Job Description

Company: Kerae Medical.

Location: Walnut Creek.

Job Type: Full-time.

Work Hours: Monday through Friday 9:00AM - 5:30PM.

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 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 pre-authorizations 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.

Benefits:

• Health, Dental, and Vision insurance.
• 80 hours of PTO per year.
• 6 paid holidays

Job Tags

Similar Jobs