical Group Get AI-powered advice on this job and more exclusive features. Description Description JOB SUMMARY: Under the Supervision of the Business Office Manager is responsible for the timely submission of claims as well as accurate follow-up of claims submitted to the assigned insurance payers. Responsible for notifying Governmental payers of all overpayments per Federal guidelines. Will assist the provider office(s) with any requested benefit verifications. Will keep current of all assigned payer newsletters and bulletins. Duties & Responsibilities Responsible for ensuring the timely filing of insurance claims through the use of the claim edit work queue as well the follow-up 277 payer rejection work queue. Responsible for follow–up of insurance claims...

Description The Denial Coder will have frequent interactions with internal and external clients including but not limited to Physician and Non-physician Surgical Providers. Responsibilities include primary diagnosis and procedural coding for the designated major surgical specialty areas (Orthopedics) and other major procedural areas including capture of applicable Physician Quality Reporting System (PQRS) and reconciliation of all daily charges performed at each medical office where applicable. The Denial Coder focuses their work on the detailed physician surgical encounter abstraction as well as being an immediate liaison to documentation improvement and optimization of physician coding practices for compliance and revenue purposes for the providers in these areas. Daily abstraction coding is defined as identification of codes based solely on the source documentation for CPT and ICD-10-CM respectively. Responsibilities The Denial Coder is responsible for reviewing and analyzing...

Overview The Denial Coder will have frequent interactions with internal and external clients including but not limited to Physician and Non-physician Surgical Providers. Responsibilities include primary diagnosis and procedural coding for the designated major surgical specialty areas (Orthopedics) and other major procedural areas including capture of applicable Physician Quality Reporting System (PQRS) and reconciliation of all daily charges performed at each medical office where applicable. The Denial Coder focuses their work on the detailed physician surgical encounter abstraction as well as being an immediate liaison to documentation improvement and optimization of physician coding practices for compliance and revenue purposes for the providers in these areas. Daily abstraction coding is defined as identification of codes based solely on the source documentation for CPT and ICD-10-CM respectively. Responsibilities The Denial Coder is responsible for reviewing and analyzing...

Job Description Job Description We are looking for a experienced surgical billing specialist to join our team! Under the direction of the Billing Operation Manager the Medical Billing Specialist will play a key role in reviewing and analyzing surgical billing and coding. The role will be responsible for timely accurate review, charge capturing, compliant billing for both inpatient and outpatient services. Responsibilities: Review and accurately code office, hospital, DME and surgical procedures for reimbursement. Validate and determine appropriate coding levels by reviewing clinical documentation and operative reports. Reconciles encounters and charges tickets to ensure accurate charge capturing. Follow up on missing charge tickets and clinical documentation as appropriate. Ensures that documentation supports charges to prevent denials and underpayments. Timely reconciliation and billing of charges as assigned. Other billing duties as assigned by management....

Job Description Job Description Job Title: Medical Billing Specialist Location: Tampa, FL (Onsite) Company Overview Blackstone Medical Services is a leader in healthcare services, specializing in at-home sleep testing for sleep apnea. Our mission is to provide exceptional service to our clients while ensuring compliance and efficiency in all operations.  Position Summary The Medical Billing Specialist is responsible for managing the billing and reimbursement cycle for sleep testing services. This role ensures accurate claim submission, proper follow-up with insurance companies, and resolution of billing discrepancies to maximize revenue and maintain compliance with payer requirements. Key Responsibilities Prepare, review, and submit clean claims to insurance companies in a timely manner. Verify insurance eligibility and benefits for patients prior to services being rendered. Post payments, adjustments, and denials accurately into the billing system. Follow up...

Job Type Full-time Description Health Advocates is seeking an experienced hospital billing and collections Supervisor for our main office in Chatsworth, CA . Job Summary This position is responsible for the day-to-day operations of the Insurance and Liens Department, including third-party liability collections and general department support functions to ensure accounts are worked timely and appropriately. Job responsibilities: functions as a liaison between clients and Health Advocates, assists in the management of work flow and helps to maintain the organization and structure of the department, assists in the management of work flow, monitors staff inventory levels and performances, reviews accounts with staff and performs quality control audits, reviews and updates department procedures and training manual, prepares staff reviews and addresses other issues timely and performs disciplinary actions as needed, assists in the planning and execution of accounts...

DRG Coding Auditor Principal This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines of business, and its clients. Specializes in review of DRG coding via medical record and attending physician's statement provided by acute care hospitals on paid DRG, especially on very complex coding cases that are paid using APS-DRG, APR-DRG, AP-DRG, MS-DRG or TRICARE methodology. How you will make an impact: Analyzes and audits claims by integrating advanced or...

Specialty Scope For This Coder II Position Upper Extremity: Shoulders: Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair. Elbows: Cubital tunnel release, Bursectomy, Arthroplasty. Wrist: Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment). Hands: Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, Dupuytren's (Palmar fascial fibromatosis), Amputations. Lower Extremity: Hips: Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy. Pelvis: Fracture repairs. Femur: ORIF neck fractures, Trochanteric repairs, shaft fracture repairs. Knees: Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs, Arthroscopy. Tibia/Fibula: Plateau repairs, shaft Fracture repairs, Percutaneous...

