Senior Billing Leader

Essential Duties Contact patients/caregivers regarding outstanding balances. Establish payment plans to help patients manage payment of bills. Sends delinquent accounts to collection agencies. Process insurance payments to patient accounts in computerized system. Create and mail insurance claims and patient statements. Rebill insurance companies or other third parties to secure payment for patients. Verify all entries made by cashiers and correct if necessary. Train personnel on computerized billing system. Respond to patient billing and statement inquiries. Make recommendations to management for write‑offs. Key Responsibilities Claims Processing: submit, track, and follow up on claims with Medicare, Medicaid, TRICARE, and commercial insurance payers. Insurance Verification & Eligibility: perform benefit validation and coverage checks prior to claim submission. Payment Posting & Account Reconciliation: process payments, contractual adjustments, and maintain accurate account balances. Denial Management & Revenue Cycle Support: identify, analyze, and resolve claim denials, rejections, and underpayments. Regulatory Compliance: ensure adherence to HIPAA regulations, CMS guidelines, and payer billing requirements. Patient Account Maintenance: maintain accurate billing records, documentation audits, and account notes. Billing Support & Payer Communication: provide timely assistance for patient and insurance billing inquiries. HIPAA Compliance: maintain patient confidentiality and follow privacy and security regulations. Policy Adherence: follow company procedures, safety guidelines, and infection control standards. Team Support: assist with opening/closing duties and support daily store operations. Training & Development: participate in ongoing training to remain current on products and compliance requirements. Time Management: prioritize tasks to ensure timely service and operational efficiency. Qualifications Required: High school diploma or equivalent. Minimum of 2 years of billing experience in the healthcare or DME industry. Familiarity with insurance coverage, billing processes, and medical documentation. Proven expertise in denial follow‑up and resolution, with a results‑driven approach. Ability to pass a background check and drug screening. Strong communication and interpersonal skills. Ability to work effectively in a team‑oriented environment. Strong analytical skills, attention to detail, and the ability to prioritize tasks. Excellent communication and problem‑solving skills. Familiarity with ICD‑10 coding, HCPCS, and Medicare guidelines. Preferred: Previous experience in a DME, medical supply, or healthcare setting. Knowledge of DME products and their applications. Knowledge of HIPAA guidelines and ability to maintain patient confidentiality. Knowledge of claims processing is highly desirable. Proficiency in Microsoft Office Suite, particularly Excel. Position Details Competitive compensation structure based on experience. Flexibility to work as either a W2 employee or a 1099 contractor. Comprehensive benefits package available for W2 employees, including health, dental, and vision insurance. Opportunities for professional growth and development. A supportive and mission‑driven work environment. #J-18808-Ljbffr BARBER DME SUPPLY GROUP