WorkNow
Verse logo

Medical Biller, Specialty DME

Verse
External
Company
remote
full-time
Salary not disclosed

Posted 1 month ago

You'll complete your application on Verse's career site.

About the Role

This organization develops advanced healthcare technology to deliver premium medical services within the home environment. By employing a robust digital platform, the firm functions as a clinical partner, helping providers manage orders and referrals more effectively. With a national presence across every state, the entity prioritizes a fluid patient journey while lowering the operational workload for nurses by replacing legacy systems such as phone and fax. You will serve as a Durable Medical Equipment Medical Biller within the Revenue Cycle Management department, handling claims related to home-care equipment. Your work is essential to the firm's objective of maintaining precise and efficient financial and logistical workflows for patient care. Located in Manila, Philippines, this position provides a dynamic setting where your work directly impacts the quality of healthcare delivery.

Requirements

  • Demonstrate strong verbal and written English communication abilities.
  • Maintain extreme precision and attention to detail while overseeing intricate claim, denial, and payment queues.
  • Show energy, organizational skills, and a coachable mindset, including the ability to learn systems rapidly and implement feedback.
  • Possess prior experience in United States-based revenue cycle management, medical billing, or claims processing.
  • Maintain familiarity with medical necessity documentation and prior authorizations for Durable Medical Equipment.
  • Show experience billing for items such as mobility devices, respiratory equipment, diabetes supplies, or Orthotics and Prosthetics.
  • Utilize tools including Google Workspace, Slack, Google Sheets, Metabase, clearinghouse software, DME MAC portals, and Availity or health plan provider portals.
  • Reside in Manila, Philippines.

Responsibilities

  • Oversee billing operations for Medicare, Medicaid, and private insurance providers.
  • Investigate and rectify denied claims, then resubmit them alongside required verification documents.
  • Record payments and denials with high precision.
  • Engage with insurance payers via telephone and online portals to track claim status and accelerate reimbursement.
  • Maintain updated accounts receivable logs to track new activity and overdue accounts.
  • Provide clients with updates regarding their current account balances.
  • Acquire expertise on documentation and prior authorization standards for new product lines to develop efficient billing workflows for the Revenue Cycle Management team.

Benefits & Perks

  • Work from home flexibility.
  • Fair hiring process with provided interview accommodations.
  • Equal opportunity environment focused on diversity and inclusion.

Note: This listing is summarized and paraphrased by WorkNow from a publicly posted role. For the original wording and full details, please refer to the employer's official posting.

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