Job Description Job Description *Please note this is an onsite postion based in Colorado Springs, CO.* Duties and Responsibilities: We have an outstanding billing and finance team, known for accuracy, productivity, and exceptional customer service to both patients and team members. The Accounts Receivable Specialist will maintain current coding and billing knowledge to troubleshoot denied claims. Process claim rejections held within the third-party clearinghouse. Post and process denials verified during AR work. Submit appeals and process third-party overpayments. Communicate with third-party and government payers to ensure timely follow-up for missing or incorrectly denied claims. Assist the team with eligibility and benefit verification for in-office surgeries, including calculating surgical estimates for patients. Submit authorization requests to various insurance carriers for in-office surgeries and patch allergy testing. Work closely with the...

Coding Specialist This is a PRN (pro re nata/as needed) position. Hours are not guaranteed and will vary based on the needs of the organization. Scheduling is at the discretion of management and may change. PRN employees are not eligible for benefits unless required by applicable law. Why you'll want to work at nimble! Interested in becoming a part of a dynamic Coding team? This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience working closely with Executive leadership. As an organization, we are in high-growth mode through acquisition with a laser focus on positive culture building! Who we are: Nimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our tech-enabled solutions allow surgical organizations to streamline their revenue cycle processes, reduce...

Coder II Position Specialty Scope for this position includes but is not limited to: Upper Extremity: Shoulders: Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair Elbows: Cubital tunnel release, Bursectomy, Arthroplasty Wrist: Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment) Hands: Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, Dupuytren's (Palmar fascial fibromatosis), Amputations Lower Extremity: Hips: Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy Pelvis: Fracture repairs Femur: ORIF neck fractures, Trochanteric repairs, shaft fracture repairs Knees: Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs, Arthroscopy Tibia/Fibula: Plateau...

locationsClinton, MS time typeFull time posted onPosted Today time left to applyEnd Date: August 17, 2025 (3 days left to apply) job requisition idR00044987 Hello, Thank you for your interest in career opportunities with the University of Mississippi Medical Center. Please review the following instructions prior to submitting your job application: Provide all of your employment history, education, and licenses/certifications/registrations. You will be unable to modify your application after you have submitted it. You must meet all of the job requirements at the time of submitting the application. You can only apply one time to a job requisition. Once you start the application process you cannot save your work. Please ensure you have all required attachment(s) available to complete your application before you begin the process. Applications must be submitted prior to the close of the recruitment. Once recruitment has...

Baylor Scott & White Health Job Posting Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Eligibility on day 1 for all benefits Dollar-for-dollar 401(k) match, up to 5% Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more Immediate access to time off...

Coder II Position Specialty Scope for this position includes but is not limited to: Upper Extremity: Shoulders: Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair Elbows: Cubital tunnel release, Bursectomy, Arthroplasty Wrist: Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment) Hands: Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, Dupuytren's (Palmar fascial fibromatosis), Amputations Lower Extremity: Hips: Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy Pelvis: Fracture repairs Femur: ORIF neck fractures, Trochanteric repairs, shaft fracture repairs Knees: Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs, Arthroscopy Tibia/Fibula: Plateau...

Job Description:At Blue Zones Health we are redefining what it means to live a vibrant and healthy lifestyle. Inspired by long-living cultures around the world, we strive to empower people to make simple and sustainable lifestyle changes that lead to longer, better and more fulfilling lives. If you are ready to help transform well-being and be a pivotal part of our team, we want to meet with you! Position Summary This position will own assigned client relationships, acts as a subject matter expert, and oversees the development and facilitation of the implementation of new and existing healthcare Risk Adjustment & Quality strategies at an advanced level. Guides and influences other departments and the lead on quality and risk adjustment initiatives. Local Provider support for short- and long-term strategy, program planning and implementation, patient campaigns, outreach tactics, facilitation educational programs, data collection efforts and develops and monitors key performance...

Coding Specialist This is a PRN (pro re nata/as needed) position. Hours are not guaranteed and will vary based on the needs of the organization. Scheduling is at the discretion of management and may change. PRN employees are not eligible for benefits unless required by applicable law. Why you'll want to work at nimble! Interested in becoming a part of a dynamic Coding team? This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience working closely with Executive leadership. As an organization, we are in high-growth mode through acquisition with a laser focus on positive culture building! Who we are: Nimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our tech-enabled solutions allow surgical organizations to streamline their revenue cycle processes, reduce...

Coding Specialist This is a PRN (pro re nata/as needed) position. Hours are not guaranteed and will vary based on the needs of the organization. Scheduling is at the discretion of management and may change. PRN employees are not eligible for benefits unless required by applicable law. Why you'll want to work at nimble! Interested in becoming a part of a dynamic Coding team? This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience working closely with Executive leadership. As an organization, we are in high-growth mode through acquisition with a laser focus on positive culture building! Who we are: Nimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our tech-enabled solutions allow surgical organizations to streamline their revenue cycle processes, reduce...