Billing Specialist

About the

Job 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