Job Description

DME Biller

Job Summary:

We are seeking a

DME Biller

with in-depth knowledge of medical billing, coding, and reimbursement processes specific to

Durable Medical Equipment (DME), Prosthetics, Orthotics, and Supplies (DMEPOS)

. The ideal candidate will ensure accurate claim submissions, follow up on unpaid claims, resolve denials, and maintain compliance with Medicare, Medicaid, and private insurance guidelines.

Key Responsibilities:

Verify patient eligibility and benefits for DME services. Prepare, review, and submit clean claims to Medicare, Medicaid, and commercial payers. Ensure proper coding (HCPCS, ICD-10) for DME items and services. Follow up on unpaid or denied claims, including appeals and resubmissions. Process electronic and paper claims efficiently. Review and reconcile EOBs (Explanation of Benefits) and remittance advice. Communicate with insurance companies, healthcare providers, and patients regarding billing issues. Maintain accurate documentation and billing records in compliance with HIPAA regulations. Assist with AR (Accounts Receivable) management and collections.

Qualifications & Skills:

3+ years of experience in DME/DMEPOS billing

(required). Strong knowledge of

Medicare DME billing

. Proficiency in

DME billing software

Familiarity with

HCPCS codes, ICD-10 coding, and modifiers

relevant to DME. Experience with

ERA (Electronic Remittance Advice) and EFT (Electronic Funds Transfer)

. Excellent understanding of

insurance verification, prior authorizations, and appeals

. Strong analytical and problem-solving skills. High attention to detail and accuracy. Ability to work independently and meet deadlines.
Job Types: Full-time, Permanent

Pay: ₹30,000.00 - ₹40,000.00 per month

Benefits:

Food provided Paid time off Provident Fund
Schedule:

Day shift Monday to Friday Night shift
Work Location: In person