What are the responsibilities and job description for the Insurance Billing Specialist - Durable Medical Equipment (DME) position at Upland Hills Health?
Position Title: Insurance Billing Specialist - Durable Medical Equipment (DME)
Location: Upland Hills Health - Platteville Durable Medical Equipment (DME)
Role & Department: Insurance Billing Specialist in the DME Department - Platteville
Hours & Shift: Full-time (1.0 FTE) 40 hour per week. Day Shift Position
Role Responsibilities:
- Assist in coordinating and maintaining the professional reimbursement program to ensure compliance with current payments, rules and legislative regulations that impact billing and collections, daily billing of claims, following up on Accounts Receivables, and running/working scheduled reports
- Receives and generates request from referral sources and patients to provide medical equipment and/or supplies to patients
- Obtains and reviews the documentation within the medical record to determine payer qualifications are met for equipment and referrals
- Processing and follow-up on claims
- Working denials from claims, Medicare, Medicaid, and private insurance billing
- Payment posting/refunds
- Inbound and outbound calls to insurance companies
- Handling patient inquires both on the phone and in-person
- Confirming sales orders delivered for current month
- Managing collection of accounts
- Submitting Prior Authorization requests
- Performs other duties as assigned
Qualifications:
- Qualified candidates should possess a working knowledge of medical billing experience (1 year minimum) preferred in the health care and/or DME industry but not required
- Candidates should be up to date on current insurance policies, practices, rules, and regulations that impact billing and collections, as well as regulatory changes.
- Experience with Brighttree billing system software is very beneficial
- Candidate will also be required to effectively operate software necessary for the scope of this job description.
- ICD-10 knowledge is beneficial
- Minimum of High School Diploma or equivalent related experience
Employee Benefits:
- Comprehensive benefits packages available for both part and full-time employees!
- Paid Time Off (PTO) benefits begin to accrue on day one!
- Retirement Plan with matching dollars available!
- Two wellness center facilities that employees are eligible to use free of charge & a minimal fee for spouses!
- Many Employer Sponsored Events held throughout the year to celebrate our employees!
Why Upland Hills Health: Upland Hills Health (UHH) consistently ranks as a very high performing health care institution in Southwestern Wisconsin. Located just 40 minutes from Madison, WI and as well from Dubuque, IA, the area is surrounded by wonderful communities and beautiful scenery. For over 100 years, Upland Hills Health has been dedicated to the promise of offering the highest standard of healthcare. Our community-minded staff emphasizes providing quality, comprehensive healthcare while offering a comfortable, neighborly welcome to everyone who walks through our doors. Here, neighbors care for neighbors!
Posting date: March 2, 2026
Salary : $40,223 - $52,570