DME Medical Biller

About the role

Founded in 1991, Advanced Medical Solutions is dedicated to providing compassionate care and dependable service to improve patients' quality of life. We partner with healthcare providers to deliver essential medical equipment and supplies that support independence and recovery at home.

Responsibilities

• Submit clean, accurate claims for DME products and services.
• Maintain and update prior authorizations and required documentation.
• Research and resolve billing discrepancies to ensure timely reimbursement.
• Communicate billing updates and payer requirements to internal departments.
• Review accounts receivable aging reports and prioritize collections activities.
• Process Certificates of Medical Necessity (CMNs) and other required documentation.
• Monitor claim status and aggressively follow up on unpaid, denied, or underpaid claims.
• Verify insurance benefits, eligibility, and payer requirements.
• Perform additional duties as assigned to support other billing and customer service functions.

Requirements

• High school diploma or equivalent required.
• One or more years of medical billing experience.
• Strong organizational skills with exceptional attention to detail.
• Excellent written and verbal communication skills.
• Ability to manage multiple priorities in a fast-paced environment.
• Proficiency with Microsoft Office and billing software.

Preferred Qualifications

• Previous experience in Durable Medical Equipment (DME) billing.
• Working knowledge of Medicare, Medicaid, and commercial insurance reimbursement.
• Experience with prior authorizations, claim appeals, and accounts receivable follow-up.
• Familiarity with CMNs, medical documentation requirements, and payer guidelines.
• Experience with HDMS, Brightree, or other DME billing software.
• Certified Professional Biller (CPB) or other billing certification preferred.

Skills for Success

• Enjoy solving problems, investigating claim issues, and ensuring every account is handled accurately from submission through payment.
• Strong attention to detail, time management, and communication skills.
• Self-motivated, thrive in a collaborative environment.
• Understand that their work directly supports both the financial health of the organization and the care our patients receive.