DME Billing Manager

PremiereMed partners with orthopedic implant reps nationwide to provide implants, biologics, and DME products in their respective orthopedic markets. We strive to provide outstanding customer service, proven processes, and a seamless integration with their relationships to facilitate better outcomes for patients.

We are a dynamic and expanding company, offering an exciting opportunity to join our team. This role provides the chance to grow alongside us while contributing to the evolution of both the position and the company as a whole.

DME Billing Manager

• Supervise and mentor a team of Durable Medical Equipment billing specialists, assigning tasks and ensuring efficient workflow.
• Monitor individual performance and provide coaching to improve billing accuracy and efficiency.
• Conduct staff training on new billing regulations, coding updates, and DME billing system functionalities.

Billing Operations:

• Oversee the entire DME billing cycle, from patient registration to claim submission and follow-up.
• Review patient demographics and insurance verification to ensure accurate billing.
• Ensure proper coding of DME items using HCPCS codes, adhering to Medicare and commercial payer guidelines.
• Submit electronic claims through clearinghouse systems and monitor claim statuses.

·Claim Denial Management:

• Analyze claim denials and identify root causes to implement corrective actions.
• Research and appeal denied claims, working with insurance companies to resolve billing disputes.
• Implement strategies to minimize claim denials and improve billing accuracy.

Knowledge, Skills, and Abilities:

• The applicant should have an understanding of care management companies and their role in DME billing (e.g. One Call, Optum, etc.).
• The ideal candidate should have a working knowledge of nurse case managers and insurance adjusters in relation to DME orders and the billing cycle. (e.g. One Call, Optum, etc.).
• The applicant should have the ability to hold reps accountable to submitting necessary documentation for orders and deliveries.
• The candidate will be proficient in computer skills, including typing, spreadsheets, Adobe, and other relevant software.

Education:

• College Degree or Certification in Medical Billing and Coding

Qualities:

• Student/Teacher – Success in this role requires a strong willingness to learn and the ability to effectively teach others.
• Hardworking – We are committed to giving our best in everything we do, every day.
• Great Attitude – We approach each day with a positive and enthusiastic attitude.
• Emotional Intelligence - Emotional Intelligence – This role requires strong emotional intelligence to effectively navigate challenges and lead the billing team.
• Decisive – Possessing the ability to make quick, informed decisions based on experience and available information is essential for this role.

Job Type: Full-time

Pay: $75,000.00 - $100,000.00 per year

Benefits:

• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Ability to Commute:

• North Chesterfield, VA 23236 (Required)

Ability to Relocate:

• North Chesterfield, VA 23236: Relocate before starting work (Required)

Work Location: In person

Salary : $75,000 - $100,000