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Medical Billing Specialist - Remote
Nymbl Systems
Remote
Posted on Oct 27, 2025
About the jobNymbl Systems is an industry-leading Prosthetics and Orthotics Practice Management software suite. Our mission is to empower healthcare providers with intelligent software solutions. To be considered for this position, please take 5-7 minutes to complete this survey: https://go.cultureindex.com/p/0eJZyZ8jRjDogVzNUOlJob Summary:We are seeking a skilled and detail-oriented individual to join our team as an HME/DME Medical Billing Specialist. In this role, you will be responsible for reviewing medical claims. This will include checking patient eligibility and coverage as well as payer guidelines and requirements. You will verify that all documentation is correct and available and that the Dx codes and modifiers are correct for payment. You will comprehensively scrub all claims to ensure clean, correct claims with a low denial rate.The ideal candidate will have a solid understanding of medical billing procedures, excellent analytical skills, and strong attention to detail. This is a crucial position within our organization, as accurate and timely denial handling directly impacts our revenue cycle and financial stability. This is a remote position with the expectation of regular work hours and the ability to work in a team-oriented environment.Responsibilities:- Process, review and submit medical claimsdenial and rejection responses for HME, DME, & O&P services provided to patients in compliance with all relevant guidelines, government regulations, and company policies.- Verify patient insurance coverage and eligibility for O&P services, ensuring accurate information is recorded and maintained.- Review and analyze patient medical records, HME, DME, and O&P prescriptions, and supporting documentation to ensure appropriate coding and billing.- Assign appropriate CPT, HCPCs, and ICD-10 codes to accurately reflect the services provided.- Communicate with healthcare providers, physicians, and insurance companies to resolve billing discrepancies, obtain additional information, and address claim denials or rejections.- Stay updated on changes in medical billing and coding regulations, guidelines, and insurance requirements.- Maintain confidentiality of patient information and adhere to HIPAA guidelines.- Collaborate with the Accounts Receivablebilling team and other departments to ensure accurate and efficient billing processes.- Provide training and guidance to staff members on O&P billing procedures and regulations.Requirements:- High school diploma or equivalent; certification or associate degree in medical billing and coding is preferred.- 2+ years of relevant experience working in medical billing, preferably in the field of Orthotics, and Prosthetics; experience in Home Medical Equipment or Durable Medical Equipment will be considered.- Excellent attention to detail, analytical skills, and problem-solving abilities.- Strong communication skills, both written and verbal, with the ability to effectively interact with healthcare professionals, insurance companies, and patients.- Ability to work independently and prioritize tasks in a fast-paced environment.- Suitable work from home environment.- Knowledge of HIPAA regulations and patient privacy guidelines.Candidate Preferences- Proven experience handling medical claim submissions including performing a comprehensive claim scrub.- Knowledge of insurance guidelines, regulations, and reimbursement policies related to HME, Durible Medical equipment E, Complex Rehab Technologies RT and O&P services.- Strong knowledge of medical billing and coding practices, including CPT, HCPCS, and ICD-10 coding systems.- Familiarity with claim submission processes, including electronic claim submission, paper claim submission and coordination of benefits.- Proficient in using billing software, electronic health records (EHR), and other relevant computer systems.- Understanding of medical terminology and HME, DME, and O&P terminology is highly desirable.*This job description is intended to provide a general overview of the responsibilities and requirements of the position. It is not exhaustive, and additional duties may be assigned as needed.Featured benefits- Medical insurance- Vision insurance- Dental insuranceInterested in applying? Email us at [email protected] Nov. 8 2023
JUMPSTART VENTURES
6701 Carnegie Ave. Suite 100
Cleveland, Ohio 44103
Tel: 216.363.3400
Email: [email protected]
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