Medical Biller for DME - Virtual Assistant

This is a remote position.

Virtual Rockstar is seeking a full-time Medical Biller for our client’s dynamic and growing healthcare organization specializing in Durable Medical Equipment (DME). This is a fantastic opportunity to work from home while being part of a collaborative and innovative team that strives to provide top-quality service to patients.

As a Medical Biller, you will be responsible for processing medical billing and claims for DME, with a strong focus on Medicaid-related workflows, including eligibility verification, claims processing, and authorization. You will work closely with patients, healthcare providers, and insurance companies to ensure timely and accurate reimbursement.Responsibilities:

Review and process DME claims, with a focus on Medicaid claims submission and follow-ups

Ensure accurate and complete data entry in the Brightree and Noble systems

Verify insurance coverage and eligibility, with emphasis on Medicaid verification processes

Manage prior authorizations, particularly for Medicaid cases, including submission and follow-through to approval

Submit clean claims to insurance companies and follow up on outstanding issues

Communicate with insurance companies, patients, and providers to resolve billing discrepancies

Maintain accurate records of claims, payments, and adjustments

Stay up to date with insurance policies, billing codes, and regulatory requirements, especially Medicaid guidelines

Resolve denials and rejections promptly and efficiently, including Medicaid-related denials

Requirements

Experience in billing for durable medical equipment (DME), with a strong focus on Medicaid claims, eligibility verification, and authorization processes.

Proficiency in using Brightree and Noble billing software.

Strong understanding of insurance policies, coding (HCPCS, ICD-10, etc.), and DME billing procedures.

In-depth knowledge of Medicaid workflows, including claims submission, follow-ups, and reimbursement processes.

Excellent attention to detail and organizational skills.

Strong communication skills, both written and verbal.

Ability to work independently and efficiently in a remote work environment.

Knowledge of Medicare and private insurance reimbursement processes is a plus.

Benefits

Competitive salary commensurate with experience.

Opportunities for professional development and growth.

Work in a dynamic and supportive team environment.

Make a meaningful impact by helping to build and strengthen families in the Philippines.