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Senior Billing Leader

The Billing Clerk at Barber DME Supply Group is responsible for accurately processing, reviewing, and submitting medical claims to ensure timely reimbursement while maintaining compliance with insurance, Medicare, and HIPAA regulations. This role supports the financial health of the organization by verifying patient and insurance information, posting payments, resolving claim discrepancies, and communicating with patients, insurance carriers, and internal departments to address billing inquiries. The Billing Clerk plays a critical role in maintaining detailed records, meeting billing deadlines, and contributing to efficient revenue cycle operations through accuracy, confidentiality, and strong attention to detail.

Essential Duties

Contacts Patients/Caregivers regarding outstanding balances.
Establishes payment plans to help Patients manage payment of bills.
Sends delinquent accounts to collection agencies.
Processes insurance payments to Patient accounts in computerized system.
Creates and mails insurance claims and Patient statements.
Rebills insurance companies or other third parties to secure payment for Patients.
Verifies all entries made by cashiers and makes corrections if necessary.
Trains appropriate personnel on computerized billing system.
Responds to Patient billing and statement inquiries.
Makes recommendations to management for write-offs.

Key Responsibilities:

Claims Processing: Submit, track, and follow up on claims with Medicare, Medicaid, TRICARE, and commercial insurance payers.
Insurance Verification & Eligibility: Perform benefit validation and coverage checks prior to claim submission.
Payment Posting & Account Reconciliation: Process payments, contractual adjustments, and maintain accurate account balances.
Denial Management & Revenue Cycle Support: Identify, analyze, and resolve claim denials, rejections, and underpayments.
Regulatory Compliance: Ensure adherence to HIPAA regulations, CMS guidelines, and payer billing requirements.
Patient Account Maintenance: Maintain accurate billing records, documentation audits, and account notes.
Billing Support & Payer Communication: Provide timely assistance for patient and insurance billing inquiries.
HIPAA Compliance: Maintain patient confidentiality and follow privacy and security regulations.
Policy Adherence: Follow company procedures, safety guidelines, and infection control standards.
Team Support: Assist with opening/closing duties and support daily store operations.
Training & Development: Participate in ongoing training to remain current on products and compliance requirements.
Time Management: Prioritize tasks to ensure timely service and operational efficiency.

Qualifications

Required:
- High school diploma or equivalent.
- Minimum of 2 years of billing experience in the healthcare or DME industry.
- Familiarity with insurance coverage, billing processes, and medical documentation
- Proven expertise in denial follow-up and resolution, with a results-driven approach.
- Ability to pass a background check and drug screening.
- Strong communication and interpersonal skills.
- Ability to work effectively in a team-oriented environment.
- Strong analytical skills, attention to detail, and the ability to prioritize tasks.
- Excellent communication and problem-solving skills.
- Familiarity with ICD-10 coding, HCPCS, and Medicare guidelines.
Preferred:
- Previous experience in a DME, medical supply, or healthcare setting.
- Knowledge of DME products and their applications.
- Knowledge of HIPAA guidelines and ability to maintain patient confidentiality.
- Knowledge of claims processing is highly desirable.
- Proficiency in Microsoft Office Suite, particularly Excel.

Position Details

Competitive compensation structure based on experience.
Flexibility to work as either a W2 employee or a 1099 contractor.
Comprehensive benefits package available for W2 employees, including health, dental, and vision insurance.
Opportunities for professional growth and development.
A supportive and mission-driven work environment.

Join Our Team

If you are ready to join a dynamic team that is committed to excellence, please submit your resume and a cover letter detailing your relevant experience to hq@bdmesupply.com. Please indicate what location you are applying to.

Barber DME Supply Group is an equal opportunity employer and values diversity in the workplace.