Reliable Respiratory is a Durable Medical Equipment (DME) company serving patients who need respiratory, diabetes, urology, and maternity support. The company provides equipment such as CPAPs, BiPAPs, AutoPAPs, nebulizers, oxygen equipment, ventilators, CGM devices, insulin pumps, and breast pumps.

The Billing Representative is responsible for timely and accurate accounts receivable posting and for helping resolve billing, claims, and payment issues in a professional office environment.

Key responsibilities include:

Follow up on submitted claims, monitor unpaid claims, and resubmit claims with corrections and documentation as needed
Review claim forms for accuracy of procedures, diagnoses, demographic and insurance information, and other CMS-1500 fields
Submit appeals and redeterminations with appropriate clinical documentation to commercial, Medicare, and Medicaid payers
Review and correct claim denials and edits communicated through Brightree
Respond to patient and third-party inquiries and resolve complex claims issues
Recognize and resolve authorization issues with insurance payers and third-party authorization companies
Review correspondence and rejection data from insurance carriers, post rejections, and perform reconciliations
Transfer secondary balances when needed and provide documentation for claim processing
Receive and post payments, including cash and online payments
Reconcile deposits and posted invoices
Send payment reminders and contact customers regarding balances or insurance issues
Update accounting records with payments, balances, and customer information
Answer billing questions and handle customer complaints
Participate in accounts receivable projects, standing meetings, and special assignments