Key Responsibilities· Submit and follow up on claims to Medicaid, Medicare, and commercial insurers for DME/HME services.· Verify insurance eligibility and benefits for new and existing patients.· Review, correct, and resubmit denied or rejected claims.· Accurately apply HCPCS codes and modifiers according to payer guidelines.· Maintain compliance with state and federal regulations (Medicaid, Medicare, HIPAA, etc.).· Communicate with patients, caregivers, and providers regarding billing inquiries.· Collaborate with intake and delivery teams to ensure documentation supports billing requirements.· Generate and review monthly aging reports, working to reduce outstanding balances.
