Medical Billing Specialist

Medical Billing Specialist (Onsite in Memphis, TN)

Location: Memphis, TN | Schedule: Monday–Friday, Business Hours

Overview

A healthcare services company specializing in Durable Medical Equipment (DME) and Complex Rehab Technology (CRT) is seeking a Medical Biller to join its dedicated billing and reimbursement team. This full-time, onsite position is ideal for a detail-oriented and experienced professional who thrives in a fast-paced environment and has a strong grasp of medical billing practices specific to DME or CRT.

You’ll play a critical role in processing claims for customized rehabilitation equipment, navigating insurance requirements, and ensuring timely reimbursement—all while providing excellent service to patients and healthcare providers.

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.