Medical Billing Specialist

Bartlett, TN    •    Direct Hire   •    June 5, 2025

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Medical Billing Specialist (Onsite in Memphis, TN)

Overview

Responsibilities

• Claims Processing:

• Prepare and submit claims to Medicare, Medicaid, and private insurers for DME and related services
• Apply accurate coding (CPT, HCPCS, ICD-10) in line with payer guidelines and pre-authorization requirements
• Ensure claim submissions meet all documentation and compliance standards

• Claims Follow-Up:

• Track and follow up on submitted claims to ensure timely payment
• Investigate and resolve denied or underpaid claims by coordinating with payers
• Manage account re-billing as needed and maintain proactive communication with insurers

• Insurance Verification & Authorizations:

• Verify patient coverage and benefits for DME/CRT services
• Obtain authorizations and ensure eligibility compliance prior to claim submission

• Documentation & Compliance:

• Maintain complete, accurate billing documentation including prescriptions, clinical notes, and medical necessity documentation
• Stay current with DME-specific billing regulations and payer updates

• Communication:

• Liaise with patients, providers, and internal teams regarding billing inquiries, account balances, and documentation needs
• Collaborate closely with clinical staff to ensure timely and accurate documentation to support claims

• Reporting & Record-Keeping:

• Keep detailed records of claim statuses, payments, denials, and adjustments
• Generate regular reports on billing activity, aging accounts, and outstanding claims

• Problem Resolution:

• Address and resolve billing discrepancies and disputes with professionalism
• Identify and mitigate recurring issues impacting claim delays or denials

Required Skills

• 3+ years of medical billing experience (DME or CRT preferred)
• Experience working with Medicare, Medicaid, and private payers/insurance companies
• Strong understanding of medical claims processes, insurance verification, and reimbursement practices
• High level of accuracy, organization, and attention to detail
• Proficiency in medical billing software and Microsoft Office Suite
• Ability to work independently and collaboratively in an onsite team setting

Preferred Qualifications

• Certification in medical billing or coding (e.g., CPC, CMB)
• Familiarity with CRT products or high-cost rehabilitation equipment

How to Apply

If you’re a dedicated medical billing professional looking to make a meaningful impact in a patient-focused healthcare environment, we’d love to hear from you. Submit your resume today for confidential consideration and take the next step in your medical billing career.

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