Medical Assistant (DME)

Principle Health Systems•Webster, TX

8d•Onsite

About The Position

The DME Specialist is responsible for reviewing patient charts to identify individuals who may qualify for Durable Medical Equipment (DME) based on diagnosis and clinical documentation. This role verifies insurance benefits, documents eligibility within patient records, and ensures all required documentation is completed and submitted to billing. The ideal candidate is a Medical Assistant with clinical knowledge and familiarity with insurance processes who can independently review charts, identify eligibility for equipment, and maintain accurate documentation. This position requires strong attention to detail, organization, and the ability to work independently in a non-patient-facing administrative and clinical support role.

Requirements

2-3 years or more experience working as a Medical Assistant (patient chart review and obtaining prior authorizations).
High school diploma or equivalent.
Proficiency in Microsoft Office applications (Word, Excel, Outlook, etc.).
Excellent written and verbal communication skills.
Strong attention to detail with a proactive and problem-solving mindset.
Ability to work independently and manage multiple tasks effectively.

Responsibilities

Chart Review & Eligibility Identification
Review provider schedules to identify patients who may qualify for Durable Medical Equipment (DME).
Review patient charts and diagnoses to determine eligibility for braces or other DME products according to established guidelines.
Document eligibility findings within patient charts and annotate upcoming appointments when applicable.
Review charts and flag appointments requiring Urine Drug Screen (UDS) testing based on clinical protocols.
Insurance Verification & Documentation
Verify insurance benefits for patients who qualify for DME products.
Save eligibility reports and documentation within the patient chart.
Request preauthorization for equipment when required by the payer.
Ensure all required documentation, including Letters of Medical Necessity and related paperwork, is completed and routed appropriately.
Billing & Follow-Up Coordination
Create DME schedules identifying eligible patients for each provider and maintain records in the designated DME scheduling folder.
Ensure all required documentation is submitted to billing to support accurate claims processing
Assist with claims follow-up by coordinating with providers, medical assistants, and billing staff when additional documentation is needed.
Follow up to confirm that patients received ordered DME equipment or supplies when applicable.
Administrative & Compliance
Assist with logging DME inventory when new shipments are received and maintain accurate inventory records.
Update internal tracking spreadsheets for patients receiving DME equipment.
Scan and maintain DME documentation within patient records.
Maintain organized files and documentation in accordance with company policies.
Maintain patient confidentiality and comply with HIPAA regulations.
Follow established DME policies and procedures.

Benefits

Comprehensive medical, dental, and vision insurance
Company-paid basic life and long-term disability coverage
Voluntary benefits, including short-term disability, accident, and critical illness insurance
401(k) retirement plan to help you plan for the future
Generous Paid Time Off (15 days annually, accrued bi-weekly)
9 paid company holidays each year
On-demand access to earned wages—get paid when you need it
Confidential support services for you and your family
Mileage reimbursement and shift differentials are available for eligible roles
Exclusive employee discounts on fitness memberships, car services, and more!