Medical Biller, Specialty DME

• Bill Medicare, Medicaid, and other insurance carriers
• Research and correct rejected claims and post payments
• Resubmit claims with supporting documentation as needed
• Post payments or rejections received
• Call payers and use payer websites to status or reprocess claims and secure payment
• Update accounts receivable with new accounts or missed payments
• Keep clients informed about outstanding balances and debts
• Learn billing, documentation, and prior authorization requirements for new product categories
• Turn newly learned requirements into repeatable billing processes
• Work as part of the Revenue Cycle Management team to support at-home medical equipment claims and payment

• Great communication, written and verbal, in English
• Detail-oriented and accurate when working through a queue of claims, denials, or payments
• Energetic and organized
• Comfortable with learning new things quickly
• Coachable and curious; takes feedback well, asks good questions, and applies learning
• Some experience in US medical billing, claims, or revenue cycle is helpful
• Familiarity with prior authorizations and medical necessity documentation for DME is a bonus
• Experience billing diabetes equipment, respiratory equipment, mobility equipment, or Orthotics & Prosthetics is a bonus
• Proficiency or familiarity with Verse’s internal order and billing platform, clearinghouse tools, Availity, DME MAC portals, health plan provider portals, Metabase, Google Sheets, Slack, and Google Workspace
• Must be based in Manila, Philippines

• Remote work
• Equal opportunity employer
• Accessible interview accommodations