Medical Billing Specialist - DME

The Medical Billing Specialist - DME is responsible for managing key aspects of the revenue cycle process within Quest Health Solutions. While a third-party billing company handles initial billing functions, this role focuses on escalations, oversight, and specialized tasks to ensure accurate billing, effective denial management, and smooth coordination across departments. The RCM Specialist plays a vital role in maximizing revenue, supporting compliance, and enhancing overall operational efficiency.

Responsibilities include accounts receivable support, billing issue research and resolution, denial report review, write-off approvals, and handling AR tasks related to denied or delayed claims. The role also manages resupply order escalations, reviews Medicare appeals prepared by the billing company, provides guidance on appeal content and strategy when needed, and supports patient outreach to resolve billing or order issues. In addition, this position identifies opportunities to improve revenue cycle processes for greater efficiency, accuracy, and compliance.