Medical Biller

Unicare Health • Thousand Oaks, CA

4d • $25 - $37 • Onsite

About The Position

We are seeking a highly experienced, detail-oriented, and professional individual to join our team as a Medical Biller. This role is critical to our financial health and operational success, ensuring that our life-sustaining respiratory and DME services are accurately coded, billed, and reimbursed. You will be the engine of our revenue cycle management, ensuring compliance and accuracy in every claim we submit to support our mission of patient care.

Requirements

• Minimum of five (5) years of medical billing and coding experience is required.
• Minimum of three (3) years of experience specifically within a Durable Medical Equipment (DME) environment.
• Report to the local office daily at scheduled start times to maintain consistent billing cycles.
• Fluency in English is required; bilingual Spanish skills are highly preferred.
• Advanced proficiency in billing software and the ability to learn new digital platforms quickly.

Nice To Haves

• Strong preference for candidates with direct experience in home respiratory equipment billing (Ventilators, Oxygen, CPAP/BIPAP).

Responsibilities

• Revenue Cycle Management
• Claims Processing: Accurately prepare, review, and submit electronic and paper claims to various insurance carriers, including Medicare, Medi-Cal, and private payers.
• Coding Accuracy: Utilize expert knowledge of ICD-10, HCPCS, and CPT coding specifically for DME and complex respiratory equipment.
• Denial Management: Proactively identify, appeal, and resolve claim denials or underpayments to ensure maximum reimbursement.
• Documentation Review: Audit delivery tickets and clinical documentation to ensure all regulatory requirements are met before billing.
• Digital Workflow: Utilize specialized DME billing software and Microsoft Office tools to manage patient accounts and track financial data.
• Compliance: Adhere to all HIPAA regulations, Payer guidelines, and company policies regarding patient privacy and financial integrity.
• Payer Liaison: Act as the primary point of contact for insurance companies to resolve complex billing issues or authorization requirements.
• Internal Support: Collaborate with the Intake and Delivery teams to resolve documentation discrepancies and streamline the "order-to-cash" process.
• Patient Advocacy: Professional problem-solving of patient concerns regarding billing statements or insurance coverage in a compassionate manner.

Benefits

• We offer a competitive package of employee benefits, including health, vision, and dental insurance, a retirement plan, and paid time off.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 1-10 employees