JQ Medical
DME Revenue Cycle Billing Specialist
Midvale, UT
·
Full time
JQ Medical Supply, a leading provider of durable medical equipment with a focus on diabetic equipment and supplies, is seeking a knowledgeable and detail-oriented DME Revenue Cycle Billing Specialist. This role is essential for managing the billing and reimbursement processes for Durable Medical Supplies (DME). The individual oversees that claims are processed accurately, timely, and in compliance with payer regulations, while working to maximize reimbursement and minimize denials. This role ensures accurate and timely billing, reduces claim denials, and supports the billing team to meet performance goals and compliance standards. The Team Lead acts as a subject matter expert and liaison between team members, management, and other departments.
About JQ Medical
Description
Responsibilities
- Prepare and submit clean claims for Durable Medical Equipment to various insurance carriers, including Medicare, Medicaid, and commercial payers.
- Maintain up-to-date knowledge of billing regulations, including Medicare and Medicaid guidelines, HIPAA compliance, and payer-specific policies.
- Conduct timely follow-up on unpaid or underpaid claims, re-submit denials, and resolve claim discrepancies.
- Investigate and appeal denied claims, working with payers to resolve issues and ensure accurate reimbursement.
- Maintain accurate and detailed records of all billing activities, payments, denials, and correspondence with payers
- Perform other duties related to RCM as assigned by the department supervisor.
- Support billing team members, providing training, coaching, and feedback.
- Monitor daily billing workflows to ensure timely submission of claims for all payers.
- Review and resolve complex billing issues or escalated claims, including denials and rejections.
- Collaborate with Intake, Prior Authorization, and Insurance Verification teams to ensure complete and accurate billing documentation.
Qualifications
- High school diploma or equivalent.
- Minimum of 1-3 years of experience in healthcare billing: Medicare DME billing preferred.
- Strong understanding of HCPCS codes, modifiers, LCD guidelines, and Medicare/Medicaid/commercial payer rules.
- Experience with billing software systems (Brightree experience preferred)
- Proficiency in medical billing software and electronic health records.
- Excellent organizational and multitasking skills.
- Effective communication skills, both written and verbal.
- Ability to work independently and as part of a team in a dynamic environment.
Benefits
- Competitive salary and comprehensive benefits package.
- Opportunities for professional development and career advancement.
- Supportive team environment.
Salary
$18 - $22 per hour