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Medical Biller & Denial Specialist - Remote See States

Work from home Full-time role Hiring

CareStream Advisory Group's mission is to help healthcare professionals find rewarding opportunities that align with their care philosophy. We are not a staffing firm or agency. CareStream does not hire for these positions—we identify and validate them from healthcare employers directly. Employer Industry: Healthcare Services Why Consider This Job Opportunity

  • Salary up to $19.00 per hour
  • Full benefits available after 30 days, including paid time off after 90 days
  • Opportunity for career advancement within a growing company
  • Engaging work environment with a focus on process and quality improvement initiatives
  • Supportive team atmosphere with opportunities for collaboration on special projects
  • Remote work flexibility for candidates in designated states

What To Expect (Job Responsibilities)

  • Analyze and resolve insurance claim denials for Durable Medical Equipment (DME) supplies
  • Generate effective written appeals to carriers using well-researched logic
  • Ensure billing and coding accuracy prior to submitting appeals or reconsiderations
  • Identify trends and patterns in denials to proactively resolve recurring issues
  • Collaborate with team members and management on coding and billing challenges

What Is Required (Qualifications)

  • Minimum three years of experience in DME billing and coding
  • Experience with collections of insurance claims
  • Background in Medicare and/or Medicaid
  • Knowledge of Durable Medical Equipment (DME) processes
  • High school diploma or GED required

How To Stand Out (Preferred Qualifications)

  • EDI transmission experience is preferred
  • Strong research and analytical skills with critical thinking abilities
  • Familiarity with coding and medical terminology

#HealthcareServices #MedicalBilling #RemoteWork #CareerAdvancement #QualityImprovement "We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer." #CareStreamAdvisoryGroup Apply tot his job Apply To this Job

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