Billing Specialist

Position Overview

The Billing Specialist will be responsible for all aspects of payer billing and reimbursement, including Medicare, Medicaid, commercial insurers, and self-pay patients. This role will develop and execute billing processes, ensure regulatory compliance, and optimize collections. The ideal candidate brings strong DMEPOS billing experience, strategic thinking, and hands-on management capability in a startup or growth-stage healthcare environment.

Key Responsibilities

• Manage all claims submission, follow-up, denial management, and patient billing processes for DMEPOS services.
• Ensure accuracy and compliance in coding (HCPCS), modifiers, and payer-specific rules across all channels (Medicare, private insurance, self-pay).
• Develop and refine scalable billing workflows and documentation requirements in partnership with customer service, clinical, and fulfillment teams.
• Monitor and resolve claims denials, rejections, and delays; manage appeals processes to maximize reimbursement.
• Manage payer enrollment, credentialing, and policy updates for DMEPOS billing.
• Track and report on key revenue cycle metrics, including DSO, collections, aging, and denial trends.
• Contribute to the evaluation and implementation of billing software, clearinghouses, and internal tracking tools to improve efficiency and transparency.
• Collaborate with leadership on pricing strategy, payer contracting, and reimbursement policy changes.
• Ensure HIPAA and CMS regulatory compliance in all billing activities.

What We’re Looking For

• Bachelor’s degree in healthcare administration, business, or related field required.
• 3+ years of medical billing and reimbursement experience required.
• Deep understanding of DMEPOS billing, Medicare guidelines, and commercial insurance workflows.
• Strong knowledge of HCPCS coding, payer rules, CMS documentation standards, and revenue cycle best practices.
• Experience working with billing software/ERP tools.
• Proven ability to develop processes, solve problems, and deliver operational results in a growing company.
• High attention to detail, organizational skills, and discretion with PHI.
• Desire to work in a dynamic, fast-paced environment.

Preferred Experience

• Experience working in a startup, digital health, or medical device company.
• Familiarity with payer contracting and reimbursement policy negotiation.
• Understanding of accreditation requirements for DMEPOS suppliers.

Pay: $25.32 - $30.50 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Health savings account
• Paid sick time
• Paid time off
• Vision insurance

Work Location: In person