Medical Billing Specialist - DME Experience Required

Overview:
We are seeking a detail-oriented and proactive Billing Analyst to join our team on a contract-to-hire basis. In this role, you will work with our billing and revenue cycle management processes, analyzing payment trends, identifying payer issues, and investigating denials. This position is ideal for someone with a quality assurance mindset, strong analytical capabilities, and experience in DME billing, especially involving oxygen-related products.

Key Responsibilities:

• Analyze billing and payment data to identify patterns, issues, and denial trends across various payers


• Investigate root causes of denied or underpaid claims, including payer policy discrepancies or documentation gaps


• Research and propose corrective actions to reduce future denials and improve collections


• Collaborate with billing, coding, and reimbursement teams to improve process integrity and data accuracy


• Act as a problem-solver and self-starter—drive issue resolution independently without needing step-by-step guidance


• Produce reports and dashboards to support revenue recovery and operational efficiency


• Apply a quality assurance lens to all data reviews, ensuring billing accuracy and compliance

Qualifications:

• Prior experience as a Billing Analyst, ideally in a healthcare or DME environment


• Strong understanding of DME billing and oxygen-related services


• Excellent analytical and investigative skills—must be comfortable diving into large datasets to identify trends and anomalies


• Ability to independently research complex payer issues and follow through with recommendations


• Demonstrated problem-solving skills and the initiative to improve processes without being prompted


• Experience with payer rules and guidelines; understanding of medical claim workflows and denial management


• Quality-focused, with a keen eye for details and process optimization


• Strong communication skills for internal collaboration and external escalation when needed