Spire Healthcare Management is seeking an experienced Medical Biller to join its billing team. This role is responsible for accurate and timely claims submission, follow-up, and resolution of billing issues, with a strong emphasis on customer service and attention to detail. DMEPOS billing experience is strongly preferred.
The position supports medical billing operations across insurance carriers including Medicare, Medicaid, and commercial payers, while also assisting with equipment orders, prior authorizations, patient communication, and month-end reconciliation.
Requirements & Qualifications
Responsibilities
- Prepare, review, and submit accurate medical claims to insurance carriers (Medicare, Medicaid, and commercial payers)
- Follow up on unpaid or denied claims, research discrepancies, and resubmit as needed
- Verify insurance eligibility and benefits prior to billing
- Post payments, adjustments, and denials accurately to patient accounts
- Prepare and submit prior authorizations for equipment and services
- Perform accurate data entry related to patient accounts, orders, and billing records
- Process equipment orders and drop shipments
- Confirm order tickets for accuracy and completeness
- Document and maintain accurate records
- Communicate professionally with patients, insurance representatives, physicians, other medical professionals, and internal teams to resolve billing inquiries, patient orders, and insurance issues
- Communicate with customers and families regarding equipment options, delivery schedules, and additional requirements
- Provide education and instructions on the proper use of equipment
- Maintain compliance with HIPAA and payer-specific billing regulations
- Identify and escalate billing trends, denial patterns, or process gaps
- Support month-end billing reconciliation and reporting as needed
Qualifications
- Minimum 3+ years of experience in medical billing and/or customer service within a healthcare setting preferred
- DMEPOS billing experience strongly preferred
- Working knowledge of CPT, HCPCS, and ICD-10 coding
- Familiarity with insurance verification, prior authorizations, and claims appeals
- Strong written and verbal communication skills
- Proficiency with billing software and Microsoft Office, especially Excel
- Working knowledge of Brightree, EPIC, Synapse, and Parachute a plus
- Ability to manage a high volume of claims with accuracy and attention to detail
- Associate degree or higher in Business, Healthcare Administration, or a related field preferred; equivalent experience considered in lieu of a degree
Benefits & Perks
Benefits
- Competitive compensation
- Benefits package including health, dental, and vision coverage
- Accrued PTO
- Supportive team environment with growth opportunities
- Stable, mission-driven healthcare organization
Location
Louisiana, US
Employment Type
Not specified
Experience Level
Associate
Remote work allowed
No
Posted
4 weeks ago
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