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DME Rehab/Complex Rehab Technology Biller
Career Insights for Medical Claims Processor / Representative
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Based on California data
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What they do
A Medical Claims Processor or Representative reviews and processes medical insurance claims and determines whether an insurance policy will cover a medical procedure. Gathers information from policy holders and organizes insurance files; may process checks with payments to policy holders when a medical claim is approved.
$47,705 / year median in California
-9% projected decline
Job Description
DME Rehab/Complex Rehab Technology Biller at California Home Medical DME Rehab/Complex Rehab Technology Biller at California Home Medical in Fresno, California Posted in about 20 hours ago.
Type:
full-time A & T Mobility Inc. is looking for an experienced DME Rehab/Complex Rehab Technology Biller to join our team! We are seeking someone who is knowledgeable, organized, detail-oriented, and experienced with DME Rehab/Complex Rehab Technology billing.
APPLICANTS WITHOUT THIS SPECIFIC EXPERIENCE WILL NOT BE REVIEWED.
Responsibilities include: Process orders for rehab mobility equipment efficiently and accurately. Verify insurance coverage and obtain necessary authorizations for medical services. Billing DME/Rehab claims. Reviewing EOBs, following up on upaid or denied claims, and resolving any payment discrepancies. Maintaining accurate notes and following claims through payment. Work with various insurance providers, including PPOs, Medi-Cal, and Medicare, to process claims and handle any billing issues. Provide exceptional customer service, addressing inquiries and resolving issues related to rehab equipment orders and billing. Communicating with therapists, physicians, ATPs, and insurance companies when additional documentation is needed.
Preferred Qualifications:
Must have experience in DME Rehab/Complex Rehab equipment order processing and billing. Knowledge of HCPCS codes, modifiers, medical necessity documentation, and authorization requirements. Ability to stay organized and manage a high-volume workload. Dependable, motivated, and able to work independently. In-depth knowledge of working with PPOs, Medi-Cal, and Medicare insurances. Strong communication and problem-solving abilities to effectively assist customers and resolve any issues. Knowledge of medical collection practices and experience in resolving payment disputes. Excellent communication skills, both written and verbal, to interact with healthcare providers, insurance companies, and patients.