Ready to join a growing healthcare organization where your expertise directly supports patient care?
Our client is an innovative provider of Home Respiratory and Home Medical Equipment (HME) services, helping patients with complex respiratory conditions live healthier, more comfortable lives. They are seeking an experienced Medical Biller to play a key role in managing the revenue cycle while supporting patients and ensuring accurate reimbursement for life-sustaining services.
This position provides a defined career path with advancement opportunities into a Billing Manager role.
What You'll Do
- Prepare, review, and submit electronic and paper claims to Medicare, Medi-Cal, private insurance carriers, and other payers.
- Accurately apply ICD-10, HCPCS, and CPT coding for home medical equipment and respiratory products.
- Investigate, appeal, and resolve denied or underpaid claims to maximize reimbursement.
- Verify insurance eligibility, obtain prior authorizations, confirm prescriptions, and ensure complete referral documentation before billing.
- Serve as the primary point of contact for insurance carriers regarding billing and authorization issues.
- Assist patients with billing questions and insurance-related concerns in a professional and compassionate manner.
Why This Role Matters
You will help support patient care by ensuring accurate reimbursement for essential home respiratory and medical equipment services.
- Minimum of 5 years of medical billing and coding experience.
- Minimum of 3 years of billing experience in a Home Medical Equipment (HME) environment preferred.
- Direct experience billing home respiratory equipment, including ventilators, oxygen, and CPAP/BiPAP, is highly preferred.
- Advanced knowledge of ICD-10, HCPCS, and CPT coding.
- Experience with insurance verification, eligibility, prior authorizations, and patient intake.
- Fluent in English; bilingual Spanish is highly preferred.
- Ability to work onsite daily in Newbury Park, CA.
- Competitive hourly pay of $25.00 to $35.00.
- Health, dental, and vision insurance.
- 401(k) retirement plan.
- Paid time off.
- Collaborative, team-oriented environment.
- Career advancement opportunity into a Billing Manager role.
Location
California, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
Yes
Posted
1 month ago