What are the responsibilities and job description for the Medical Billing Specialist- DME position at Private Label Staff?
Medical Billing Specialist- DME(Contract-to-Hire) – Plano, TX (Hybrid)
We are seeking a detail-oriented and proactive Billing Analyst to join our team on a contract-to-hire basis. This role supports key billing and revenue cycle functions, with a strong focus on analyzing payment trends, identifying payer issues, and driving denial resolution. Ideal candidates bring a quality assurance mindset, strong analytical skills, and hands-on DME billing experience—especially with oxygen-related products.
Key Responsibilities
· Hybrid schedule: On-site 3 days per week in Plano, TX
· Analyze billing, claims, and payment data to identify trends, irregularities, and denial patterns
· Investigate root causes of denied/underpaid claims, including policy discrepancies and documentation gaps
· Recommend and implement corrective actions to prevent future denials and improve collections
· Collaborate with billing, coding, and reimbursement teams to strengthen process accuracy and compliance
· Independently troubleshoot issues with minimal oversight—self-starter mindset required
· Create reports and dashboards using advanced Excel skills to support revenue recovery and operational insights
· Apply quality assurance principles to ensure accuracy, integrity, and compliance across billing workflows
Qualifications
· Medical billing experience required, with strong knowledge of DME billing
· Oxygen experience is required (oxygen equipment, supplies, or related services)
· Advanced Excel skills (pivot tables, VLOOKUP/XLOOKUP, formulas, data analysis)
· Prior experience as a Billing Analyst or similar revenue cycle role
· Strong analytical and investigative ability; comfortable working with large datasets
· Proven ability to research complex payer issues and follow through with recommendations
· Solid understanding of payer rules, medical claim workflows, and denial management
· Quality- and process-focused with exceptional attention to detail
· Strong communication skills for cross-team collaboration and issue escalation