Billing Claims Specialist

Join to apply for the Billing Claims Specialist role at Reliable Respiratory
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This position offers a competitive base pay range of $25,000 per year to $30,000 per year, with final compensation determined by skill and experience.

Reliable Respiratory is an equal opportunity employer. We welcome applicants from all backgrounds and provide accommodations for qualified individuals with disabilities. Veterans are encouraged to apply.

Reliable Respiratory is a Durable Medical Equipment (DME) company that supplies high‑quality respiratory, diabetes, urology, and maternity support equipment. We provide CPAPs, BiPAPs, AutoPAPs, nebulizers, oxygen equipment, ventilators, CGM devices, insulin pumps, and breast pumps. Our team serves patients with professionalism, care, and expertise, partnering closely with the medical community.

• Review denied claims, identify issues, correct claims, and resubmit for maximum reimbursement. This includes obtaining authorizations, collecting documentation from facilities, and collaborating with payers and provider services.
• Analyze denial trends, report findings to management, and develop strategies to improve claim health and decrease accounts receivable cycles.
• Create and update written materials related to insurance procedures and programs.
• Review and analyze organizational and payer data to assess payments and denials and recommend changes for margin improvement.
• Develop and implement systems for managing denials by dollar value, payer specialization, and invoice age.
• Issue invoices and bills, sending them to customers via mail, email, and other channels.
• Process payments received through cash, online payments, and other methods, verifying credibility.
• Answer customer and payer inquiries and resolve complaints regarding claims.
• Reconcile deposits and posted invoices.

• Minimum 18 years of age.
• Eligible to work in the United States without future work authorization.
• Bachelor’s Degree required.
• At least 2 years of medical billing, coding, reimbursement, or health insurance experience preferred.

• Strong knowledge of New England payers and Massachusetts ACO plans.
• Proficiency in obtaining authorizations via portal, fax, and phone.
• Adaptability to learn billing functions and meet evolving job needs.
• Effective interdepartmental communication.
• Professional verbal and written communication skills.
• Competent computer usage, especially Microsoft Office Suite.
• Independent problem‑solving and decision‑making ability.
• Strong analytical skills.

• Computer literacy.
• Interpersonal skills.
• Product expertise.
• Communication skills.
• Results orientation.
• Conflict management.
• Customer service.
• Organizational skills.

• Communication with stakeholders is required; standing or sitting for extended periods may be necessary.
• Use of standard office equipment such as computers, phones, printers, and scanners.
• Work occurs in a professional office setting with moderate to loud noise levels.

None.

This description is not an exhaustive list; duties may change based on the needs of the organization.

Reliable Respiratory, INC participates in E‑Verify, a system that confirms a new employee’s eligibility to work in the U.S. via Social Security Administration and Department of Homeland Security checks.

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