Analysis Skills, Billing, Centers for Medicare and Medicaid Services (CMS), Credit and Collections, Durable Medical Equipment, Financial Analysis, Healthcare Common Procedure Coding System (HCPCS), ICD-10, Insurance, Medical Billing, Medical Equipment, Medical Terminology, Medicare, Microsoft Excel, Organizational Skills, Patient Care Authorizations, Preferred Provider Organization (PPO), Private Funding, Reimbursement, Team Player
Location: Van Nuys, CA on site
Job Type: Full-time
Why This Role Matters:
We are looking for an analytical, proactive, and collaborative DME Biller & Collector to join our team. In this role, you will not just push paperwork—you will be the financial lifeline of our operation. navigating insurance authorizations, you directly ensure our patients get the medical equipment they need while keeping our business thriving. If you love solving complex billing puzzles and want to work with a team that values your expertise, we want to meet you.
What You Will Do:
- Own the Claims Lifecycle: Perform charge postings and submit clean claims to commercial payers, Medicare, PPOs.
- Secure Authorizations: Proactively request and secure necessary medical equipment authorizations from insurance companies.
- Recover Revenue: Review monthly aging reports, investigate claim denials, and launch successful appeals to maximize reimbursement.
- Post & Reconcile: Accurately post payments, process incoming funds, and manage private pay balances.
- Build Relationships: Overcome payment hurdles by making professional, friendly collection calls to patients, payers, and managers.
What You Bring:
- DME Expertise: 2+ years of dedicated medical billing and collections experience specifically within the Durable Medical Equipment industry.
- Code Fluency: Deep comfort navigating HCFA forms, HCPCS, ICD-10 codes, and EOBs.
- Payer Knowledge: Strong familiarity with Medicare billing policies, and PPO procedures.
- Tech Savvy: Practical knowledge of Microsoft Excel (sorting, formatting, and using basic formulas) and general medical terminology.
- Adaptable Mindset: An organized approach to handling multiple active accounts simultaneously while working seamlessly with peers.
P
Priority Family Care Center